看護と患者ケアのジャーナル

Nursing Home and Elderlies’ Family: Questions about Semiospheres

Thomas P, Chandes G, Couegnas N and Hazif-Thomas C

Staff in a nursing home, elderly and families meets numerous difficulties during the institutionalized process in a nursing home. Some problems are linked to the development of different, sometimes competitive logics in two human groups unbalanced in terms of capacity, namely the family system and the geriatric institution. The loss of sense is the core of the moral pain for families, nursing staff and old patients. To give a meaning to the contents of what is perceived is as essential for life and biological surrounding as well. Sense is a part of person-centered care quality in a nursing home, for residents, their family, and the nursing staff quality of life at work. When an early implementation of an intersubjective approach has not been organized, negotiated and accepted by families and the nursing staff as well, possible misunderstanding or even conflicts may appear. Medical doctors, nurse-managers and psychologists can bridge the gap between the semiospheres and this have an essential role in the prevention of this drift. The question of the sense and of its elaboration in human relationships is analyzed in this article through the model of the semiosphere.