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Integrity and reflections of the past
Title
Integrity and reflections of the past: a phenomenographic analysis.
Creator
Rio, Germina Emily Risos., Christine E. Lynn College of Nursing
Abstract/Description
The graying of America as a sociological and health care phenomenon continues to dictate the demand for creative and innovative interventions that can directly influence the quality of life of nursing home residents. Creative Reminiscence is a program that fosters the active reliving of the past through narration, such as in story-telling, and the use of creative art expression to uncover meaningful life events or valuable life experiences. The purpose of this study was to investigate and...
Show moreThe graying of America as a sociological and health care phenomenon continues to dictate the demand for creative and innovative interventions that can directly influence the quality of life of nursing home residents. Creative Reminiscence is a program that fosters the active reliving of the past through narration, such as in story-telling, and the use of creative art expression to uncover meaningful life events or valuable life experiences. The purpose of this study was to investigate and describe the meaningful life events elicited by the experience of Creative Reminiscence using a phenomenographic approach. Existing (archived) data-transcribed interviews, poetry and painting on planters that were obtained from 20 participants of the Creative Reminiscence program entitled Le Jardin de Sante were analyzed. Five variations of meaningful memories evoked by Creative Reminiscence were identified. These are described as follows: (a) memories that rejuvenate the elder's sense of connectio n; (b) memories that revive the elder's sense of love and intimacy; (c) memories that restore the elder's sense of being; (d) memories that reassert the elder's sense of control; and (e) memories that reinstitute the elder's sense of purpose. In a caring interaction with Creative Reminiscence, the nursed are able to transcend, moving back in time (past) to appreciate segment(s) of their lives, with triumphs and disappointments that give meaning to their inner conflict/human struggle (present), and integrate a sense of confidence and acceptance of their lives to sustain well-being and a sense of wholeness. This research highlights the similarities and differences in the description of memories by the nursing home residents evoked during Creative Reminiscence., The results of the study support Erikson's notion of the circular nature of the life cycle, wherein there is an inherent need at the last stage of life to re-integrate ascendant psychosocial themes.Taking into account the meaning that nursing home residents ascribe to their experiences provided data on strategies nurses and caregivers can use effectively to help these elders transcend despair. Further research is recommended using a more diverse sample and in more diverse geographical locations. Current standardized instruments may be revised to quantify effects on the ascendant psychosocial themes.
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Date Issued
2008
PURL
http://purl.flvc.org/fcla/dt/177012
Subject Headings
Aging, Psychological aspects, Memory in old age, Analysis, Nursing, Philosophy, Depression in old age, Research, Reminiscing in old age
Format
Document (PDF)
Older Hispanics Explanatory Model of Depression
Title
Older Hispanics Explanatory Model of Depression.
Creator
Sadule-rios, Nohemi, Tappen, Ruth M., Christine E. Lynn College of Nursing
Abstract/Description
Researchers have reported a high prevalence of depression among older Hispanics in the United States when compared to other ethnic groups. Cultural variations in the perception of depression sometimes make it difficult to recognize the disorder resulting in older Hispanic patients not being diagnosed and not receiving appropriate treatment. The purpose of this study was to explore older Hispanics’ explanatory model of depression and identify culture-specific factors that may help in the...
Show moreResearchers have reported a high prevalence of depression among older Hispanics in the United States when compared to other ethnic groups. Cultural variations in the perception of depression sometimes make it difficult to recognize the disorder resulting in older Hispanic patients not being diagnosed and not receiving appropriate treatment. The purpose of this study was to explore older Hispanics’ explanatory model of depression and identify culture-specific factors that may help in the recognition and treatment of depression. A mixed-method design that combined qualitative and quantitative methods was used. Fifty participants were interviewed using Kleinman’s Explanatory Models ethnographic approach with a vignette variation, the Center for Epidemiologic Studies Depression Scale (CES-D), and the Cross Cultural Measure of Acculturation (CCMA). The findings suggest that this group of older Hispanics did not recognize depression as an illness but rather as the result of life stressors and personal weaknesses. People who experience depressive symptoms were described as being crazy, bored, worried, or having a problem of the nerves. These culturally coded terms may confound diagnosis among many Hispanics who find depression an unacceptable and shameful condition. This cultural pattern seemed to prevail among low and high-acculturated individuals which may complicate the diagnosis of depression by health care providers. This study highlights the complexity and diversity of this group of older Hispanics’ conceptual model of depression. The results of this study will contribute to nursing care by providing additional information that will help professionals when working with Hispanic patients with depression. Findings expand our understanding of older Hispanics (high and low-acculturated, depressed and non-depressed) groups’ conceptualization of depression and can be used to inform the adaptation of culturally relevant approaches to better serve the Hispanic community in this country.
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Date Issued
2013
PURL
http://purl.flvc.org/fau/fd/FA0004055
Subject Headings
Depression in old age, Ethnopsychology, Hispanic Americans -- Mental health
Format
Document (PDF)
Ethnicity, Gender and Pain Interference’s Influence on Depression Among Older Adults with Osteoarthritis
Title
Ethnicity, Gender and Pain Interference’s Influence on Depression Among Older Adults with Osteoarthritis.
Creator
Garrido, Jacinto J., Dunphy, Lynne M., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
The leading cause of disability among older adults is osteoarthritis (OA) (Centers for Disease Control and Prevention [CDC], 2017). Chronic pain associated with arthritis interferes with daily living among older adults and has been related to depression (Zanocchi et al., 2008). Research suggests that ethnicity and psychosocial factors may influence health outcomes of older adults with arthritis who are experiencing chronic pain and depression (Im, Guevara, & Chee, 2007; Wilson et al., 2014)....
Show moreThe leading cause of disability among older adults is osteoarthritis (OA) (Centers for Disease Control and Prevention [CDC], 2017). Chronic pain associated with arthritis interferes with daily living among older adults and has been related to depression (Zanocchi et al., 2008). Research suggests that ethnicity and psychosocial factors may influence health outcomes of older adults with arthritis who are experiencing chronic pain and depression (Im, Guevara, & Chee, 2007; Wilson et al., 2014). The influence of ethnicity on depression among older adults with OA experiencing chronic pain is the phenomenon of interest for this study. Chronic pain that interferes with activities of daily living gives rise to disability, followed by potential episodes of depression. This currently is impacting the quality of life for older adults with OA. The aim of this study was to gain new insight regarding the relationship and predictive factors for depression between pain interference, gender, and ethnicity among older adults with OA pain and depression. This study examined the research question, “Does ethnicity, gender, and pain interference predict depression among older adults with osteoarthritis?” This study was a secondary analysis of existing data from the National Institute of Health National Center for Complementary and Integrative Health (Park, McCaffrey, Newman, Cheung, & Hagen, 2014) study titled, The Effect of Sit ‘N’ Fit Chair Yoga on Community-Dwelling Elders with Osteoarthritis. A descriptive retrospective correlational design was utilized to investigate factors that predict depression. Statistical analysis included multiple linear regression and analysis of variance. The study sample (n = 104) consisted of community-dwelling older adults ages 65 years or older with osteoarthritis. Findings indicated that (1) ethnicity, gender, and pain interference did predict depression; (2) there were no significant difference in depression between Hispanics and non-Hispanics while controlling for pain interference; and (3) there was statistically significant differential interaction with depression when pain interference increased, with Hispanics reporting higher levels of depressions as pain interference increased, as compared to non-Hispanics. The new knowledge gained from this study may help guide healthcare providers in developing effective alternative approaches for improving health outcomes of mismanaged ethnically diverse older adults with OA.
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Date Issued
2017
PURL
http://purl.flvc.org/fau/fd/FA00004959, http://purl.flvc.org/fau/fd/FA00004949
Subject Headings
Dissertations, Academic -- Florida Atlantic University, Osteoarthritis--Alternative treatment., Chronic pain., Depression in old age., Ethnicity., Gender.
Format
Document (PDF)
Effects of a Story-Sharing Intervention on Depression and Well-Being in Older Adults Transitioning to Long-Term Care
Title
Effects of a Story-Sharing Intervention on Depression and Well-Being in Older Adults Transitioning to Long-Term Care.
Creator
Sullivan, Gail J., Hain, Debra J., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
The purpose of this randomized control trial (RCT) was to investigate the effects of a story-sharing intervention on older adults transitioning to long-term care (LTC). The specific aims were (1) to determine the effects of story sharing on the health transition outcomes of depression and well-being of adults transitioning to LTC; and (2) to determine if the sociodemographic characteristics (age, gender, ethnicity, marital status, level of education (LOE), months living at LTC facility,...
Show moreThe purpose of this randomized control trial (RCT) was to investigate the effects of a story-sharing intervention on older adults transitioning to long-term care (LTC). The specific aims were (1) to determine the effects of story sharing on the health transition outcomes of depression and well-being of adults transitioning to LTC; and (2) to determine if the sociodemographic characteristics (age, gender, ethnicity, marital status, level of education (LOE), months living at LTC facility, choice to move, and health problem(s) that may have resulted in the move) predict depression and/or well-being. Story sharing was defined as the respectful space where one tells and listens to stories of others (Heliker, 2009) while being guided by another (the investigator). Meleis’ middlerange theory of transitions (MMRTT) (Meleis et al., 2000) was used as a guide to understand the transitioning process. A convenience sampling design was used to recruit 100 participants from 11 LTC facilities in Broward County, located in Southeast Florida. The sample included adults, age 65 years and older, who were transitioning to a LTC facility within the past two years. Participants were randomly assigned to the control group (n = 52), who received standard care, or to the intervention group (n = 41), who received story-sharing and standard care. The results indicated there was no significant greater improvement to suggest an Intervention and Time effect for depression and/or well-being. Overall, predictive ability of the sociodemographic variables for depression and well-being were not statistically significant. However, LOE (junior college) did account for a significant portion of unique variance for increased depression, and time, marital status, ethnicity, LOE, and choice to move did account for a significant proportion of unique variance for well-being. Months living in LTC (more months) and marital status (all but divorced) were significant for improved well-being while ethnicity (Hispanic), LOE (high school and junior college), and choice to move (no choice) were significant for reduced well-being. Similar studies using a larger sample size, including non-English speaking participants; lengthier storysharing sessions; and measuring for pain, health, and bereavement may offer additional insights to healthy transition outcomes for this population.
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Date Issued
2017
PURL
http://purl.flvc.org/fau/fd/FA00004827
Subject Headings
Loneliness--Psychological aspects., Depression in old age., Older people--Communication., Older people--Mental health services., Nursing home patients--Mental health., Nursing homes--Recreational activities., Recollection (Psychology)
Format
Document (PDF)