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NTIS 바로가기Journal of Korean biological nursing science, v.20 no.3, 2018년, pp.150 - 158
유선영 (한양대학교 간호학부) , 탁영란 (한양대학교 간호학부)
Purpose: The purpose of this study was to investigate the expected family involvement of family members of elderly residents in nursing homes. Methods: This study utilized a descriptive design with a survey research method. Data were collected using the Expect Family Involvement Questionnaire Scale,...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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요양시설에서 이루어지는 가족참여의 종류는? | 1990년대에 유럽과 미국을 중심으로 요양시설에서 가족의 중요성을 인지하여 가족참여에 대한 다양한 연구가 진행되고 있다[14,15]. 요양시설에서 이루어지는 가족참여의 종류로는 요양시설 방문, 노인과의 연락, 노인에 대한 일차적 간호 제공, 요양시설에서 치료나 간호에 대한 의사결정 등 다양하다[2-4,16]. 요양시설에서 가족참여를 통해 노인, 가족, 직원, 시설에 다차원적 측면에서 긍정적인 효과가 나타났다[9,16]. | |
요양시설의 시설장과 직원이 가족의 요구를 파악하지 못한 채 이루어지는 가족참여가 초래하는 결과는? | 하지만 요양시설의 시설장과 직원이 가족의 요구를 파악하지 못한 채 이루어지는 가족참여는 가족과 간호사를 포함한 요양시설 직원들 갈등의 원인이 된다[9,18]. 이는 결국 가족의 스트레스와 시설에 대한 불만의 증가, 직원의 이직률 상승과 같은 부정적인 결과가 초래된다[18,19]. 따라서 간호사를 포함한 직원들은 환자 가족을 동반자로 인식해야 하며 장기요양시설 내에서의 가족의 요구가 반영된 가족참여를 격려해야 한다[13,18]. | |
요양시설에서 가족참여란? | 요양시설에서 가족참여는 요양시설에 입소한 노인의 돌봄에 가족을 참여시켜 인간중심돌봄(person-centered care)을 실현하고자 하는 간호 철학을 근간으로 한다[1]. 요양시설에서 가족참여는 요양 시설 입소 노인의 가족이 노인과의 지속적인 관계와 친밀감을 유지하고자 하는 가족들의 바람이며 노인의 회복에 대한 희망, 부모에 대한 도리의 표현, 돌봄의 질의 향상, 가족으로서의 관계 지속을 위해, 죄책감에 대한 표현이다[2,3]. 요양시설에서 가족참여는 노인의 개인적 요구에 대한 배려와 가치 존중, 노인의 자율성과 독립성을 높이며, 궁극적으로 노인의 요양시설에서 삶의 질과 안녕을 유지할 수 있다는 측면에서 점차 그 중요성이 강조되고 있다[2-4]. |
Boise L, White D. The family's role in person-centered care: Practice considerations. Journal of Psychosocial Nursing and Mental Health Services. 2004;42(5):12-20. https://doi.org/10.3928/02793695-20040301-06
Puurveen G, Baumbusch J, Gandhi P. From family involvement to family inclusion in nursing home settings: A critical interpretive synthesis. Journal of Family Nursing. 2018;24(1):60-85. https://doi.org/10.1177/1074840718754314
Reid RC, Chappell NL. Family involvement in nursing homes: Are family caregivers getting what they want? Journal of Applied Gerontology. 2017;36(8):993-1015. https://doi.org/10.1177/0733464815602109
Petriwskyj A, Gibson A, Parker D, Banks S, Andrews S, Robinson A. A qualitative metasynthesis: Family involvement in decision making for people with dementia in residential aged care. International Journal of Evidence-based Healthcare. 2014;12(2):87-104. https://doi.org/10.1097/XEB.0000000000000002
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Choe EH. A study on strategic proposal for improving of service quality management 6system of long-term care (LTC). Journal of Korean Gerontological Society. 2010;30(2):401-419.
Korean Statistical Information Services. Welfare Institutions for the Aged and Number of Users, Facility [Internet]. Daejeon: Statistics Korea; 2017 [cited 2018 Apr 18]. Available from: https://kosis.kr/search/search.do.
Sury L, Burns K, Brodaty H. Moving in: Adjustment of people living with dementia going into a nursing home and their families. International Psychogeriatrics. 2013;25(6):867-876. https://doi.org/10.1017/S1041610213000057
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Levine C, Halper D, Peist A, Gould DA. Bridging troubled waters: Family caregivers, transitions, and long-term care. Health Affairs. 2010;29(1):116-124. https://doi.org/10.1377/hlthaff.2009.0520
Mignani V, Ingravallo F, Mariani E, Chattat R. Perspectives of older people living in long-term care facilities and of their family members toward advance care planning discussions: A systematic review and thematic synthesis. Clinical Interventions in Aging. 2017;12:475-484. https://doi.org/10.2147/CIA.S128937
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Friedemann ML, Montgomery RJ, Rice C, Farrell L. Family involvement in the nursing home. Western Journal of Nursing Research. 1999;21(4):549-567.
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Powell C, Blighe A, Froggatt K, McCormack B, Woodward-Carlton B, Young J, et al. Family involvement in timely detection of changes in health of nursing homes residents: A qualitative exploratory study. Journal of Clinical Nursing. 2018;27(1-2):317-327. https://doi.org/10.1111/jocn.13906
Gaugler JE. Family involvement in residential long-term care: A synthesis and critical review. Aging & Mental Health. 2005;9(2):105-118. https://doi.org/10.1080/13607860412331310245
Chisholm L, Zimmerman S, Rosemond C, McConnell E, Weiner BJ, Lin FC, et al. Nursing home staff perspectives on adoption of an innovation in goals of care communication. Geriatric Nursing. 2018;39(2):157-161. https://doi.org/10.1016/j.gerinurse.2017.08.001
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