"The Red Dress or the Blue?": How Do Staff Perceive That They Support Decision Making for People With Dementia Living in Residential Aged Care Facilities?

被引:35
作者
Fetherstonhaugh, Deirdre [1 ]
Tarzia, Laura [1 ]
Bauer, Michael [1 ]
Nay, Rhonda [2 ]
Beattie, Elizabeth [3 ]
机构
[1] La Trobe Univ, ACEBAC, Australian Inst Primary Care & Ageing, Bundoora, Vic 3086, Australia
[2] La Trobe Univ, Bundoora, Vic, Australia
[3] Queensland Univ Technol, Dementia Collaborat Res Ctr Carers & Consumer, Brisbane, Qld 4001, Australia
关键词
dementia; decision making; long-term care; staff; autonomy; LONG-TERM-CARE; NURSING-HOME; COGNITIVE IMPAIRMENT; AUTONOMY; CHOICE; HEALTH; COMMUNICATION; PARTICIPATE; CAREGIVERS; ETHICS;
D O I
10.1177/0733464814531089
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Respect for a person's right to make choices and participate in decision making is generally seen as central to quality of life and well-being. When a person moves into a residential aged care facility (RACF), however, decision making becomes more complicated, particularly if the person has a diagnosis of dementia. Little is known about how staff in RACFs perceive that they support decision making for people with dementia within their everyday practice, and this article seeks to address this knowledge gap. The article reports on the findings of a qualitative study conducted in the states of Victoria and Queensland, Australia with 80 direct care staff members. Findings revealed that the participants utilized a number of strategies in their intention to support decision making for people with dementia, and had an overall perception that a little effort goes a long way.
引用
收藏
页码:209 / 226
页数:18
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