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1.
There has been no attempt to explicate elderly patients’ preferences during nurse-patient interaction in the context of a prison setting. A purposive sample of 347 was chosen from a national Philippine prison based on the following inclusion criteria: (a) 55 years old and above, (b) incarcerated, (c) no psychological impairment, and (d) can amply read and write. Via conjoint analysis (CA), 36 from 81 nurse–patient interaction cards were produced according to orthogonal plans, as specified by SPSS. The conjoint analysis model proved to be fit: Pearson R = .993, (p < .05) Kendall's tau = .944 (p < .05), Kendall's tau for holdouts = .799 (p < .05). The use of CA showed the top 3 attributes: language (21.26%), smile (18.49%), and eye contact (14.19%). Overall, the following levels are highly preferred by respondents: “vernacular” language (utility = 1.377, SE = .21.26), “with” smile (utility = 1.198, SE = .082), and “constant” eye-contact/gaze (utility = .919, SE = .082). Significant differences in nurse–patient interaction were noted in age brackets, current health condition, and years of incarceration, except in educational attainment. Overall, geriatric incarcerated individuals preferred nurses who verbally utilize close-ended, nonfrequent, and without follow-up questions, speak vernacular in a low and constant intonation, give encouragement, and praise. When touch is needed, the respondents preferred same gender nurses. Respondents find it more comfortable when nurses utilize ‘friendly’ space during the interaction, smile, and maintain constant eye contact. To achieve more consistent care, nursing actions must be in accordance with these preferences.  相似文献   

2.
While the nurse–patient relationship plays a vital role in enhancing a client’s well-being, in this study, it was observed that most nurses only communicate with their clients when dealing with administrative or functional activities. Although previous studies had been conducted involving the nature of nurse–patient interaction, none has yet investigated the potential of conjoint or trade-off analysis in understanding elderly patients’ preferences in home care and community settings. This study contributes to the gap in such knowledge about the nurse–patient relationship. A total of 238 Filipino elderly patients were recruited from home health care and community settings to participate in the research. A set of 36 choice bundles with 4 holdouts were extracted from a pool 144 orthogonal array. In this quantitative study, respondents were asked to sort and rank each card based on its importance and utility value. All data gathered were analyzed using SPSS version 20. Notably, the analysis found that the most important factor for elderly clients in home health care is non-verbal communication followed by verbal, gender and type of care provider while for elderly clients in community settings, gender is the most important consideration in nurse–patient interaction and this was followed by non-verbal cues, care provider and verbal cues. Findings of the study provide valuable inputs that could inform guidelines in implementing nurse professional development programs specifically in matters that relate to the effective communication between the nurse and patient in all health-care settings.  相似文献   

3.
Despite numerous studies that examined the impact of separation and separation anxiety on the emotions and behavior of young individuals, little is known about separation anxiety in the elderly population. This grounded theory study purports to describe the process of separation anxiety among incarcerated Filipino elderly men. Individual interviews and participant observations were conducted with 25 incarcerated elderly Filipino men who are first-time prisoners and sentenced to lifetime imprisonment. Following Strauss and Corbin's (1998) coding protocol, a four-part process emerged to describe the studied layer of human experience. The Tectonic Model of Separation Anxiety among incarcerated Filipino elderly men comprises four phases: Winkling, Wilting, Weeding, and Weaving. Findings of this study invite nurses and other clinicians to identify developmentally appropriate strategies and interventions for this vulnerable and neglected sector of society.  相似文献   

4.
ABSTRACT

The centrality of social relationship for older adults living in prison cannot be underestimated. While previous studies have investigated the loss of social functioning among older prisoners, there is no known information pertaining to how engagement is experienced among this vulnerable group. This grounded study purports to describe the process by which engagement is experienced among a select group of incarcerated Filipino elderly. Strauss and Corbin’s Grounded Theory design was utilized. A total of 25 incarcerated Filipino elderly in the largest penitentiary in the country were purposively chosen to participate in semi-structured interviews. Field texts were subjected to thematic analysis involving open, axial, and selective coding. Finally, themes were validated via member checking procedure. Interestingly, the study afforded the development of de Guzman, Herrera, Hernando, Hipe, and Valdez Zipper of Engagement Theory among incarcerated elderly. Interestingly, three phases relative to engagement emerged, namely: Initiating, Connecting, and Enabling. Primarily, the Initiating phase involves feelings of fear and nervousness as the incarcerated elderly familiarize themselves with the prison environment. The Connecting phase typifies recognition of the benefits of engagement leading to voluntary participation in activities. Finally, in the Enabling phase, inmates empower themselves and others to grow as they fully acquire the sense of engagement. Gerontological education and research implications are discussed.  相似文献   

5.
The impact of prison upon incarcerated individuals is considerably destructive and may lead to low mental health resiliency. Despite a large body of literature on resiliency, little is known about the process that the elderly go through in developing resiliency in the penal setting—hence, this grounded theory investigation. The overall intent of this investigation is to describe the process by which older male adults develop resiliency while in prison. The study used a grounded theory design. To gather the needed data, a two-part research instrument that included a robotfoto and a semistructured interview was employed. A total of 25 incarcerated Filipino elderly in New Bilibid Prison in Muntinlupa City, Philippines were purposively selected. Field text was subjected to thematic analysis following Corbin and Strauss coding procedure. Interestingly, this study yielded the Maze Theory of Resiliency, which describes the Filipino elderly’s road to achieving resiliency. Initially, they go through the sending up phase in which they feel condemnation and uncertainty. The sending off phase captures the moments in which prisoners show signs of optimism and readiness to experience life in their new environment. Lastly, the sending in phase, prisoners became accustomed to the dynamics of penal environment—thus, achieving their sense of resiliency. The emerged theory from this study could help nurses in the early recognition of psychological deterioration and in providing counseling services to the incarcerated elderly without any prejudice. And at the same time, the theory could help implement nursing interventions appropriate for each stage of resiliency.  相似文献   

6.
While nursing care has been investigated in the context of patient satisfaction, health care delivery, nursing skill, and patient centered care, elderly patients’ nursing care preferences have not been fully explored nor identified from the lens of utility analysis. This study is a purposive sample of 300 Filipino geriatric patients from the regions of Calabarzon and National Capital Region (NCR) participated and were asked to rank cards from 1 to 12 relative to the following five attributes: waiting response time, nursing uniform, empathetic capacity through time spent and eye contact, and nursing skill based on their preferences. Results of conjoint analysis via Sawtooth Software 18 indicated that nurse attire was the most important attribute (57.26%) while empathetic capacity through eye contact was least important to Filipino elderly (2.27%). Significant differences were found in the respondents’ profile. Among the given attributes, nursing uniform had the most impact in determining an elderly choice of services. Conversely, eye contact had minimal importance. In the health care setting, utilization of this study would allow nursing care to refocus nursing care delivery to maximize satisfaction and hospital loyalty. Future research may explore the cultural and regional differences in terms of preferences among the elderly.  相似文献   

7.
ABSTRACT

Emotional geography defines how emotions affect the interaction of individuals within their setting. Considering that prison has been described as a place saturated with negative emotions, previous studies have only dwelt on the negative impact of incarceration on the emotional well-being and interactions of the inmates. However, no attempt has been made that dilates on how emotional geography facilitates the establishment of good relationships inside the penal institution, hence this investigation. The overall intent of this investigation is to describe the process of emotional geography among a select group of incarcerated Filipino elderly. This study utilized the qualitative, grounded theory design. A purposive sample of 25 incarcerated Filipino elderly from the New Bilibid Prison in Muntinlupa City, Philippines participated in this study. Interestingly, this study afforded the development of de Guzman, Henson, Gumba, Fradejas, and Valdez Shoelace Model of Emotional Geography which describes how the incarcerated Filipino elderly’s emotions affect their interactions in achieving positive relationships with other inmates while inside the penal institution. This emerged model is comprised of three phases, namely: isolating (embracing a wall of mistrust), integrating (making connections through shared stories), and intertwining (strengthening the bonds thru emotional understanding). The emerged theoretical model has successfully described the process of emotional geography, which can be utilized by gerontological workers, nurses and other health professionals in addressing and accommodating the social and custodial needs of this vulnerable group.  相似文献   

8.
Health-seeking encompasses the activities individuals perform in order to restore wellness when they perceive themselves as ill. Alarmingly, it is apparent that there is a decrease in frequency of health-seeking as one ages. While there have been numerous studies about elderly health-seeking behavior across the globe, the need to know about their preferences remains a research imperative, hence this conjoint analysis investigation. The objective of this study is to identify the health-seeking preferences of a select group of Filipino elderly in the community. To measure preferences for health-seeking, a conjoint analysis survey of 304 Filipino elderly aged 60 years and above was conducted from June to July 2012 using the balanced incomplete block design. Results indicate that the most important attribute in terms of health-seeking behavior is the physician's experience. Elderly clients tend to seek health care from expert private practitioners who provide full information regarding illness and charge professional fees of less than 500 pesos (8–9 British pounds or 12–13 U.S. dollars). Results suggest that there are factors that may impede or promote health care seeking in elderly clients, of which physicians’ experience is deemed most important. These preferences, if integrated into the current practice, can help health care practitioners in improving the quality of care provided.  相似文献   

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11.
Young Filipino children are expected to solve mathematical word problems in English, which is not their mother tongue. Because of this, it is often assumed that Filipino children have difficulties in solving problems because they cannot read or comprehend what they have read. This study tested this assumption by determining whether presenting word problems in Filipino or reading them aloud to children in either language facilitated solution accuracy. Contrary to the initial hypothesis, reading word problems aloud did not seem to improve student performance (p > 0.10). In contrast, presenting word problems in Filipino significantly improved solution accuracy (p < 0.0001) and led to differences in error patterns – children were less likely to use an inappropriate arithmetic operation when problems were presented in Filipino. However, the language of the problem had minimal effects on the more difficult Compare problem type. Finally, the benefits of using Filipino were more pronounced for low‐achieving students who may have lower proficiency in English than their high‐achieving peers (p < 0.01).  相似文献   

12.
Affective Containment has been recognized as a means to manage negative experience by projecting emotions to others. To date, there are no known literatures on the process of affective containment in the elderly context; hence, this grounded theory investigation. This study aims to describe the process by which affective containment is experienced by a select group of institutionalized Filipino elderly. To achieve the overall intent of this study, Strauss and Corbin’s Grounded Theory design was employed. Face-to-face, semi-structured interviews were carried out among 20 institutionalized Filipino elderly. Field texts were subjected to thematic analysis involving open, axial, and selective coding. The overall validity of the findings was ensured through member checking procedure. An interesting set of phases emerged relative to the layer of experience, namely: Holding-up, Gearing-up, and Opening-up; collectively known as the 3-Stage Analogy of Elderly Affective Containment. Said model describes how emotions can be contained to other individuals through interactions inside the institution. The study has eidetically described and examined the process of affective containment among the institutionalized Filipino elderly. Findings of the study invite nurses to put premium to nurse–patient relationship and provide timely interventions with a view to improving emotional health.  相似文献   

13.
A considerable number of studies have been carried out to explore the experiences of the elderly engaging in third age education, however, most of these investigations have focused on elderly motivation, the benefits accruing from their participation, and the barriers they have encountered during their lifelong learning experience. However, there has been little attempt to probe into the experiences of the elderly engaging in third age education and how they view themselves during that time. This grounded theory study purported to describe the processes through which a select group of Filipino elderly experienced community-based third age learning programs. A series of in-depth interviews were conducted on 24 Filipino elderly who participated in a 4-month third age education program. Interestingly, this study revealed four distinct and yet interrelated stages of Holding Back, Opening Up, Moving Forward and Empowering which were embedded in the model H.O.M.E: A Pulley Model of Elderly Participation in Third Age Education Program. The emerged model is a valuable compass for gerontologists as they provide meaningful and geriatric-friendly programs, projects and activities that not only address the growing needs of the elderly but also facilitate their smooth entry to and completion of their third age learning participation.  相似文献   

14.
We investigated students' self-concepts within a multidimensional and hierarchical model. Participants were 95 special needs students in grades 3 through 12 who received mathematics instruction in special education classes. Partial support was found for the hierarchical model in special needs students: The relationship between scores on the Piers-Harris self-Concept Scale and Mathematics Achievement (Iowa Tests of Basic Skills) was significantly stronger for elementary students (r =.53) than for secondary students (r =.04). Percent of the school day spent in special education had a negative relationship (p <.05) to scores on Piers-Harris self-Concept Scale and a positive relationship (p <.05) to an investigator-developed mathematics self-concept instrument. The results suggest that special education has a complex relationship to self-concept. Possible implications for practice and future research are discussed.  相似文献   

15.
Understanding of the lived experiences of geriatric clients with pets, particularly in the Western cultures, has been the subject of many studies. However, little is known about how Asian cultures, particularly the Filipino elderly, view their experiences with their pets in regard to their self-esteem and self-perceived health. This phenomenological study purports to capture the essence of the lived experiences of a select group of Filipino elderly with their pet companions in relation to their self-perceived health and self-esteem. A total of five Filipino elderly recruited from the Luzon area were involved in this study and were chosen through the snowballing technique. A three-part instrument was made by the researchers to gather data, namely robotfoto, semistructured interviews, and doodling activities. Field texts were analyzed via structural analysis through the aid of dendogram. Results of both cool and warm analysis have eidetically and interestingly described how the new coinage of petmanship, as introduced in the study, surfaced the functional and the instrumental views of pets relative to the elderly's self-esteem, vis-a-vis their Self-Efficacy Booster and Social Proactivity Builder roles in regard to self-perceived health. The metaphorical images drawn by the Filipino elderly surfaced the Roles Syndrome of Petmanship and the Rules Syndrome of Petmanship.  相似文献   

16.
A multidisciplinary team developed and pilot-tested a curriculum, delivered by trained lay educators, to increase self-efficacy for physical activity among elderly food stamp recipients. Curriculum development was guided by a comprehensive literature review. Process evaluation was used to revise the curriculum and to assess lay educator training and pilot test fidelity. Three hundred sixteen low-income older adults participated in curriculum development and pilot-testing activities. One hundred twenty four participants completed pretest/posttest impact evaluation surveys. The average age of participants was 75 years old with 55.28% having less than high school education. Significant increases in self-efficacy regarding walking most days (p = .0022), using exercise bands (p < .0001), being physically active to increase strength (p = .0012), being active without injury (p < .0001), being able to wear appropriate clothing and shoes (p < .0001), and getting information about community physical activity programs (p = .0007) were observed. Participants also endorsed higher ratings of general health at posttest (p < .0001).  相似文献   

17.
While adherence to medication remains a problematic area in the care of chronically ill elderly, an extended model that incorporates the interaction of studied variables remains a blank spot. Anchored on Ajzen's Theory of Planned Behavior, this article details our efforts to develop and test a model of medication adherence among Filipino elderly relative to their medication belief, follow-up visits, consultation satisfaction, memory task, trust with physician, perceived stress, memory strategies, social support, memory load, depression, length of time taking the medication, number of conditions, and self-efficacy with medication adherence. Structural equation modeling (SEM) was employed to study causalities among all parameters. With the participation of 325 older adults located in District IV, Sampaloc, Manila, data needed were gathered through a multiaspect questionnaire consisting of a robotfoto, a memory strategy usage measure, an eight-scale Morisky Medication Adherence Scale, a 15-item Geriatric Depression Scale, a General Self-efficacy Scale, a Consultation Satisfaction Questionnaire, and a Perceived Stress Scale. Data were analyzed using AMOS version 19. Results revealed that depression, trust with physician, and number of conditions affect adherence positively, while event-based memory, consultation satisfaction, memory load, and external memory strategy affect it otherwise. Some suggested variables were found to have no impact at all. As this study reveals, careful consideration should be given to multiple factors, and their interrelationship should be examined well. Because many factors can influence medication adherence behavior of the elderly, and because the reasons for their noncompliance are also varied, multifaceted solutions must be developed.  相似文献   

18.
This study was designed to determine the impact of three psychological education interventions on the emotional development and moral development of children. Intervention One focused on feeling and feeling content. Intervention Two emphasized moral dilemmas and conflict resolution. Intervention Three, an interactive combination, stressed feelings, moral dilemmas, and conflict resolution. It was hypothesized that Intervention. Three would stimulate emotional and moral development more than would the other interventions. The sample consisted of 72 children randomly selected from a population of third and fourth graders enrolled in a public school located in a suburb of Boston. The students were randomly divided into three treatment groups. They were pretested and posttested using the Dupont Affective Development test and the Kohlberg Moral Judgment Interview. The results indicated that Group Three (subjected to Intervention Three) manifested statistically significant greater gains, F = 3.99, p < .05, than did Groups One and Two on the moral development measure. The three groups as a whole exhibited statistically significant gains, F = 14.46, p < .05, in emotional development. Further, there was a statistically significant relationship (tau = .29, p < .05) between emotional and moral development scores.  相似文献   

19.
This article recounts the findings of a study that investigated pre-service teachers’ attitudes and concerns regarding inclusive education and their degree of comfort when interacting with people with disabilities after completing courses on inclusive education. One hundred and eighty pre-service teachers from one higher education institution in South Africa completed the Sentiments, Attitudes and Concerns about Inclusive Education Scale. They were all being prepared to teach at either the primary (41%) or secondary (59%) level of education. Pre-service teachers’ mean scores on the sentiments scale increased following the intervention (p < 0.001), as did the mean scores on the attitudes scale (p < 0.001). However, mean scores related to their concerns decreased (p = 0.01). With respect to the latter finding, as a result of the intervention the pre-service teachers became more worried about resources to support inclusive education (p < 0.001), the reality of large classes (p = 0.01) and their workload (p = 0.04). Recommendations based on the research findings are made, suggesting that the quality of courses on inclusive education should be enhanced in higher education institutions.  相似文献   

20.
This article examined transition rates of young children (n = 102) from an early intervention program at the Linda Ray Intervention Program (LRIP) who had documented developmental delays and co-occurring prenatal drug exposure often coupled with verified child maltreatment. Findings indicated that there was significant group improvement from entrance to exit across all six Battelle Domains at the p < .05 level. Also, children who were enrolled for a longer period of time saw significantly better adaptive, personal-social, communication, and Battelle total scale scores at the p < .05 level. Finally, data revealed that boys were 5 times more likely than girls to be transitioned to Part B services after exit from LRIP. A longitudinal study of a subgroup of these children indicated that LRIP children who were in grades K–3 needed fewer special education services in elementary school than they needed at age 36 months, indicating a further reduction in special education needs for these children.  相似文献   

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