PDF(Pubmed)
Abstract：
UNASSIGNED: We explored how family caregivers perceive decision-making regarding the care of nursing home residents.
UNASSIGNED: This qualitative study used Flemming\'s Gadamerian-based research method. In person semi-structured interviews about decision-making concerning residents\' care were conducted with 13 family members (nine women, four men) of residents of three Norwegian nursing homes.
UNASSIGNED: The following themes emerged: Excessive focus on autonomy threatens resident wellbeing and safety. Resident wellbeing is the caregiver\'s responsibility. Resident wellbeing serves as a guiding principle.
UNASSIGNED: The family members of residents and the nursing home caregivers disagreed about the significance of upholding resident autonomy to respect residents\' dignity. The family members held that not all instances where residents refused care reflect autonomy situations as care refusal often does not reflect the resident\'s true values and standards but rather, stems from barriers that render necessary care actions difficult. In situations where residents refuse essential care or when the refusal does not align with the residents second-order values, the family members suggested that caregivers strive to understand the causes of refusal and seek non-coercive ways to navigate it. Hence, the family members seemed to endorse the use of soft paternalism in nursing homes to safeguard residents\' wellbeing and dignity.
UNASSIGNED: This qualitative study used Flemming\'s Gadamerian-based research method. In person semi-structured interviews about decision-making concerning residents\' care were conducted with 13 family members (nine women, four men) of residents of three Norwegian nursing homes.
UNASSIGNED: The following themes emerged: Excessive focus on autonomy threatens resident wellbeing and safety. Resident wellbeing is the caregiver\'s responsibility. Resident wellbeing serves as a guiding principle.
UNASSIGNED: The family members of residents and the nursing home caregivers disagreed about the significance of upholding resident autonomy to respect residents\' dignity. The family members held that not all instances where residents refused care reflect autonomy situations as care refusal often does not reflect the resident\'s true values and standards but rather, stems from barriers that render necessary care actions difficult. In situations where residents refuse essential care or when the refusal does not align with the residents second-order values, the family members suggested that caregivers strive to understand the causes of refusal and seek non-coercive ways to navigate it. Hence, the family members seemed to endorse the use of soft paternalism in nursing homes to safeguard residents\' wellbeing and dignity.
摘要：
■我们探讨了家庭护理人员如何看待有关养老院居民护理的决策。
■这项定性研究使用了Flemming\'sGadamerian-based研究方法。对13名家庭成员(9名妇女，四名男子）三个挪威疗养院的居民。
■出现了以下主题：过度关注自治威胁居民的福祉和安全。居民的福祉是照顾者的责任。居民福祉是指导原则。
■居民的家庭成员和疗养院的看护人不同意维护居民自主权对尊重居民尊严的重要性。家庭成员认为，并非所有居民拒绝护理的情况都反映了自治情况，因为拒绝护理通常并不反映居民的真实价值观和标准，源于障碍，使必要的护理行动变得困难。在居民拒绝基本护理或拒绝与居民二阶值不符的情况下，家庭成员建议照顾者努力了解拒绝的原因，并寻求非强制性的方式来解决它。因此，家庭成员似乎赞同在养老院中使用软家长制来维护居民的福祉和尊严。
■这项定性研究使用了Flemming\'sGadamerian-based研究方法。对13名家庭成员(9名妇女，四名男子）三个挪威疗养院的居民。
■出现了以下主题：过度关注自治威胁居民的福祉和安全。居民的福祉是照顾者的责任。居民福祉是指导原则。
■居民的家庭成员和疗养院的看护人不同意维护居民自主权对尊重居民尊严的重要性。家庭成员认为，并非所有居民拒绝护理的情况都反映了自治情况，因为拒绝护理通常并不反映居民的真实价值观和标准，源于障碍，使必要的护理行动变得困难。在居民拒绝基本护理或拒绝与居民二阶值不符的情况下，家庭成员建议照顾者努力了解拒绝的原因，并寻求非强制性的方式来解决它。因此，家庭成员似乎赞同在养老院中使用软家长制来维护居民的福祉和尊严。
