کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1081772 1486767 2015 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Experiences of home and institution in a secured nursing home ward in the Netherlands: A participatory intervention study
ترجمه فارسی عنوان
تجارب خانه و موسسه در بخش مراقبت های پرستاری در هلند: یک مطالعه مداخله مشارکتی
کلمات کلیدی
خانه؛ مؤسسات کل؛ خانه پرستاری؛ مراقبت از شخصیت؛ روش های کیفی؛ رویکرد مشارکتی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب سالمندان و علم پیری شناسی
چکیده انگلیسی


• We used Goffman’s conceptualisation of total institutions and the literature on home as a framework for analysis.
• We conclude that while home and institution may seem to be opposites, they can actually be seen as two ends of a continuum.
• We explore interventions that were implemented to increase the sense of home on a secured nursing home ward.
• The interventions aimed to increase residents’ control over everyday, rather than to implement home-like aesthetics.
• We conclude that it is possible to increase the home-like character of a secured nursing home ward through interventions.

Nursing homes have been criticised for not providing a home for their residents. This article aims to provide insight into (1) the features of home and institution as experienced by residents and caregivers of a secured ward in a nursing home, and (2) how interventions implemented on the ward can contribute to a more home-like environment. For this purpose, a participatory intervention study, involving both caregivers and residents, was carried out. We collected data through qualitative research methods: observations, in-depth interviews and diaries to evaluate the interventions over time. We adopted an informed grounded theory approach, and used conceptualisations of total institutions and home as a theoretical lens. We found that the studied ward had strong characteristics of a total institution, such as batch living, block treatment and limited privacy. To increase the sense of home, interventions were formulated and implemented by the caregivers to increase the residents' autonomy, control and privacy. In this process, caregivers' perceptions and attitudes towards the provision of care shifted from task-oriented to person-centred care. We conclude that it is possible to increase the home-like character of a secured ward by introducing core values of home by means of interventions involving both caregivers and residents.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Aging Studies - Volume 34, August 2015, Pages 92–102
نویسندگان
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