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1.
Although reminiscence is a naturally occurring process in late adulthood, not all older adults reminisce effectively. Notably, feelings of guilt, loneliness, bitterness and regret lead to despair and remorse rather than integrity. In spite of this, little is known about the process of reminiscence among Filipino older adults. This grounded study aims to develop a model that describes how a select group of older Filipino patients residing in nursing homes in the Philippines experience reminiscence.

Strauss and Corbin’s (1990) grounded theory design was employed in this study. A total of eighteen (18) Filipino older adults in nursing homes were purposively selected to participate in one-on-one, semi-structured interviews. These were then transcribed into field texts and analyzed through open, axial and selective coding. Member checking procedure was employed to ensure that the emerged themes were sensible and consistent with the participants’ lived experiences.

Through constant comparative method, the findings of this study presented the development of a three-phase process (Reactivating, Reconstructing and Reframing) that describes the reminiscence experiences of a select group of Filipino nursing home residents. The emergent theoretical model invites nurses as quality care providers to renew and restructure interventions to promote effective reminiscence.  相似文献   


2.
ABSTRACT

Nursing home residents over the age of 65 years are at high risk for poor oral health and related complications such as pneumonia and adverse diabetes outcomes. A preliminary study found that Massachusetts’ nursing homes generally lack the training and resources needed to provide adequate oral health care to residents. In this study, an intervention targeting Certified Nurses’ Aides (CNAs) was developed and tested. We hypothesized that following the training, CNAs would have increased knowledge and self-efficacy toward providing oral health care to the residents in their charge.

This pilot study used a one-group pretest-posttest design to test the effectiveness of a psycho-educational training intervention. Utilizing the constructs of knowledge and self-efficacy from the Theory of Planned Behavior and the Social Cognitive Theory, we framed the content of a training intervention and administered a 21-item instrument. The survey was distributed to the CNA staff of a single midsize nursing home immediately prior to and after the intervention. The 1-hour training intervention was empirically supported by formative data and delivered by dental faculty researchers.

Findings indicate increases in two areas of oral health knowledge: toothbrush position and frequency of brushing. Self-efficacy, however, did not significantly change. Although the results marginally supported our hypothesis, this pilot study demonstrates the feasibility of delivering interventions to CNAs who have direct responsibility for promoting the oral health of long-term care facility residents.  相似文献   

3.
This study investigated the effects of reminiscence therapy work on depression, quality of life, ego-integrity, social behavior function, and activities of daily living. This study was a quasiexperimental study using a single-group pretest/posttest design. This therapy consists of eight sessions of 2.5 hours with a specific theme. A total of 19 patients with mild dementia who registered at a mental health center in community-dwelling participated in this study. Hypotheses were supported by quality of life, ego-integrity, and social behavior function. But depression and activities of daily living were not supported. Although all the hypotheses were not supported, a reminiscence therapy was beneficial. Patients with mild dementia can talk to each other naturally without feeling a psychological burden, and they are provided the opportunity to look back on their life.  相似文献   

4.
Institutionalized elderly people often appear to live in the past, or in their long‐term memories. The purpose of this study was to determine the effects of playing tapes of Golden Age radio shows, both musical and comedy, on the residents of a nursing home. In particular, the researchers were interested in memory recall, reactions to the memories, and the effects of this activity on involvement in planned nursing home activities. Trivia questions about the same time period were also utilized to determine if discussion of significant historical events in older persons’ lifetimes might be triggers for increased participation and socialization. The study was conducted in a 30‐bed nursing center located 20 miles west of a large midwestern metropolitan area. The participants included 12 women with a mean age of 90 years and of varying levels of cognitive functioning. The Golden Age radio programs were played on a tape recorder for a length of time not exceeding 20 minutes. Trivia questions were verbally posed by the researchers to the study group. Reactions to the Golden Age musical programs indicated that this type of music may evoke memories and encourage reminiscence in the lives of the elderly. The use of trivia is also recommended as a means of stimulating recall of historical and life events. The comedy programs evoked little response in this study, and the researchers feel that additional study in this area could be valuable.  相似文献   

5.
Engagement in social and leisure activities is an indicator of quality of life and well-being in nursing homes. There are few studies in which nursing home residents with dementia self-reported their experiences in activity engagement. This qualitative study describes types of current activity involvement and barriers to activities as perceived by nursing home residents with dementia. Thirty-one residents participated in short, open-ended interviews and six in in-depth interviews. Thematic content analysis showed that participants primarily depended on activities organized by their nursing homes. Few participants engaged in self-directed activities such as walking, visiting other residents and family members, and attending church services. Many residents felt they had limited opportunities and motivation for activities. They missed past hobbies greatly but could not continue them due to lack of accommodation and limitation in physical function. Environmental factors, along with a fixed activity schedule, further prevented them from engaging in activities. Residents with dementia should be invited to participate in activity planning and have necessary assistance and accommodation in order to engage in activities that matter to them. Based on the findings, a checklist for individualizing and evaluating activities for persons with dementia is detailed.  相似文献   

6.
This study used both survey and interview questionnaires. It was designed to assess the feasibility, usability, and utility of two point-of-care tools especially prepared with information relevant for dementia care by staff nurses in a small, a medium-sized, and a large nursing home in Florida. Twenty-five LPN or RN nurses were recruited for the study of their use of one of the tools—either a set of pocket cards (used by the control group) or a pocket PC (used by the experimental group). The findings of our study indicate that personal digital assistants (PDAs) can potentially improve long-term care clinicians' effectiveness and efficiency at work, resulting in better patient care for nursing home residents.  相似文献   

7.
The purpose of this study was to determine the impact of a progressive mobility restorative program on nursing home residents' ability to perform selected activities of daily living (ADLs) and the amount of staff assistance needed to help residents complete these ADLs. A one group repeated measures design study was conducted in a 255-bed university affiliated geriatrics center. A certified nursing assistant (CNA) specially trained in restorative mobility techniques worked with residents individually for at least 15 minutes per day, five days per week to achieve their individualized mobility goals. Items on ADL Self-Performance and ADL Support Provided from the Minimum Data Set (MDS) were collected at baseline, three months, and six months. Thirty-eight of 42 residents (90%) were included in the analyses and 31 residents (82%) completed at least 25 days of restorative activities. Some residents improved their ADL self-performance at three and six months (15% and 33%, respectively) and decreased in the amount of ADL support provided at three and six months (26% and 31%, respectively). Total ADL self-performance and support provided did not change significantly over the six-month period. Most residents maintained their baseline ADL self-performance and level of ADL support provided over the six-month study. A progressive mobility restorative program implemented by a certified nursing assistant specially trained in restorative techniques resulted in most residents maintaining their baseline ADL self-performance abilities and the level of assistance provided by staff. Studies are needed to determine if these types of programs can actually improve functional abilities and decrease the level of staff assistance needed to complete ADLs or if they are effective in maintaining or delaying functional loss and staff burden.  相似文献   

8.
ABSTRACT

Nursing Assistants (NAs) are the largest workforce in nursing homes, but often lack adequate preparation for their role. The Living Classroom (LC) is an integrated learning approach, whereby a NA program is delivered in a nursing home (NH) in collaboration with a community college. This paper describes the implementation and evaluation of the LC. Mixed methods were used to gather data from 48 NA students, 5 faculty, and 42 NH staff over 30 weeks. Students, faculty, and nursing home staff described the LC as a positive learning experience. Students’ gerontological knowledge increased over time (p = .0012). Students reported very positive relationships with program mentors and NH residents. The LC provides a unique approach to prepare NAs to work in nursing homes. This model could expand to other educational programs with a gerontology focus.  相似文献   

9.
Findings from previous research on the benefits of reminiscence and life review in the aging process have been inconclusive. This may be due in part to a lack of clarity with regard to the particular type of reminiscence being investigated. The study reported in this article attempted to bring some clarity to the phenomenon of reminiscence by identifying and differentiating its various uses or functions. A 17‐item Uses of Reminiscence scale was administered to 288 older adults as part of the Georgia Centenarian Study. A factor analysis of the data revealed three distinct uses of reminiscence: “therapeutic,” “informative,” and “enjoyment.” Implications for research and practice are discussed.  相似文献   

10.
Reminiscing is a therapeutic nursing intervention for older adults. Nursing students and elders who participated in reminiscing interviews were excited by this activity. Researchers across disciplines collaborated in this qualitative research project to clarify the meaning and experience of reminiscing for the student and the diverse elder. Following the student-elder interview, researchers conducted unstructured interviews with a purposive sample of students and elder participants. Four patterns emerged: discovery of the value of intergenerational interaction and relationships; rejection of stereotypes; a willingness to overcome painful aspects of reminiscence; and gerotranscendence wisdom and peace. These findings have implications for nursing education, nursing practice, and further research.  相似文献   

11.
OBJECTIVE: To follow up the well-being of children at risk after a decision on their removal was made. METHOD: Social workers assessed the quality of life (QOL) of three groups of children (n = 92): children they had decided to keep at home, children whom they had removed to alternative care, and children who remained at home despite the decision to remove them. This is a prospective study, in which assessments were made at two points of time: first when the workers began to consider whether or not to remove the child, and again 6 months later. RESULTS: The findings show that even though the QOL of the children in the three groups was similarly low at the first measure, it differed in the second. The QOL of the children who were removed from home had improved, that of the children who remained at home in accord with the workers' decisions remained roughly the same, and that of the children for whom the decision to remove was not implemented declined. CONCLUSION: The findings suggest that children at risk may fare better in terms of QOL in alternative placement than at home, and highlight the high price paid by children for whom a decision to remove them from home is not implemented. Further research, however, is required, taking into consideration the interventions and services that the children and their families received in the different settings.  相似文献   

12.
《Educational gerontology》2013,39(5):381-391
As we enter the 21st century, increasing numbers of older adults will reside, either temporarily or permanently, in nursing homes. Training in nursing home care must become an integral part of the curriculum for internal and family medicine residency programs. The changing demographics of the Lebanese population have created an imperative for medical schools to increase their emphasis on the education and training of residents in the care of the elderly. A four-week block rotation was started for residents in the family medicine department in Hotel Dieu (The French Medical School). The rotation is taking place at the comprehensive Geriatric Program at Ain Wazein Community Hospital. The goal of the rotation is to provide formal training in nursing home care to family practice residents as a component of the geriatrics curriculum. The organization and the curriculum content of the rotation are presented. The initial evaluation of the rotation by the residents showed that the residents became more comfortable with elderly issues by the end of the rotation. Residents responded on a scale of one to six regarding four constructs. The rotation was positively evaluated by residents and staff. Consequently, the rotation has been incorporated into the curriculum of family medicine residents in Hotel Dieu.  相似文献   

13.
The purpose of this research was (a) to determine whether there is a comparative difference in the level of conscious death anxiety between young-old and the old-old nursing home residents and (b) to assess the predictive value of educational attainment, gender, subjective health, functional ability, social support, and length of stay on the conscious death anxiety of the persons in the two age groups. A discriminant analysis of 228 residents from three nursing homes revealed that among the 103 young-old subjects poor subjective health, poor functional ability, poor social support, and extended stays in the facilities were indicative of high death anxiety. Among the 125 old-old subjects, high death anxiety was associated with poor subjective health, poor functional ability, and higher educational attainment. Further, it was found that age was an important variable. A significantly greater proportion of the older residents compared to the younger residents had higher conscious death anxiety. The results may direct practitioners and planners in program development for the elderly nursing home patient.  相似文献   

14.
There is increasing recognition of the severe consequences of depression in long-term care residents with dementia. Most health care providers are unprepared to recognize and to manage the complexity of depression in dementia. Targeted educational initiatives in nursing homes are needed to address this growing problem. This paper describes the development of competencies, learning objectives, and learning outcomes for a curriculum on depression in dementia for nurses working in nursing home settings. This work provides the foundation for a curriculum to improve learning for nurses and, ultimately, to advance health care outcomes for residents with cooccurring depression and dementia.  相似文献   

15.
采用随机抽样法获取老年脑卒中患者80例作为研究对象,将其随机分为干预组与对照组。探讨老年脑卒中患者生活质量的现状与康复护理干预。结果表明,康复护理干预方法优于传统护理方法,有助于提高老年脑卒中患者本人和家属对健康的认识及健康价值水平,促进老年脑卒中患者掌握有效的康复训练方法,改善老年脑卒中患者的运动、语言、认知和其它受损的功能,使其在精神、心理和社会上再适应,提高生活质量。  相似文献   

16.
This research explores the workplace stress and ethical challenges reported by healthcare staff in a nursing home. A brief self-report survey was administered to 44 members of the nursing staff in a not-for-profit nursing home. The survey included items that elicited identification of specific workplace stressors and ethical challenges and global assessments of job-satisfaction, psychological stress, and perceived pressures that may affect provision of care. There were also items dealing with the perceived benefit of prospective in-service training programs. Content analyses indicated interactions with residents as the most frequent source of stress and ethical challenges encountered by nursing staff. Further, results of correlational analyses suggested psychological stress to be associated with job satisfaction and pressure to take shortcuts in the provision of care. Continuing education via in-service training that addresses workplace stress and ethical challenges in nursing care is discussed.  相似文献   

17.
A program for increasing staff effectiveness in implementing a group home behaviour management program was evaluated. The program consisted of self‐recording and supervisor feedback. A multiple baseline design was used to evaluate staff consistency in four skill areas; implementing response cost for the occurrence of physical aggression, implementing response cost for the occurrence of verbal aggression, setting guidelines for successful task completion, and providing feedback to residents. Staff increased consistency in all four areas following intervention. A one week follow‐up demonstrated short‐term maintenance of intervention effects. Results are discussed with reference to future training procedures.  相似文献   

18.
Workshops in Caring were designed to expose attitudes, biases, and concerns of a nursing home staff toward aging, illness, and death. This paper touches on techniques and materials (more literary and humanistic than clinical) for encouraging participants to focus on and share their feelings. What inhibits or facilitates a caring relationship between elderly, often terminally ill, residents and staff members was the prime focus of both sessions: "Will You Still Need Me, Will You Still Feed Me?" and "Who Owns One's Life?"  相似文献   

19.
This single-subject, experimental research design examined the efficacy of treating severe, long-term selective mutism in a 9-year-old male using shaping, multiple re-inforcers, natural consequences, stimulus fading, and mild aversives. Different treatment regimens were implemented in the home and school environments. A multiple baseline design across settings with changing criterion was used to evaluate the home intervention, and an A-B-A design was used for the school intervention. The home intervention resulted in an increase in the number of verbalizations in each setting and prompted generalization to additional settings. The school intervention increased the number of people spoken to, but the results were not maintained at follow-up nor did they generalize outside of the training situation. Possible explanations for the discrepancy in maintenance and generalization data between the two programs are presented.  相似文献   

20.
This study is based on a life history of a woman born in 1878 who, at the age of eighteen, left her farm home in an isolated rural area to make a life in an urban career. Her life history parallels and extends our understanding of the experience of modern day women who leave home for careers in distant areas. It is also an example of the experience of women of a rural diaspora. The results identify ways that home and memories of home can support women's career development over the lifespan. The qualitative data analyzed in this study leads to recognition of how home can support the launching as well as reinventing of a career by providing a source of strength for women who are far from home. In addition, a woman's home and reminiscence of home can provide a source of comfort and support during times of emotional or financial hardship. Women who are from outside the mainstream American urban/suburban culture, such as women whose homes are in rural or non-European American areas, need to be prepared for difficulties that can arise while becoming acculturated in a commercial, consumer culture. Finally, implications for counseling are discussed.  相似文献   

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