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1.
Allan B. de Guzman Kaila Vail A. Lores Maria Clarissa R. Lozano Marilei C. Lozano Deanne M. Lu Christopher Emmanuel D. V. Ma 《Educational gerontology》2013,39(11):801-815
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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Allan B. de Guzman Kinz Alyssa M. Jaurigue Aldrich Azydee B. Jimenez 《Educational gerontology》2019,45(3):176-190
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
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Allan B. de Guzman Jose Amadeo B. Imperial Danelen Mae V. Ilagan Hazel Anne D. Imus Khayla Marie C. Ignacio Kristienne Faith C. Ignacio 《Educational gerontology》2013,39(12):861-880
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
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Allan B. de Guzman Les Paul Valdez Beatrice Nicole D. C. Pascasio Francis Joachim C. Pascual Sidfred C. Pelayo 《Educational gerontology》2017,43(5):226-237
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
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Allan B. de Guzman Diannesa April F. Golosinda Cristine Porcia R. Gonzales 《Educational gerontology》2019,45(1):34-44
Previous studies have indicated that major transitions in life such as retirement or exit from working life may contribute to the normative decline in self-esteem. A growing trend on elderly’s labor force beyond retirement invites the conduct of more empirical studies on the dynamics of self-esteem among the elderly group. Anchored on the Self-Determination Theory, this study is an attempt to test a model that examines the impact of social support, health promotion, activities of daily living and anxiety on the self-esteem of a select group of Filipino elderly working beyond the retirement age. Two-hundred eighteen (218) working elderly from the capital of the Philippines participated in this exploratory study. Data gathered from a multi-aspect questionnaire were analyzed using SPSS version 19 and AMOS version 19. Results of structural equation model (SEM) indicated that social support; activities of daily living and health promotion have direct effects on self-esteem, thus supporting the hypotheses. A direct relationship exists between elderly activities of daily living and their social support and anxiety. Notably, an inverse relationship exists between elderly anxiety and factors such as health promotion and self-esteem. The emerged model in this study could serve as valuable tool for nurses in enhancing nursing care aimed at promoting the psychological-well-being and occupational health among the elderly. 相似文献
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Allan B. de Guzman Rona Denise V. Coronel Kannerin O. Chua Mariz G. Constantino Ericsann James C. Cordova 《Educational gerontology》2013,39(4):358-377
Geriatric nursing is a physically and emotionally demanding job in healthcare. It is a neglected field despite the growing population of the elderly, and the experiences of geriatric nurses are one of the unrecognized aspects of this field. This qualitative study purports to explore the successes and struggles of the lived experiences of a select group of Filipino geriatric nurses working in nursing homes. A total of five registered nurses selected from Philippine geriatric homes were the subjects of this qualitative study. Data were gathered from a two-part instrument: namely, a researcher-made robotfoto and a semistructured interview. Through the use of a repertory grid involving both cool and warm analyses, field texts were phenomenologically reduced in order to establish distinct conceptual clusters. Summarily, two roles were found to be the defining elements of Filipino geriatric care nurses' sense of success and fulfillment. These include the instrumental and developmental, which describe the nurses' appreciation of their unique place in the lives of their elderly patients and, at the same time, their experiences of personal and professional growth and expansion as nurses. In regard to their struggles, the contextual conditions in the workplace typify the roadblocks of their efficient and effective delivery of quality healthcare services. 相似文献
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Allan B. de Guzman Marnie Yvette G. Imperial Rianne Rae L. Javier Arisa M. Kawasaki 《Educational gerontology》2017,43(1):1-10
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
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田潇涵 《泰州职业技术学院学报》2021,(1):93-96
医养结合能有效应对我国人口老龄化问题。医养结合模式下,康复治疗可以缓解医疗卫生机构资源供需矛盾,提升养老服务效能,满足社会群体多样化需求。康复治疗主要通过病理康复、机能康复、心理康复等途径发挥作用。现实中,康复治疗在专业认同、社会认同、实践认同等方面存在认同困惑。从加强对康复治疗的政策指引,找准康复治疗的社会立足点,加强从业人员技能培训,提高从业人员的社会认同度等方面入手,可以更好地发挥康复治疗的效用。 相似文献
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Allan B. de Guzman Jeremy C. Lacorte Andrea Keith G. Lacsamana Mark Lawrence M. Lagac Jobel M. Laguador Jazminn Jessica R. Lapid 《Educational gerontology》2013,39(12):890-901
Cases of abandoned elderly are increasing worldwide. By and large, this group struggles with the sudden change in living arrangement as well as abandonment by their families. Consequently, many elderly are forced into living in nursing homes for the remainder of their lives. Abandonment among these elderly negatively affects how they view themselves, which is detrimental to their health and well-being. Thus, exploring the feelings of elderly regarding their abandonment and how they cope becomes a major concern in caring for them. Recognizing the dearth of literature, this grounded theory study purported to describe sthe process by which these elderly cope with abandonment. A total of 24 abandoned Filipino elderly respondents were purposively selected to take part in a semistructured in-depth interview. Following the Glaserian approach, a four-part process emerged to describe the layer of human experience under study. The R.O.P.E. to Cope Theory of Abandonment describes how the elderly progress from the resisting, occupying, pondering, and embracing phases toward successful coping. Understanding this process equips health care providers with knowledge of appropriate interventions in the provision of holistic care to the elderly. Ultimately, findings of this study will be helpful in assisting abandoned elderly individuals in their path to achieving an improved quality of life and a happier perspective on it. 相似文献
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Allan B. de Guzman Denise S. Cucueco Ian Benedict V. Cuenco Nigel Gerome C. Cunanan Robel T. Dabandan Edgar Joseph E. Dacanay 《Educational gerontology》2013,39(11):963-989
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
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Sarah Eilers Simon P. Tiffin-Richards Sascha Schroeder 《Scientific Studies of Reading》2013,17(6):509-522
ABSTRACTChildren struggle with the resolution of pronouns during reading, but little is known about the sources of their difficulties. We conducted a longitudinal eye tracking experiment with 70 children in the final years of primary school. The children read sentences with a contextual resolution preference in which gender was either an informative resolution cue for the pronoun or not. We were interested in children’s processing of the pronoun and their resolution preferences, as well as the effects of individual differences of Grade level and reading skill. Children’s resolution ability improved with age, and good readers were more accurate than poor readers. In the eye-tracking measures, we found strong individual differences related to reading skill: Children with good reading skill took more time to read the pronoun region when pronoun gender was informative, suggesting that good readers make better use of the available information at the pronoun than poor readers. 相似文献
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Rowena L. Escolar Chua 《Educational gerontology》2013,39(2):77-90
With the growing number of older adults becoming a global concern, many countries have focused on education as a means of promoting successful aging. Although third age learning is gaining substantial ground in other countries, it is not well-established in the Philippines. The overall intent of this experimental study was to assess the effectiveness of community-based third age learning programs on the life satisfaction, self-esteem, and level of depression of a select group of Filipino elderly in a community setting. A pre- posttest study design was used on 40 community dwelling Filipino elderly who were randomly assigned to either the experimental or control group. Both groups accomplished the Life Satisfaction Index for the Third Age Short Form (LSITA-SF), Rosenberg's Self-esteem Scale (RSES), and the Geriatric Depression Scale (GDS). The experimental group was exposed to a four-month program consisting of wellness, physical fitness, and livelihood training activities facilitated by volunteer faculty from a local university; the control group received no intervention. The results of t tests showed statistically significant group differences between the experimental and control group, with the former posting higher life satisfaction, self-esteem, and lower depression level compared to the control group. Findings of this study add to the knowledge base that active participation in third age learning programs—which include opportunities for physical activity, cognitive learning, recreation, and social interaction—can improve the psychological and psychosocial health of an older adult. 相似文献
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Sexuality education and health services for elderly individuals who reside in care settings (e.g., assisted living facilities, nursing homes, retirement communities) have received limited attention in the professional literature. However, the lack of sexual health promotion practices in elder care facilities can be detrimental to older adults’ overall health and quality of life. Barriers to sexuality education services for lesbian, gay, and bisexual (LGB) elders are explored and include history of LGB equality in the United States and lack of social support, as well as discrimination among formal care facilities and health care professionals. The Community Readiness Model (CRM) is proposed for addressing these barriers. The purpose of the CRM is to assess readiness characteristics of a community before program implementation and then build capacity with programming in that community for support and education. Sexuality educators currently have the opportunity to develop and implement sexual health education and promotion resources that can potentially improve the quality of life for LGB individuals transitioning into the latter stages of the life course. 相似文献
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Allan B. de Guzman Prince Edward U. Lacampuenga Algem Paul V. Lagunsad 《Educational gerontology》2015,41(7):527-542
Mobility limitation is a major issue of care in the elderly and a typical characteristic of frailty in geriatric patients. The maintenance of mobility is thought to be fundamental to active aging, allowing older adults to continue living dynamic and independent lives. While previous studies have identified the different factors affecting mobility, the relationship between other factors, such as fear of falling, physical activity, cognition, and mobility limitation, has not been investigated, hence this structural equation model investigation.
This study was conducted in various nursing homes located in the National Capital Region and Region IV of the Philippines. A five-part survey-questionnaire was given to 125 Filipino elderly aged 60 years and above in nursing homes. The survey was conducted from May to August 2013. Results showed that high levels of fear about falling will lead to less physical activity and have a negative effect on cognition. Cognition levels also showed to have a direct impact on the physical activity. Physical activity was found to have a direct effect on the mobility of elderly patients. The emerging model can guide health care professionals in developing programs that can maximize the physical and mental functioning of the elderly in institutionalized settings. 相似文献
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Allan B. de Guzman Katrina N. Maravilla Veniza Anne M. Maravilla Jomille D.V. Marfil Janine Angelica R. Mariñas Jorelle Michael B. Marquez 《Educational gerontology》2013,39(8):563-575
Numerous studies have been conducted worldwide about loneliness in older adults living in nursing homes and the factors associated with it. However, only a few studies have focused on social factors that may predispose these older adults to experience loneliness. The purpose of this study was to examine the interplay between and among loneliness, social isolation, social engagement, and life satisfaction among Filipino elderly (n = 180) recruited from government and nongovernment nursing homes in the Philippines. A multiaspect questionnaire, which included the UCLA Loneliness Scale, Revised Index for Social Engagement, Friendship Scale, and Life Satisfaction for the Third Age-Short Form was used to gather the needed data and information. Results of single and multiple regression analyses indicate an effect of the three factors (social isolation, social engagement, and life satisfaction) on loneliness with social isolation having the greatest impact on loneliness. Notably, increased social isolation, inadequate social engagement and decreased life satisfaction consequently aggravate loneliness. Social engagement produced a positive effect to both social isolation and life satisfaction in a way that a decrease in social engagement will decrease life satisfaction and increase social isolation. On the whole, loneliness in geriatric nursing homes is evident, and it is shaped by social isolation, social engagement and life satisfaction. Impliedly, interventions and measures to minimize loneliness are necessary, and further research is needed to explore other variables contributing to loneliness in geriatric nursing homes. 相似文献
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Allan B. de Guzman Les Paul Valdez Eden G. Peña Janelle D. S. Quindao Patrick James Quibol 《Educational gerontology》2017,43(6):277-288
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
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In response to aging patient demographics and a call for increased formal geriatric training in medical schools, a community volunteer geriatric mentor program, Bridging Generations, was developed to shape attitudes of medical students caring for the elderly. The geriatric mentor experience provided students with unique insight into the challenges and joys that accompany aging and encouraged the medical students to become empathetic and knowledgeable providers of care for geriatric patients. 相似文献