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Maryam Ahmadi1 
, Farahnaz Mohammadi-Shahboulaghi * 2, Mohammadali Hosseini1 , Masoud Fallahi Khoshknab1
, Farahnaz Mohammadi-Shahboulaghi * 2, Mohammadali Hosseini1 , Masoud Fallahi Khoshknab1
1- Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. ,farahnaz.mohammadi9898@gmail.com
2- Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. ,
Abstract: (218 Views)
Background: Family participation in care is essential for hospitalized elderly patients. Therefore, to plan, implement, and evaluate plans that involve the family in the care, a deep understanding of its process is needed.
Objectives: The present study was conducted to discover the process of involving the family in the care of hospitalized older adult patients.
Methods: Based on the grounded theory qualitative study, the experiences of 22 people involved in participation (13 nurses, 5 family members, 4 hospitalized older adult patients) from three public hospitals in Kermanshah and Tehran between 2023 and 2024 were collected through in-depth semi-structured interviews. Sampling was initially purposive and continued theoretically until data saturation. The data were analyzed using the approach of Strauss and Corbin 2015.
Results: The analysis of the obtained data led to the emergence of 11 categories and 44 sub-categories. contextual factors in this process are "unfavorable hospital conditions for family participation", "insufficient professional competence of nurses for participation", "complexity of elderly patient care" and family capacity for participation. The participants in this process use the strategies of "insufficient attraction of the family to participate in care", "relative empowerment of the family to participate in care", "unplanned handover of caregiving tasks to the family ", "family's efforts to participate in caregiving” "facing the family's effort to participate" which follows the consequences of "nurses' concern about the safety and quality of family care" and "the family's suspension between helplessness and ability". From the integration of the obtained concepts, the central concept of "unstructured participation of the family in care" was obtained, with which other categories can be explained.
Conclusion: The findings of the present study, by increasing the nurses' understanding of the effective contextual factors, the types of actions and interaction of nurses in the field of involving the family in care, and the subsequent consequences, provide the basis for conducting further research, designing intervention programs and formulating hospital policies in this matter to promote cooperation with families.
Objectives: The present study was conducted to discover the process of involving the family in the care of hospitalized older adult patients.
Methods: Based on the grounded theory qualitative study, the experiences of 22 people involved in participation (13 nurses, 5 family members, 4 hospitalized older adult patients) from three public hospitals in Kermanshah and Tehran between 2023 and 2024 were collected through in-depth semi-structured interviews. Sampling was initially purposive and continued theoretically until data saturation. The data were analyzed using the approach of Strauss and Corbin 2015.
Results: The analysis of the obtained data led to the emergence of 11 categories and 44 sub-categories. contextual factors in this process are "unfavorable hospital conditions for family participation", "insufficient professional competence of nurses for participation", "complexity of elderly patient care" and family capacity for participation. The participants in this process use the strategies of "insufficient attraction of the family to participate in care", "relative empowerment of the family to participate in care", "unplanned handover of caregiving tasks to the family ", "family's efforts to participate in caregiving” "facing the family's effort to participate" which follows the consequences of "nurses' concern about the safety and quality of family care" and "the family's suspension between helplessness and ability". From the integration of the obtained concepts, the central concept of "unstructured participation of the family in care" was obtained, with which other categories can be explained.
Conclusion: The findings of the present study, by increasing the nurses' understanding of the effective contextual factors, the types of actions and interaction of nurses in the field of involving the family in care, and the subsequent consequences, provide the basis for conducting further research, designing intervention programs and formulating hospital policies in this matter to promote cooperation with families.
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