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Title: Home care as a gestalt: The lived experience of families receiving nursing care in the home.
Creator: Ruth, Marla Claire., Florida Atlantic University, Coffman, Sherrilyn
Abstract/Description: The purpose of this nursing research study was to gain a deeper understanding of the experience of families receiving nursing care in the home. The question guiding the study was: What is the meaning (for families) of the experience of receiving nursing care in the home? Using van Manen's phenomenological approach, six families described their experience of receiving nursing care in their homes during taped conversational interviews. Following hermeneutical thematic analysis of the...
Show moreThe purpose of this nursing research study was to gain a deeper understanding of the experience of families receiving nursing care in the home. The question guiding the study was: What is the meaning (for families) of the experience of receiving nursing care in the home? Using van Manen's phenomenological approach, six families described their experience of receiving nursing care in their homes during taped conversational interviews. Following hermeneutical thematic analysis of the transcribed texts, one common metatheme emerged: Home Nursing Care Experienced within the Gestalt of Home Health Care. Four associated sub-themes emerged: (1) Being in Relationship with the Nurse; (2) Feeling Decreased Stress/Increased Comfort; (3) Having the Nurse as Family Advocate/Mediator; and (4) Finding the Way Through Chaos to Control.
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Date Issued: 1994
PURL: http://purl.flvc.org/fcla/dt/15108
Subject Headings: Home nursing, Home care services, Family nursing, Nursing
Format: Document (PDF)

Title: THE NURSING HOME AGED: A BIOCULTURAL MODEL.
Creator: PALMIERI, ELEANORE A., Florida Atlantic University, Sublett, Audrey J., Dorothy F. Schmidt College of Arts and Letters, Department of Anthropology
Abstract/Description: A nursing home population in Lake Worth, Florida was studied in terms of a biocultural model utilizing demographic, biological, environmental, and cultural variables. The aim of this research was to discuss ways by which the geriatric patient is biologically and culturally adapting as well as interacting with his/her environment. This aim was best achieved by a study of past and present disease incidence exhibited by patients in the nursing home sub-culture. Blood samples were drawn and typed...
Show moreA nursing home population in Lake Worth, Florida was studied in terms of a biocultural model utilizing demographic, biological, environmental, and cultural variables. The aim of this research was to discuss ways by which the geriatric patient is biologically and culturally adapting as well as interacting with his/her environment. This aim was best achieved by a study of past and present disease incidence exhibited by patients in the nursing home sub-culture. Blood samples were drawn and typed to test for possible relationships between blood groups and disease. Some types of mental disorders were associated with the patient as an end process of adaptation to the organizational and institutional pressures of the nursing home environment. In this paper, possibilities for further research are suggested which could contribute to an improvement in quality of physical and mental health among geriatric patients in the nursing home sub-culture.
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Date Issued: 1976
PURL: http://purl.flvc.org/fcla/dt/13785
Subject Headings: Nursing home patients--Florida--Case studies, Nursing homes
Format: Document (PDF)

Title: A policy implementation analysis: Nurse aide certification in Florida.
Creator: Brannon, Pamela Tarquinio, Florida Atlantic University, Schoenhofer, Savina, Clare, Donald A.
Abstract/Description: Policy implementation is recognized as a major component of the public policy process, and an important area for public administration research. The literature calls for the examination of public projects to improve policy design and implementation, for the comparison of expected implementation with actual implementation, and for the examination of the role of states in implementing federal policy. This dissertation addressed those areas by analyzing the implementation of the Omnibus Budget...
Show morePolicy implementation is recognized as a major component of the public policy process, and an important area for public administration research. The literature calls for the examination of public projects to improve policy design and implementation, for the comparison of expected implementation with actual implementation, and for the examination of the role of states in implementing federal policy. This dissertation addressed those areas by analyzing the implementation of the Omnibus Budget Reconciliation Act of 1987 (OBRA '87) which contains federal requirements for certification of nurse aides (nursing assistants) who are employed in Medicare and Medicaid funded nursing homes. The dissertation focused on the state of Florida and three levels of analysis: policies and practices of the state, nursing home operations and procedures, and individuals in the certification process. Multiple methods of data collection and data analysis were used and included: an analysis of the history, development and content of the federal policy, interviews with state administrators, a survey of nursing home administrators, an analysis of state certification statistics, documentary analysis, factor analysis and content analysis. Some of the data indicate that, although Florida has had a nurse aide certification process in place since 1982, there may be some uneven implementation of the certification process at the local level, and that race may have an impact on the certification rate. These areas were recommended for further study. A descriptive model, developed from the research design, outlined three dimensions that should be examined in order to conduct a comprehensive analysis of policy implementation: the origin of the policy, the agent of the policy, and the target of the policy. Additionally, a comprehensive analysis should examine the communication between the dimensions. In this dissertation, the federal legislation was the origin, the state of Florida was the agent, and nursing homes and prospective nurse aides were the targets. The descriptive model can be used for future implementation studies whether the origin of the policy is federal, state or local legislation.
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Date Issued: 1993
PURL: http://purl.flvc.org/fcla/dt/40751
Subject Headings: Nurses' aides--Certification--Florida, Nursing home care--Florida
Format: Document (PDF)

Title: THE RELATIONSHIP BETWEEN NURSE CARING AND READINESS TO TRANSITION FROM HOSPITAL TO HOME OR OTHER CARE SETTING.
Creator: Hernandez, Angelica C., Eggenberger, Terry, Florida Atlantic University, Christine E. Lynn College of Nursing, Christine E. Lynn College of Nursing
Abstract/Description: Quality nursing care has significant impact on patient outcomes. There are many factors that can affect quality nursing care like staffing shortages when the caring demands are high, which can affect patient care. Even though there are existing healthcare policies, evidence-based practices and incentives for healthcare settings who perform and meet the healthcare benchmarks, the United States healthcare performance is poor. The researcher aimed to conduct a study to understand the...
Show moreQuality nursing care has significant impact on patient outcomes. There are many factors that can affect quality nursing care like staffing shortages when the caring demands are high, which can affect patient care. Even though there are existing healthcare policies, evidence-based practices and incentives for healthcare settings who perform and meet the healthcare benchmarks, the United States healthcare performance is poor. The researcher aimed to conduct a study to understand the relationship between patients experience of nurse caring and patients’ readiness to transition from the hospital to home or other care settings. In addition, the predictors among the patients’ characteristics of patients’ readiness to transition from the hospital to home or other care settings were examined too. The research study was grounded in the Quality Caring Model (Duffy, 2018). Descriptive correlational research design was used in the study to examine the relationship between patients experience of nurse caring and patients’ readiness to transition from the hospital to home or other care settings. The study was conducted on one medical-surgical unit in an urban medical center in South Florida during a global pandemic. There were 103 participants who answered the demographic data survey, Caring Assessment Tool-V (CAT-V) and Readiness for Hospital Discharge Scale-Adult Form (RHDS-Adult Form). Descriptive and inferential statistics were conducted using SPSS version 28. Based on data analysis, there was a significant relationship between patients experience of nurse caring and patients’ readiness to transition from the hospital to home or other care settings (p=<.05). Therefore, patients with positive experiences of nurse caring will be more likely to transition from the hospital to home or other care settings. In addition, among the patient characteristics, the marital status could predict patients’ readiness (knowledge, coping ability and expected support subscales) to transition from the hospital to home or other care settings. Therefore, paying attention to the value of support systems of the patients will determine the readiness of the patients to go home or to be discharged to other care settings (p=<.05). The limitations of the study were low generalizability, inability to recruit 135 participants and selection bias (threat to internal validity).
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/FA00013902
Subject Headings: Nursing-Patient relations, Nursing Care, Hospital to Home Transition
Format: Document (PDF)

Title: The experience of nurses caring for the primary caregivers of persons living with AIDS.
Creator: Stobie, Marjorie Michele., Florida Atlantic University, Appleton, Cathy
Abstract/Description: The rising incidence of Acquired Immune Disease Syndrome (AIDS), the increased length of survival for persons living with AIDS (PLWAs), and the associated high costs, suggest that patients will want and need to be cared for at home by family caregivers. If caring is the essence of nursing (Leininger, 1988a; Watson, 1985), then research on caring will expand nurses' understanding of what caring means to the recipient: the patients and their primary caregivers. The purpose of this...
Show moreThe rising incidence of Acquired Immune Disease Syndrome (AIDS), the increased length of survival for persons living with AIDS (PLWAs), and the associated high costs, suggest that patients will want and need to be cared for at home by family caregivers. If caring is the essence of nursing (Leininger, 1988a; Watson, 1985), then research on caring will expand nurses' understanding of what caring means to the recipient: the patients and their primary caregivers. The purpose of this phenomenological study of primary caregivers of PLWAs was to discover the meaning of their being cared for by the nurse. Colaizzi's (1978) method of data analysis was used. The experience of being cared for by the nurse for caregivers of PLWAs was knowing that they were in a relationship, in this together with a nurse who was there for them; experiencing the nurse's way of being as a competent friend; and being helped to cope with the experience of being a caregiver through specific nursing actions. Implications for practice, education and research are discussed.
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Date Issued: 1994
PURL: http://purl.flvc.org/fcla/dt/15045
Subject Headings: AIDS (Disease)--Nursing, Caregivers, Chronically ill--Home care
Format: Document (PDF)

Title: The Effect of a Heart Failure Nurse Navigator on 30-Day Hospital Readmissions of Older Adults.
Creator: Leavitt, Mary Ann M., Hain, Debra J., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Across the US, 22% of Medicare patients hospitalized with a diagnosis of heart failure (HF) will be readmitted within 30-days of discharge. There is no one costeffective process identified to help patients transition home and maintain their own selfcare. The aim of this study is to compare readmission rates, HF knowledge, self-care, and quality of life for patients who transition home from the hospital under the care of a Heart Failure Nurse Navigator (HFNN) with patients who receive usual...
Show moreAcross the US, 22% of Medicare patients hospitalized with a diagnosis of heart failure (HF) will be readmitted within 30-days of discharge. There is no one costeffective process identified to help patients transition home and maintain their own selfcare. The aim of this study is to compare readmission rates, HF knowledge, self-care, and quality of life for patients who transition home from the hospital under the care of a Heart Failure Nurse Navigator (HFNN) with patients who receive usual care. The HFNN is a home health RN with specialized training in HF care. The HFNN visited intervention group (IG) participants once in the hospital, followed by weekly home visits for one month. Control group (CG) participants received usual care, consisting of discharge teaching by their primary nurse and follow-up with their primary care provider (PCP) or cardiologist. Using a sequential mixed methods research design, this experimental randomized controlled trial measured HF knowledge, HF self-care, and HF quality of life (QOL) at enrollment and one month after discharge. Hospital readmissions and/or ED visits were tracked in both groups. IG participants were interviewed using semi-structured questions, findings of which were analyzed using conventional content analysis. There were fewer all-cause hospital readmissions in the IG (3 of 19) than the CG (6 of 21.) CG participants were 2.2 times more likely to be readmitted than the IG participants. [x(1)=.935, p=.334 O.R.=2.2219]. Due to limited enrollment, these results were underpowered and not statistically significant. There was improvement in HF knowledge (p=.06) and HF self-care maintenance (p=.07), approaching significance. HF self-care maintenance improved in both groups, although the IG was not significantly better (p=.48). There was significant improvement in the IG for HF confidence (p=.002) and HF QOL (p<.001). The qualitative findings revealed two main categories from the IG: (1) personal clarification of patient education, especially related to diet, exercise, and medications and (2) feelings of support, reassurance, and safety. The HFNN may be one role to meet the triple aim of improving patient quality care and health outcomes at a reduced cost, especially in areas where a comprehensive HF management program is not available.
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Date Issued: 2017
PURL: http://purl.flvc.org/fau/fd/FA00004986, http://purl.flvc.org/fau/fd/FA00004976
Subject Headings: Dissertations, Academic -- Florida Atlantic University, Heart failure--Nursing., Hospitalization--economics., Home Health Nursing.
Format: Document (PDF)

Title: Care at Work: A Feminist Analysis of the Long-Term Care Industry in the United States.
Creator: Tunick, Rachel, Beoku-Betts, Josephine, Lange, Bernadette, Florida Atlantic University, Dorothy F. Schmidt College of Arts and Letters, Center for Women, Gender and Sexuality Studies
Abstract/Description: This research provides a feminist perspective on the lowest paid sector of the United States long-term care industry, Certified Nursing Assistants. This research adds to current feminist scholarship on the modern professional caregiving industry by focusing on the perspective of the workers. As the population of older adults requiring care is expected to increase over the coming decades, the demand for paid caregivers will increase as well. Historically, care work was an expected duty done...
Show moreThis research provides a feminist perspective on the lowest paid sector of the United States long-term care industry, Certified Nursing Assistants. This research adds to current feminist scholarship on the modern professional caregiving industry by focusing on the perspective of the workers. As the population of older adults requiring care is expected to increase over the coming decades, the demand for paid caregivers will increase as well. Historically, care work was an expected duty done freely by the women of the family, but today much of the vital intimate caring labor is relegated to paid caregivers. I examine how alternative social, political and economic frameworks can transform United States society’s attitude towards the increasingly relevant issue of caring labor. I argue that incorporating a feminist perspective will be helpful in developing a sustainable model for caring labor that acknowledges the dignity of both patients and their caregivers.
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Date Issued: 2016
PURL: http://purl.flvc.org/fau/fd/FA00004801, http://purl.flvc.org/fau/fd/FA00004801
Subject Headings: Nurses' aides., Medical personnel-caregiver relationships., Nursing homes--Employees--Attitudes., Feminist theory., Caring--Moral and ethical aspects., Feminism--Political aspects., Long-term care facilities--Administration., Nursing home patients--Care., Older people--Nursing home care.
Format: Document (PDF)

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)

Title: The bureaucratic system: A positive or negative effect on nursing home quality of care?.
Creator: Lipsman, Lisa A., Florida Atlantic University, Evans, Arthur S.
Abstract/Description: Over the last fifty years quality of care has been a consistent problem in nursing home facilities. The federal government implemented a bureaucratic system as an attempt to improve this standard. This thesis traces the emergence of this system in nursing homes and illustrates its failure to solve the problem. George Ritzer's four-point McDonaldization model of bureaucracy is applied to argue that the bureaucratic system for governing nursing homes has a negative effect on the quality of care...
Show moreOver the last fifty years quality of care has been a consistent problem in nursing home facilities. The federal government implemented a bureaucratic system as an attempt to improve this standard. This thesis traces the emergence of this system in nursing homes and illustrates its failure to solve the problem. George Ritzer's four-point McDonaldization model of bureaucracy is applied to argue that the bureaucratic system for governing nursing homes has a negative effect on the quality of care. Although this hypothesis has proven to be accurate, additional factors were consistently cited as having detrimental effects on resident care. These include issues such as insufficient pay and lack of training/education for CNAs. Moreover, human greed and societal views of the elderly appear to be the true root of the problem.
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Date Issued: 2004
PURL: http://purl.flvc.org/fcla/dt/13148
Subject Headings: Long-term care of the sick--Quality control, Nursing home care--Quality control, Outcome assessment (Medical care), Long-term care facilities--Standards
Format: Document (PDF)

Title: Medicaid incentive reimbursement programs in long-term care: An evaluation of the Florida Medicaid AIDS nursing home admission program.
Creator: Cruise, Peter L., Florida Atlantic University, Clare, Donald A.
Abstract/Description: This study evaluated the Florida Medicaid Acquired Immunodeficiency Syndrome (AIDS) nursing home admission incentive program using goal attainment and constituency satisfaction criteria. The program provides additional reimbursement to nursing homes which admit Medicaid-covered persons with AIDS (PWAs). Goal attainment, i.e., increasing the rate of PWA admissions, was assessed using ICD-9-CM coded (for AIDS) Medicaid-covered hospital discharges to nursing homes as a surrogate nursing home...
Show moreThis study evaluated the Florida Medicaid Acquired Immunodeficiency Syndrome (AIDS) nursing home admission incentive program using goal attainment and constituency satisfaction criteria. The program provides additional reimbursement to nursing homes which admit Medicaid-covered persons with AIDS (PWAs). Goal attainment, i.e., increasing the rate of PWA admissions, was assessed using ICD-9-CM coded (for AIDS) Medicaid-covered hospital discharges to nursing homes as a surrogate nursing home admission measure. To assess satisfaction, both program constituencies--hospitals (N = 120) which place and nursing homes (N = 308) which agree to admit PWAs--were surveyed in 10 counties. For both constituencies, the surveys were designed to measure satisfaction along two dimensions: (1) the degree of satisfaction with the Florida program, and (2) the level of agreement with the general concept of incentive reimbursement. For nursing homes, the survey also measured: institutional characteristics, financial characteristics, and medical and technological issues. The goal attainment results revealed that the PWA admission rate showed no meaningful change over the five years studied. The constituency satisfaction results revealed that both constituencies were moderately satisfied with the Florida program and incentive programs generally, but that such satisfaction was not related to the number of PWAs admitted to nursing homes. Nursing home institutional characteristics and medical issues were not related to the number of PWAs admitted, but financial characteristics and technological issues were significantly (but negatively) related. The following policy implications were drawn. Although the Florida program did not meet its goal, both constituencies were satisfied with the program and incentives generally, leaving open the possibility for program modification. The previously unconfirmed concern that nursing homes fear intergenerational problems if PWAs were to be admitted was supported by the findings, but nursing home assertions that their lack of appropriate technology restricts PWA admissions were not.
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Date Issued: 1995
PURL: http://purl.flvc.org/fcla/dt/12397
Subject Headings: Nursing homes--Florida--Cost control, Medicaid--Florida, AIDS (Disease)--Patients--Services for--Florida--Cost effectiveness, AIDS (Disease)--Patients--Long-term care--Florida--Cost effectiveness
Format: Document (PDF)

AIDS (Disease)--Nursing (1)	+ -
AIDS (Disease)--Patients--Long-term care--Florida--Cost effectiveness (1)	+ -
AIDS (Disease)--Patients--Services for--Florida--Cost effectiveness (1)	+ -
Caregivers (1)	+ -
Caring--Moral and ethical aspects. (1)	+ -

Chronically ill--Home care (1)	+ -
Depression in old age. (1)	+ -
Dissertations, Academic -- Florida Atlantic University (1)	+ -
Family nursing (1)	+ -
Feminism--Political aspects. (1)	+ -
Feminist theory. (1)	+ -
Heart failure--Nursing. (1)	+ -
Home Health Nursing. (1)	+ -
Home care services (1)	+ -
Home nursing (1)	+ -
Hospital to Home Transition (1)	+ -
Hospitalization--economics. (1)	+ -
Loneliness--Psychological aspects. (1)	+ -
Long-term care facilities--Administration. (1)	+ -
Long-term care facilities--Standards (1)	+ -
Long-term care of the sick--Quality control (1)	+ -
Medicaid--Florida (1)	+ -
Medical personnel-caregiver relationships. (1)	+ -
Nurses' aides--Certification--Florida (1)	+ -
Nurses' aides. (1)	+ -
Nursing (1)	+ -
Nursing Care (1)	+ -
Nursing home care--Florida (1)	+ -
Nursing home care--Quality control (1)	+ -
Nursing home patients--Care. (1)	+ -

Florida Atlantic University (10)	+ -
Christine E. Lynn College of Nursing (3)	+ -
Clare, Donald A. (2)	+ -
Dorothy F. Schmidt College of Arts and Letters (2)	+ -
Hain, Debra J. (2)	+ -

Appleton, Cathy (1)	+ -
Beoku-Betts, Josephine (1)	+ -
Brannon, Pamela Tarquinio (1)	+ -
Center for Women, Gender and Sexuality Studies (1)	+ -
Coffman, Sherrilyn (1)	+ -
Cruise, Peter L. (1)	+ -
Department of Anthropology (1)	+ -
Eggenberger, Terry (1)	+ -
Evans, Arthur S. (1)	+ -
Hernandez, Angelica C. (1)	+ -
Lange, Bernadette (1)	+ -
Leavitt, Mary Ann M. (1)	+ -
Lipsman, Lisa A. (1)	+ -
PALMIERI, ELEANORE A. (1)	+ -
Ruth, Marla Claire. (1)	+ -
Schoenhofer, Savina (1)	+ -
Stobie, Marjorie Michele. (1)	+ -
Sublett, Audrey J. (1)	+ -
Sullivan, Gail J. (1)	+ -
Tunick, Rachel (1)	+ -

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