Motivations for Family Members’ Visits to Nursing Home Residents With Dementia in Taiwan: A Qualitative Study

痴呆 护理部 主题分析 医学 定性研究 心理干预 感情 家庭照顾者 心理学 家庭医学 疾病 社会心理学 社会学 社会科学 病理
作者
Hsiu‐Hsin Tsai,Ching‐Yu Cheng,Li‐Chueh Weng,Wann‐Yun Shieh,Chia‐Yih Liu
出处
期刊:Journal of Nursing Scholarship [Wiley]
卷期号:53 (1): 87-95 被引量:5
标识
DOI:10.1111/jnu.12617
摘要

Abstract Purpose The purpose of this study was to explore what motivates family members to visit a relative with dementia who has been transferred to a nursing home in Taiwan. Design and Methods Data were collected for this qualitative descriptive study using audiotaped, semi‐structured, in‐depth, face‐to‐face interviews. A total of 20 family members of elderly nursing home residents participated in the study. Nursing home residents were from four nursing homes in Taiwan and had been diagnosed with probable or possible dementia by a psychiatrist or neurologist. Transcribed audiotaped interviews were analyzed using thematic analysis. Findings Most family members were the children of the residents ( n =17, 85%). The theme describing the core motivation for family members’ visits to nursing home residents was “to maintain the unforgotten family affection.” This motivation comprised four relevant categories: hoping to slow degeneration, providing a congruous environment, honoring filial and karmic duty, and ensuring the quality of care. Conclusions Motivations for Taiwanese family members’ visits to nursing home residents with dementia were similar to those in Western cultures. However, “hoping to slow degeneration” and “providing a congruous environment” were unique categories. Clinical Relevance Nurses and policymakers could use these findings to design interventions that might increase holistic care for both family members and nursing home residents with dementia. Providing programming focused on family members’ unique priorities could address swallowing difficulties, management of dementia symptoms, nutritional needs, and selection of residents’ roommates. These programs could improve the quality of family members’ visits as well as the quality of staff–family relationships.
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