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Zafè Neg se Mistè: a grounded theory study of end-of-life decision-making for Haitian American families in south Florida
Title
Zafè Neg se Mistè: a grounded theory study of end-of-life decision-making for Haitian American families in south Florida.
Creator
Ladd, Susan Charlotte, Smith, Marlaine, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
The purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face...
Show moreThe purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face qualitative interviews. Data analysis and collection occurred simultaneously. Participants (n=12) were purposefully recruited, with 11 from a single, faith-based community. The findings resulted in six concepts: (1) imminent or actual death, (2) disrupted unity, (3) managing disrupted unity, (4) consequences, (5) restoring unity, and (6) creating memories you can live with. These six concepts, elaborated by an additional 17 dimensions, were incorporated into a process model relating to the cultural value of communal unity to the end-of-life decision-making process. The implications of this study include a need to improve the congruence between the nursing care provided at this vulnerable time and the cultural values of this population. Successful access to this population through the structure of the faith-based community points the way to increasing access to appropriate end-of-life healthcare. Practice implications informed by caring science include the importance of nurses’ coming to know the family and listening to the unique care needs.
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Date Issued
2015
PURL
http://purl.flvc.org/fau/fd/FA00004387, http://purl.flvc.org/fau/fd/FA00004387
Subject Headings
End of life care, Haitian Americans -- Medical care -- Florida, Informed consent (Medical law), Life and death, Power over, Medical care -- Cross cultural studies, Medical ethics, Nurse and patient, Nurses -- Attitudes, Patient advocacy, Patient refusal of care
Format
Document (PDF)
relationship between leadership styles of directors of accredited higher education respiratory care programs and faculty satisfaction, willingness to exert extra effort, perceived director effectiveness, and program outcomes
Title
The relationship between leadership styles of directors of accredited higher education respiratory care programs and faculty satisfaction, willingness to exert extra effort, perceived director effectiveness, and program outcomes.
Creator
Weissman, Nancy L., College of Education, Department of Educational Leadership and Research Methodology
Abstract/Description
The purpose of this study was to examine the leadership characteristics of respiratory care program directors and determine the relationship between the director's leadership style, effectiveness, faculty satisfaction, extra effort, and program outcomes. Differences between the directors' perceived leadership style and faculties' perception of the directors' leadership style were also examined. Directors' leadership styles were measured by the Multifactor Leadership Questionnaire (MLQ)....
Show moreThe purpose of this study was to examine the leadership characteristics of respiratory care program directors and determine the relationship between the director's leadership style, effectiveness, faculty satisfaction, extra effort, and program outcomes. Differences between the directors' perceived leadership style and faculties' perception of the directors' leadership style were also examined. Directors' leadership styles were measured by the Multifactor Leadership Questionnaire (MLQ). Director, faculty and program information was measured with a researcher-designed questionnaire. CoARC accredited program directors (n=321) and their full and part-time faculty (n=172) received an e-mail and a web link to obtain demographic information. All participants received an e-mail from Mind Garden, Inc. with a web link to complete the MLQ. Regression analysis and t tests were used to analyze the data. The results found a significant relationship between faculty satisfaction, extra effort, and perceived director effectiveness and each of the predictors transformational, transactional, and passive/avoidant leadership behaviors. There was no relationship between program director leadership style and program outcomes. This study found no difference between the directors' and the faculty's perception of the directors' transformational and transactional leadership behaviors. However, there was a significant difference between the directors' and the faculties' perception of the directors' passive/avoidant behavior.
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Date Issued
2008
PURL
http://purl.flvc.org/FAU/186324
Subject Headings
Educational leadership, Evaluation, College teaching, Evaluation, Organizational behavior, Medical care, Motivation in education
Format
Document (PDF)
comparison of the Boston Naming Test and Miami Naming Test in an Afro-Caribbean population over the age of 55
Title
A comparison of the Boston Naming Test and Miami Naming Test in an Afro-Caribbean population over the age of 55.
Creator
Keane, Florence., Florida Atlantic University, Tappen, Ruth M.
Abstract/Description
The Boston Naming Test (60 items) and the newly developed Miami Naming Test (76 items) are designed to assess naming deficits and word-retrieval capacities. These two tests were compared in a sample of 106 Afro-Caribbean elders. Analysis included inter-rater, test-retest reliability and internal consistency using Cronbach's alpha. The correlation between the scores of both raters on the Boston Naming Test was r=.9974 and r=.9984 on the Miami Naming Test. The test-retest reliability scores...
Show moreThe Boston Naming Test (60 items) and the newly developed Miami Naming Test (76 items) are designed to assess naming deficits and word-retrieval capacities. These two tests were compared in a sample of 106 Afro-Caribbean elders. Analysis included inter-rater, test-retest reliability and internal consistency using Cronbach's alpha. The correlation between the scores of both raters on the Boston Naming Test was r=.9974 and r=.9984 on the Miami Naming Test. The test-retest reliability scores were r=.936 for the Boston Naming Test and r=.931 for the Miami Naming Test. The alpha level for the Miami Naming Test was .95 and the Boston Naming Test was .94. The individual items for both tests were evaluated for their level of difficulty and the scores on the Miami Naming Test were compared to the Boston Naming Test and the Mini Mental State Exam results. Results indicated acceptable levels of reliability for both the Boston Naming Test and the Miami Naming Test. This study shed light on which items should be replaced or deleted and future directions for research on assessment of dementia on older adults of Afro-Caribbean background. This study was supported by Minority Supplement grant #NR07744-01 and was guided by design of the parent grant Culture Bias in Expressive Ability in Dementia funded by the National Institute of Nursing research.
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Date Issued
2005
PURL
http://purl.flvc.org/fcla/dt/12178
Subject Headings
Language and languages--Examinations--Research, Aging--Psychological aspects, Medical care--Needs assessment, Dementia--Research--Cross-cultural studies, Educational tests and measurements
Format
Document (PDF)
The lived experience of health among older Guatemalan women
Title
The lived experience of health among older Guatemalan women.
Creator
Ordonez, Maria de los Angeles., Florida Atlantic University, Jett, Kathleen F.
Abstract/Description
Older Guatemalan women living in farmworking communities represent a vulnerable population enduring extreme poverty, leading to decline of their health. A phenomenological approach was selected as the qualitative research methodology to describe their lived experience of health. Pender's (2002) Health Promotion Model was used as the conceptual framework guiding the inquiry. Nine women, living in South Florida, were interviewed using their secondary language, Spanish. The interviews were tape...
Show moreOlder Guatemalan women living in farmworking communities represent a vulnerable population enduring extreme poverty, leading to decline of their health. A phenomenological approach was selected as the qualitative research methodology to describe their lived experience of health. Pender's (2002) Health Promotion Model was used as the conceptual framework guiding the inquiry. Nine women, living in South Florida, were interviewed using their secondary language, Spanish. The interviews were tape-recorded, transcribed, and translated into English. A synthesized list of descriptive expressions emerged with seven themes. These were analyzed and a structural definition of the lived experience of health was formulated and compared to the concept of health as described by Pender (1982). Understanding the meaning of health among older Guatemalan women may influence policies, practice processes, and accessibility of health care while expanding nursing's body of knowledge. Specific recommendations to improve older Guatemalan women's access to health care were presented.
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Date Issued
2006
PURL
http://purl.flvc.org/fcla/dt/13340
Subject Headings
Women--Health and hygiene--Guatemala, Health status indicators--Florida, Nursing--Social aspects--Florida, Health attitudes--Florida, Transcultural medical care--Florida, Women immigrants--Florida--Cross-cultural studies
Format
Document (PDF)