scholarly journals CARING RELATIONSHIP DEVELOPMENT IN THE NURSING HOME IN SHANGHAI: A DYADIC QUALITATIVE STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S703-S704
Author(s):  
Lin Chen ◽  
Minzhi Ye ◽  
Qiang Zhu

Abstract Caring relationships between older residents and nurse aides are fundamental in terms of service delivery in nursing homes. However, little is known for the nuanced dynamics of this relationship in China. The purpose of this study is to explore how caring relationships develop between older residents and nurse aides in the nursing home setting in urban China. Informed by the dyadic perspective, this study illustrates the development process and relational nuances by simultaneously eliciting residents’ and nurse aides’ perceptions. This qualitative study purposively sampled 20 matched resident-nurse aide dyads (N= 40) in a government-sponsored nursing home in Shanghai. Participants participated in semi-structured, in-depth interviews from January to June 2017. Thematic analysis was performed. The findings reveal that the caring relationship began with nursing home assignment and primarily focused on instrumental assistance. Gradually, emotional involvement grew within dyads and reciprocity emerged. Based on different dyadic perceptions, this study conceptualized four types of caring relationships: (a) parent-child alike, (b) mutually respectful, (c) solo performance, and (d) reasonably detached. The findings suggest that residents and nurse aides could have different views on caring relationships, which further influenced the relationship development. The four types of caring relationships shared some similar traits while differentiating from some of the common types of interactions found in the existing nursing evidence across the world. Chinese filial tradition also influenced the relationship dynamics.

2021 ◽  
pp. 1-23
Author(s):  
Lin Chen ◽  
Qiang Zhu ◽  
Ling Xu ◽  
Yura Lee ◽  
Bum Jung Kim

Abstract Although research has shown that older nursing home residents can benefit from caring relationships with nurse aides, few studies have explored their dyadic, evolving relationship dynamics. Using a dyadic perspective, this study simultaneously explores caring relationships among older residents and nurse aides in Shanghai. In a government-sponsored nursing home in Shanghai, 20 matched resident–nurse aide dyads participated in semi-structured, in-depth interviews (N = 40). We performed thematic analysis to interpret and conceptualise the evolving caring relationships within dyads. Four types emerged during the evolution of caring relationships across the 20 dyads: (a) sharing strong rapport, (b) respecting each other, (c) hesitant responding, and (d) keeping emotional distance. Upon placement, all the residents kept emotional distance from nurse aides, and their assigned nurse aides provided care-giving by following nursing home regulations. As time passed, nurse aides began to create a family environment and tried to interact with residents on an emotional level; however, residents’ attitudes varied. The caring relationships in some dyads evolved as rapport and respect emerged, while others remained hesitant and distant. This suggests that residents and nurse aides prioritised caring relationships differently in terms of autonomy preservation and safety protection, respectively. This study sheds light on nursing home practice to facilitate building caring relationships between residents and nurse aides.


2009 ◽  
Vol 13 (4) ◽  
pp. 33-37 ◽  
Author(s):  
Deborah A. Raines

Caring is a concept foundational to person-to-person interaction. Mayeroff (1971) described three components of a caring relationship. This qualitative study uses stories written by nurse preceptors to explore the relationship between the preceptor and the new hire/preceptee. The analysis searched for evidence of the components of a caring relationship from the perspective of the nurse preceptor. This study fills a gap by describing the caring components of the preceptor’s behaviors. Enhancing our understanding of nurse preceptors’ behaviors to create a caring relationship with newly hired nurses is important for the profession and to the retention of nurses.


2017 ◽  
Author(s):  
Susie Donnelly ◽  
Brenda Reginatto ◽  
Oisin Kearns ◽  
Marie McCarthy ◽  
Bill Byrom ◽  
...  

2018 ◽  
Vol 20 (6) ◽  
pp. e220 ◽  
Author(s):  
Susie Donnelly ◽  
Brenda Reginatto ◽  
Oisin Kearns ◽  
Marie Mc Carthy ◽  
Bill Byrom ◽  
...  

2014 ◽  
Vol 11 (2) ◽  
pp. 206-217
Author(s):  
Karijn G. Nijhoff

This paper explores the relationship between education and labour market positioning in The Hague, a Dutch city with a unique labour market. One of the main minority groups, Turkish-Dutch, is the focus in this qualitative study on higher educated minorities and their labour market success. Interviews reveal that the obstacles the respondents face are linked to discrimination and network limitation. The respondents perceive “personal characteristics” as the most important tool to overcoming the obstacles. Education does not only increase their professional skills, but also widens their networks. The Dutch education system facilitates the chances of minorities in higher education through the “layering” of degrees. 


Author(s):  
Pamela J. McKenzie

Caring relationships are recognized as important resources for information seekers. I consider how nine pregnant women map their relationships with their midwives as they evaluate them as information sources. Data come from interviews. Women described the relationship as a trajectory, beginning with the “idea” of a midwife. As women get to know their midwife, they are able to draw on a set of resources, including the relationship itself, as informative. These resources are not static but are re-negotiated on an ongoing basis. A single encounter therefore maps both to the trajectory of the relationship and to a broader discursive community.Les relations bienveillantes sont reconnues comme ressources importantes pour ceux qui cherchent de l'information. En analysant les données de neuf entrevues, je tenterai de déterminer comment neuf femmes enceintes se représentent leur relation avec leur sage-femme vue comme source d'information. Les femmes décrivent leur relation comme une trajectoire qui s'appuie sur « l'idée » qu'elles se font d'une sage-femme. Au fur et à mesure que la relation avec leur sage-femme évolue, les femmes peuvent se prévaloir d'un ensemble de ressources informatives, y compris la relation elle-même. Ces ressources ne se veulent pas statiques, mais bien renégociées de façon continue. Une rencontre unique représente alors la trajectoire d'une relation ainsi que d'une communauté discursive. 


2011 ◽  
Vol 39 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Paul Y. Takahashi ◽  
Anupam Chandra ◽  
Stephen Cha ◽  
Aleta Borrud

2020 ◽  
Author(s):  
Kerstin Hämel ◽  
Gundula Röhnsch

Abstract Background and Objectives In integrated daycare, community-dwelling older people in need of care join existing groups in residential care facilities during the day. This study focuses on how nursing home residents experience the integrative care approach, exploring opportunities for social inclusion and mechanisms of exclusion. Research Design and Methods A purposive sample of residents differing in cognitive capacity and level of (non)conflictual interaction with daycare guests was selected. Episodic interviews with residents (N = 10) and close relatives (N = 2) were conducted in 3 pilot facilities in Germany and analyzed using thematic coding. Results The analysis revealed different orientation patterns towards the presence of daycare guests: respondents (a) demonstrated indifference to the daycare guests, (b) saw bonding with guests as a means to connect to the outside world, and (c) perceived incompatibility between in-group and out-group. Criticisms included disruption of daily routines and loss of privacy. Most interviewees came to terms with the care situation using rational and moral arguments. Discussion and Implications The study reveals the importance of residents’ participation when integrating daycare guests. Institutional procedures are required to prevent exclusion of daycare guests and avoid overtaxing residents.


2009 ◽  
Vol 57 (8) ◽  
pp. 1498-1503 ◽  
Author(s):  
Rosa Baier ◽  
Kristen Butterfield ◽  
Gail Patry ◽  
Yael Harris ◽  
Stefan Gravenstein

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