Inclusion of the personal biography in daily care – a qualitative study / Einbezug der Biographie in den Pflegealltag – eine qualitative Studie
Published Online: Feb 10, 2016
Page range: 216 - 226
Received: Apr 13, 2014
Accepted: Sep 04, 2014
DOI: https://doi.org/10.1515/ijhp-2016-0016
Keywords
© 2016 Stephanie Kipfer, Lorenz Imhof, Andrea Koppitz, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
Introduction
In Switzerland, 39% of nursing home residents have a dementia related disease. Behavioral symptoms are increasingly observed as dementia progresses. These symptoms impair patients’ quality of life and are distressing to family caregivers and nurses. A person-centered approach, which includes the resident’s individual biography, reduces such symptoms. The most current literature describes how therapists include biographical information in designated therapies. However person-centered care takes place not only in specific activities. Nurses are responsible for their patients’ care 24 hours a day.
Aim
The goal of this study is to explore how nurses include biographical information in their daily care.
Method
Data were collected from qualitative interviews with registered nurses (n=10) in a nursing home and analysed according to the Charmaz Grounded Theory approach.
Results
The inclusion of the personal biography in daily care appears as a continuous, repetitive process with three main categories: “negotiating”, “connecting” and “being-in-good-hands”. Nurses in this study report that they can trigger positive reactions and reduce behavioral symptoms by means of meaningful interventions, when connected to the residents’ biography. Meaningful interventions can support residents in making contact to their current everyday life, acting independently and perceiving self-efficacy (= connecting). To initiate meaningful interventions, nurses need to connect biographical information to current experiences of the resident (= negotiating). This requires a thorough understanding of the residents’ situation. Nurses obtain an in-depth understanding through caring relationships, which are characterized by continuity of care and a mutual dialogue, where needs and experiences are shared, understood and evaluated (= being-in-good-hands).