背景:关于对居住在养老院的老年人进行个性化(或以人为本)护理的指南和政策主张,所有居民都必须考虑他们的偏好,并且必须合理调整所提供的所有护理,以满足该人的特定需求。尽管如此,考虑居民所接受护理的重要性的研究是有限的。
目的:我们的综述旨在探索养老院居民个性化护理的生活体验,并了解对他们真正重要的是什么。
方法:六个电子数据库(CINHAL,Medline(Ovid),Embase,PubMed,搜索了WebofScience&PsychInfo)和GoogleScholar(灰色文献),以确定与养老院环境中的个性化护理有关的定性研究,其中还包括居民(声音)报价。使用eMERGe指南报道了文献综述和合成。
结果:15项研究符合我们的meta人种学纳入标准。四个概念类别(适应机构护理的挑战,时间的流逝,坚持自我意识和宾至如归的愿望)和两个关键概念(创造有目的的生活和关怀文化,形成和维持有意义的和授权的关系)被确定。最后,理解的概念框架代表了居民在照顾方面的个人重要性。
结论:我们的元人种学,以居民的个性化护理生活体验为指导,提供了一个新的视角,说明居民在接受护理方面的个人问题。理解的概念框架强调了从为居民做事的机构立场转变为与居民做事的以人为本立场的重要性。
结论:我们的研究结果强调了理解政策和实践中个性化护理和以人为本护理之间差异的重要性。需要进一步考虑如何通过护士和护理院专业人员的教育和工作实践来应用。
BACKGROUND: Guidance and policy on
personalised (or person-centred) care of older people living in care homes advocates that all residents must have their preferences considered, and that all care provided must be reasonably adjusted to meet the person\'s specific needs. Despite this, research that considers what matters to residents in terms of the care they receive is limited.
OBJECTIVE: Our review aims to explore care home residents\' lived experiences of
personalised care and understand what really matters to them.
METHODS: Six electronic databases (CINHAL, Medline (Ovid), Embase, PubMed, Web of Science & PsychInfo) and Google Scholar (grey literature) were searched to identify qualitative studies relating to
personalised care in care home settings, which also included resident (voices) quotes. The literature review and synthesis are reported using eMERGe guidance.
RESULTS: Fifteen studies met the inclusion criteria for our meta-ethnography. Four conceptual categories (the challenge of fitting into institutional care, the passing of time, holding onto a sense of self and a desire to feel at home) and two key concepts (creating a culture of purposeful living and caring and forming and maintaining meaningful & empowering relationships) were identified. Finally, a conceptual framework of understanding represents what personally matters to residents in terms of their care.
CONCLUSIONS: Our meta-ethnography, guided by residents\' lived experiences of
personalised care, offers a new perspective of what personally matters to residents in terms of the care they receive. The conceptual framework of understanding highlights the importance of moving from an institutional position of doing for residents to a person-centred position of doing with residents.
CONCLUSIONS: Our findings highlight the importance of understanding the differences between
personalised and person-centred care for policy and practice. Further considerations are required on how this might be applied through nurse and care home professionals\' education and work practices.