背景:由于全球老龄化趋势,在养老院度过生命最后几年的老年人数量正在增加。然而,养老院长期以来一直面临负面的社会和公共话语,包括痴呆症和此类设施中的生活。然而,痴呆症居民的剩余时间具有重要意义,为了他们和他们的家人,因为他们寻求尊重和做出有意义的生命终结决定的能力。
目的:探讨养老院护士如何倡导痴呆症患者的剩余寿命。
方法:定性研究设计。
方法:从2023年1月到2023年2月,韩国有四家养老院。
方法:招募了20名为痴呆症患者提供直接护理并在疗养院至少有两年经验的护士。
方法:本研究采用批判性语篇分析。对疗养院护士进行了20次访谈,以探讨护士使用的语言的语法和词汇方面之间的联系,以构建他们作为痴呆症居民和更广泛的社会文化背景的倡导者的身份。
结果:确定了有关养老院护士倡导痴呆症患者生命价值的四种话语:(1)桥接观点:我是医疗和居民家庭之间的谈判者有不同的观点;(2)拥抱共同的人性:居民与我没有什么不同;他们只需要专业的帮助;(3)确认意愿:居民仍然属于他们的家庭,(4)赋予改变的声音:我们正在努力在一个充满挑战的现实中提供更好的护理。
结论:本文强调了护理宣传在维护痴呆症患者剩余时间和尊严方面的重要性,挑战围绕痴呆症和疗养院的耻辱,并呼吁对护士为保护这些老年人的人格和福祉所做的努力给予更大的社会和政治认可。
BACKGROUND: Due to the global aging trend, the number of older people who will spend the last years of their lives in nursing homes is increasing. However, nursing homes have long confronted negative social and public discourses, including stigmas on dementia and life in such facilities. Nevertheless, the remaining time of residents with dementia holds significance, for them and their families, as they seek respect and the ability to make meaningful end-of-life decisions.
OBJECTIVE: To explore how nursing home nurses advocate for the remaining lifetimes of residents with dementia.
METHODS: A qualitative research design.
METHODS: Four nursing homes in Korea from January 2023 to February 2023.
METHODS: Twenty nurses who provide direct caregiving for residents with dementia and have a minimum of two years\' experience in nursing homes were recruited.
METHODS: This study employed a critical discourse analysis. Twenty interviews conducted with nursing home nurses were examined to explore the connections between the grammatical and lexical aspects of the language used by the nurses to construct their identities as advocates for residents with dementia and the broader sociocultural context.
RESULTS: Four discourses regarding nursing home nurses advocating for the value of life of residents with dementia were identified: (1) Bridging perspectives: I am a negotiator between medical treatment and residents\' families with differing views; (2) Embracing a shared humanity: Residents are no different from me; they just need professional help; (3) Affirming belongingness: Residents still belong to their families, even when care has been delegated; and (4) Empowering voices for change: We are struggling to provide better care in a challenging reality.
CONCLUSIONS: This paper highlights the importance of nursing advocacy in safeguarding the remaining time and dignity of individuals with dementia, challenging the stigma surrounding dementia and nursing homes and calling for greater societal and political recognition of the efforts nurses make to preserve the personhood and well-being of these older adults.