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首页> 外文期刊>International journal of older people nursing >Working with 'hands-off' support: A qualitative study of multidisciplinary teams' experiences of home rehabilitation for older people
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Working with 'hands-off' support: A qualitative study of multidisciplinary teams' experiences of home rehabilitation for older people

机译：在“放任自流”的支持下工作：对多学科团队的老年人居家康复经验的定性研究

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Background: There is a move towards the provision of rehabilitation for older people in their homes. It is essential to ensure that rehabilitation services promote independence of older people. Aim: The aim of the study was to explore multidisciplinary teams' experiences of home rehabilitation for older people. Methods: Five focus groups were conducted with multidisciplinary teams based in a municipality in Sweden, covering seven different professions. In total, 28 participants volunteered to participate in these interviews. Interviews were transcribed verbatim and analysed according to content analysis. Results: Two main categories, as well as four subcategories, emerged. The first main category, having a rehabilitative approach in everyday life, consisted of the subcategories: 'giving 'hands-off' support' and 'being in a home environment'. The second main category, working across professional boundaries, consisted of the subcategories: 'coordinating resources' and 'learning from each other'. Conclusion: Common goals, communication skills and role understanding contributed to facilitating the teams' performances of rehabilitation. A potential benefit of home rehabilitation, because the older person is in a familiar environment, is to work a rehabilitative approach into each individual's activity in their everyday life in order to meet their specific needs. At an organisational level, there is a need for developing services to further support older people's psychosocial needs during rehabilitation. Implications for practice: Team performance towards an individual's rehabilitation should come from an emerged whole and not only from the performance of a specific professional approach depending on the traditional role of each profession. A rehabilitative approach is based on 'hands-off' support in order to incorporate an individual's everyday activities as a part of their rehabilitation.
机译：背景：正在朝着为老年人提供家中康复的方向发展。必须确保康复服务促进老年人的独立性。目的：该研究的目的是探索多学科团队对老年人的家庭康复的经验。方法：五个焦点小组由位于瑞典某市的多学科团队进行，涵盖七个不同的专业。共有28名参与者自愿参加了这些采访。访谈被逐字记录并根据内容分析进行分析。结果：出现了两个主要类别以及四个子类别。第一个主要类别是日常生活中的康复方法，由以下子类别组成：“给予'主动权'支持”和“在家中生活”。第二个主要类别是跨专业领域，由以下子类别组成：“协调资源”和“相互学习”。结论：共同的目标，沟通技巧和角色理解有助于促进团队的康复表现。由于老年人处于熟悉的环境中，因此家庭康复的潜在好处是对每个人的日常生活进行康复治疗，以满足他们的特定需求。在组织层面，需要开发服务以进一步支持老年人在康复期间的社会心理需求。实践的意义：团队对个人康复的表现应该来自一个新兴的整体，而不仅仅是取决于特定职业的传统表现，这取决于每个职业的传统角色。康复方法是基于“不干预”的支持，以便将个人的日常活动纳入康复过程。

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