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The use of life story work with people with dementia to enhance person-centred care.

机译:利用生命故事与痴呆症患者一起工作,以增强以人为本的护理。

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BACKGROUND: Person-centred care has been linked with quality of care but difficulties remain in person-centred care being implemented in care practice. This study explores the use of life story work to enhance person-centred care with people with dementia. AIMS AND OBJECTIVES: The study investigates how life story work is: understood and developed in practice; experienced by all participants and affects the delivery and outcomes of care. DESIGN AND METHODS: The experience of older people with dementia, family carers and care staff in using life story work was explored within an NHS Health and Social Care Trust. A multiple case study design was adopted within a constructivist approach. Semi-structured interviews, observation, conversations were employed. FINDINGS: Life story work has the potential to: enable care staff to see the person behind the patient; allow family carers to uphold their relatives' personhood; enable the voice of the person with dementia to be heard, verbally and non-verbally; be enjoyable for all concerned and enable the person with dementia to feel proud about themselves and their lives. CONCLUSION AND IMPLICATIONS FOR PRACTICE: Life story work has the potential to enhance person-centred care for older people with dementia and their families. Taking a practice development approach ensures that life story work can be implemented sensitively and is sustained in practice.
机译:背景:以人为本的护理与护理质量相关联,但是在护理实践中实施以人为本的护理仍然存在困难。这项研究探索了使用生命故事工作来增强以痴呆症患者为中心的护理。目的和目标:本研究调查生活故事的工作方式:在实践中理解和发展;所有参与者的经历,并影响护理的提供和结果。设计与方法:在NHS健康和社会关怀基金会中探索了老年痴呆症,家庭护理人员和护理人员在使用生活故事工作中的经验。建构主义方法采用了多案例研究设计。采用半结构化访谈,观察,对话。结果:生活故事工作具有以下潜力:使护理人员能够看到患者身后的人;允许家庭照顾者维护其亲属的人格;使口头和非口头的痴呆症患者的声音能够被听到;使所有人都感到愉快,并使痴呆症患者为自己和生活感到自豪。结论和实践意义:生活故事工作有可能增强以痴呆症老年人及其家人为中心的护理。采取实践发展的方法可确保生活故事工作能够被敏感地实施并在实践中得以持续。

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