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首页> 外文期刊>International journal of older people nursing >The use of drama to support reflection and understanding of the residents' situation in dementia care: A pilot study
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The use of drama to support reflection and understanding of the residents' situation in dementia care: A pilot study

机译：使用戏剧支持对痴呆症护理中居民状况的反思和理解：一项试点研究

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Background. One key aspect of person-centredness is striving to understand both the patients' experiences and behaviours from their perspective. These aspects are precisely those that staff in dementia care highlight as causing them most difficulty because the people in their care have major problems expressing themselves. There is thus a need to develop a method to help the staff to achieve interpretation through reflection. Aim. The aim of this study was to explore the use of drama as a tool to support reflection among staff working in the residential care of people with dementia. Design. A qualitative evaluation of a programme consisting of three drama sessions with staff working in residential care (n=10 nurse assistants). Methods. Data comprised observations and tape recordings of the sessions, the researchers' reflections after each session and a focus-group interview with the participants. The texts were analysed using qualitative content analysis. Results. The analysis showed that: (i) the exercises stimulate reflection about daily caring practice; (ii) the participants must receive extensive information about the purpose of the sessions; (iii) the research team must secure the defined frames and conditions and have practical knowledge about caring for people with dementia and (iv) the management needs to be stable, committed and supportive. Conclusion. Drama seems to be a valid tool to aid reflection, but several adjustments are needed concerning both the content of the sessions and the methodology. When designing a larger intervention study, it would be preferable to the sessions to be combined with staff support to effect changes in care provision resulting from their increased awareness of the residents' situation and experience. Implications for practice. Our results showed that drama can be a means to enhance reflection among staff in residential care for people with dementia. Further research is however needed concerning the effects for the staff's situation and nursing care quality.
机译：背景。以人为本的一个关键方面是努力从患者的角度了解患者的经历和行为。这些方面恰恰是痴呆症护理人员最强调的那些方面，因为所护理人员的自我表达存在重大问题。因此，需要开发一种方法来帮助工作人员通过反思实现口译。目标。这项研究的目的是探索将戏剧作为一种工具来支持痴呆症患者住院护理工作人员之间的反思。设计。对一项计划的定性评估，该计划包括三个电视剧课，其中涉及住宅护理工作人员（n = 10个护士助理）。方法。数据包括会议的观察和录音，研究人员在每次会议后的反思以及与参与者的焦点小组访谈。使用定性内容分析法对文本进行分析。结果。分析表明：（i）练习激发了对日常护理实践的反思; （ii）参与者必须获得有关会议目的的广泛信息; （iii）研究团队必须确保已定义的框架和条件，并具有照料痴呆症患者的实践知识，并且（iv）管理需要稳定，坚定和支持。结论。戏剧似乎是帮助反思的有效工具，但对于会议的内容和方法，都需要进行一些调整。在设计更大的干预研究时，最好将会议与员工支持相结合，以实现对护理提供的改变，这是由于他们对居民状况和经验的认识有所提高。对实践的启示。我们的研究结果表明，戏剧可以成为增强痴呆症患者住院服务人员之间反思的一种手段。但是，需要进一步研究对员工状况和护理质量的影响。

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