背景:参与护理被认为可以促进安全和定性的护理。依赖护理的老年人老龄化增加了紧急护理需求,它启动了涉及市政家庭护理和救护车服务的组织间合作。先前的研究得出的结论是,在临床实践中参与护理意味着什么,存在不确定性。这就需要为处于危急生活状况的老年人阐明这一现象。
目的:本研究旨在从家庭急病依赖护理的老年人的角度阐明参与院前急救护理的意义。
方法:本研究采用生活世界方法进行定性设计。
方法:使用现象学诠释学方法分析了对11名70-93岁的护理依赖者的转录电话访谈。
结果:依赖护理的老年人``参与院前急救护理意味着``将生活交给专业护理人员``当处于无助的孤独和存在的不安全状态时,这强调了加深的人际依赖。从老年人的角度来看,参与护理的意义包括在团结中得到保证,顺从于对应急专家的信任,通过专业护理人员的机构,在紧急护理链中遇到准备情况。
结论:护理依赖的老年人参与院前急救护理是存在的,涉及人际关系依赖。团结带来安慰,安全和情绪休息的机会,同时获得专业护理人员的权力,提供生存和走向福祉和持续生活的机会的能力和能力。
结论:从依赖护理的老年人的角度来看,院前急救护理超越了组织界限,包括市政移动安全报警服务。所涉及的市政和区域组织需要通过实施以生活世界为主导的护理模式和护理替代方案来提供支持,使专业人员能够认识到参与护理的存在层面。
BACKGROUND: Participation in care is considered to promote safe and qualitative care. Care-dependent older persons ageing in place have increased emergency care needs, which initiate inter-organisational collaboration involving municipal home care and ambulance services. Previous research concludes that uncertainties exist regarding what participation in care means in clinical practice, which necessitates the need to illuminate the phenomenon for older persons in critical life situations.
OBJECTIVE: This study aimed to illuminate meanings of participation in prehospital emergency care from the perspective of care-dependent older persons experiencing acute illness at home.
METHODS: This study has a qualitative design with a lifeworld approach.
METHODS: A phenomenological hermeneutical method was used to analyse transcribed telephone interviews with eleven care-dependent persons aged 70-93 years.
RESULTS: Care-dependent older persons\' participation in prehospital emergency care means \'Entrusting life to professional caregivers\' when being in helpless solitude and existentially unsafe, which emphasises a deepened interpersonal dependence. Meanings of participation in care from the perspective of older persons involve Being reassured in togetherness, Being pliant in trust of emergency expertise, Being enabled through the agency of professional caregivers, and Encountering readiness in the emergency care chain.
CONCLUSIONS: Care-dependent older persons\' participation in prehospital emergency care is existential and involves interpersonal dependence. Togetherness brings reassurance, safety and opportunity for emotional rest while accessing the professional caregivers\' power, competence and abilities which provide opportunities for existence and movement towards well-being and continued living.
CONCLUSIONS: Prehospital emergency care from the perspective of care-dependent older persons transcends organisational boundaries and includes the municipal mobile safety alarm service. The involved municipal and regional organisations need to provide support by implementing lifeworld-led care models and care alternatives that enable professionals to recognise the existential dimension of participation in care.