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Maintenance of Professional Boundaries and Family Involvement in Residential Aged Care

机译：维护居民老年护理的专业界限和家庭参与

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The importance of family's involvement in care planning has been stressed to cater individualized, person-centered care in residential aged care. However, in reality, there are numerous structural obstacles and barriers that limit opportunities for their involvement. The aim of this article is to explore what they are. The findings based on the 12 focus groups, six groups of care professionals and six groups of family/relatives, reveal that the narrow pathway of communication between staff and families, which is hierarchically structured, one-directional, and clinically driven, enables the former to maintain and control professional boundaries between formal and informal care-giving. Such communication style delimits an opportunity for families to engage in quality discussion about care planning for their loved ones with care staff. Communication within residential aged care facilities embodies complex dynamics of care expectations and responsibilities held by care staff and families.
机译：家庭参与护理规划的重要性已被强调迎合个性化，以人为本的住宅关怀。 然而，实际上，有许多结构障碍和障碍限制了他们参与的机会。 本文的目的是探讨他们的样子。 基于12次重点小组的调查结果，六组护理专业人员和六组家庭/亲属，揭示了员工和家庭之间的沟通狭窄的通信途径，它们是分层结构，单向和临床驱动的，使前者能够实现前者 维护和控制正规和非正式护理之间的专业界限。 这种通信风格限制了家庭的机会，以便与护理人员一起参与关于他们所爱的人的护理计划的质量讨论。 住宅老年护理设施中的沟通体现了护理人员和家庭持有的护理期望和责任的复杂动态。

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