关键词: dementia family care gerontology nursing home care nursing theory older people therapeutic relationships

Mesh : Humans Alzheimer Disease / psychology nursing Caregivers / psychology Narration Nurse-Patient Relations

来  源:   DOI:10.1111/jan.16062

Abstract:
OBJECTIVE: This study aims to (1) introduce the emergent concept of the retrograde plunge experienced by people living with Alzheimer\'s disease and (2) illustrate how nurses can accompany those experiencing this phenomenon, as well as their family and formal carers, using the seven-phase inquiry process proposed by Smith and Liehr.
METHODS: Discursive paper.
METHODS: After describing the phenomenon and the Story Theory, the 7-phase Inquiry Process presents the fictional story of Mrs. Lurie, a nursing home resident.
RESULTS: Story theory allows nurses to accompany Mrs. Lurie. The emergent concept of retrograde plunge is explained. Different tools such as genograms, story paths and eco-maps are presented. This discussion demonstrates how some perspectives can contribute to a better description of the retrograde plunge phenomenon. The narrative care approach can help give voices to people experiencing retrograde phenomena. The adoption of a perspective that considers embodied language could help to better understand the needs of a person.
CONCLUSIONS: There is a lack of consistency and uniformity regarding the understanding of the retrograde phenomenon. This impacts the quality of care for people and the scientific knowledge, research and education of healthcare professionals. This issue should be addressed in future studies.
UNASSIGNED: This article shows how story theory helps nurses accompany those facing a retrograde plunge phenomenon, helps them tell their own stories and finds a way to resolve the situation.
CONCLUSIONS: This article paves the way for further developments that must now be realized by the international community of experts involved in the care of people with Alzheimer\'s disease, from practical, academic and research perspectives.
UNASSIGNED: No patient or public was involved in the design or drafting of the discursive paper. WHAT PROBLEM DID THE STUDY ADDRESS?: The retrograde plunge is a phenomenon in which people living with Alzheimer\'s disease return to their past lives and re-experience with certain events. The retrograde plunge is a well-known concept that is poorly described in scientific literature and is sometimes misunderstood by families and professional caregivers. This discursive article explains the retrograde plunge phenomenon experienced by people living with Alzheimer\'s disease. WHAT WERE THE MAIN FINDINGS?: This article demonstrates how story theory helps nurses and families support people with retrograde plunges. This highlights the lack of consistency and uniformity in this phenomenon, which has implications for the quality of care, education and research. Story theory and the seven-phase inquiry process proposed by Smith and Liehr (in Middle-range theory for nursing, Springer Publishing Company, 2023) help to better understand and explain the retrograde plunge phenomenon. WHERE AND ON WHOM WILL THE RESEARCH HAVE AN IMPACT?: This article advances nurses\' knowledge in the different fields of practice, teaching and research. This article proposes links among the retrograde plunge phenomenon, embodied language and narrative care approach; this could offer further ways to develop nursing knowledge. This study has the potential to advance the knowledge of practice and education and offers new opportunities for research.
UNASSIGNED: There was no trial or protocol registration as this article is a discussion.
摘要:
目的:本研究旨在(1)介绍阿尔茨海默病患者所经历的逆行暴跌的紧急概念,以及(2)说明护士如何陪伴经历这种现象的人,以及他们的家人和正式照顾者,使用史密斯和里尔提出的七阶段调查过程。
方法:话语论文。
方法:在描述了现象和故事理论之后,7阶段的调查过程呈现了卢里夫人的虚构故事,疗养院的居民.
结果:故事理论允许护士陪伴Lurie夫人。解释了逆行暴跌的新兴概念。不同的工具,如基因图谱,呈现了故事路径和生态地图。此讨论说明了某些观点如何有助于更好地描述逆行暴跌现象。叙事护理方法可以帮助人们经历逆行现象的声音。采用考虑具体语言的观点有助于更好地理解一个人的需求。
结论:对逆行现象的理解缺乏一致性和统一性。这会影响人们的护理质量和科学知识,医疗保健专业人员的研究和教育。这个问题应该在今后的研究中加以解决。
这篇文章展示了故事理论如何帮助护士陪伴那些面临逆行暴跌现象的人,帮助他们讲述自己的故事,并找到解决问题的方法。
结论:本文为进一步的发展铺平了道路,现在必须由国际社会参与阿尔茨海默病患者护理的专家认识到这一点。从实际出发,学术和研究视角。
没有患者或公众参与到演讲论文的设计或起草中。研究解决了什么问题?:逆行暴跌是一种现象,即患有阿尔茨海默氏症的人回到过去的生活并重新经历某些事件。逆行暴跌是一个众所周知的概念,在科学文献中描述不佳,有时会被家庭和专业护理人员误解。这篇话语性文章解释了患有阿尔茨海默病的人所经历的逆行暴跌现象。主要发现是什么?:本文演示了故事理论如何帮助护士和家庭支持逆行的人。这凸显了这种现象缺乏一致性和统一性,这对护理质量有影响,教育和研究。Smith和Liehr提出的故事理论和七个阶段的探究过程(在护理的中程理论中,施普林格出版公司,2023)有助于更好地理解和解释逆行暴跌现象。这项研究在哪里和谁会产生影响?:这篇文章提高了护士在不同实践领域的知识,教学和研究。本文提出了逆行暴跌现象之间的联系,体现语言和叙事护理方法;这可以提供进一步的方法来发展护理知识。这项研究有可能推进实践和教育的知识,并提供新的研究机会。
没有试验或协议注册,因为本文是讨论。
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