Current Search: Nursing -- Psychological aspects (x)
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- Title
- The meaning of intuition in nursing practice.
- Creator
- Jennings, Alinda Hunter., Florida Atlantic University, Boykin, Anne
- Abstract/Description
-
The purpose of this phenomenological study was to describe and interpret the meaning of intuition in nursing practice. Interviews with six nurses were audiotaped and transcribed into text. Initial and essential themes emerged through thematic analysis. Initial themes were variables dealing with the manifestation, interpretation or application of intuition. Essential themes reflected an awareness, sensation, understanding or feeling of a particular nature to be comprehended, known, or...
Show moreThe purpose of this phenomenological study was to describe and interpret the meaning of intuition in nursing practice. Interviews with six nurses were audiotaped and transcribed into text. Initial and essential themes emerged through thematic analysis. Initial themes were variables dealing with the manifestation, interpretation or application of intuition. Essential themes reflected an awareness, sensation, understanding or feeling of a particular nature to be comprehended, known, or perceived in connection with reflection upon the experience of intuition. The unity of meaning was described using the words of the participants and two metaphors: a figure of a human being, DNA, and galaxies which represented the potential and sense of wonder felt from the participants; and electricity which is used as a tool and is valued though its action is not fully understood. Through intuition nurses experience "being with" patients and see each one as a whole, unique person.
Show less - Date Issued
- 1990
- PURL
- http://purl.flvc.org/fcla/dt/14677
- Subject Headings
- Nursing--Psychological aspects
- Format
- Document (PDF)
- Title
- Impact of an educational intervention on nurses’ knowledge and caring behavior for late preterm infants.
- Creator
- Onyejuruwa, Francesca I., Dormire, Sharon, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
The purpose of this study was to examine the effect of an educational intervention using Swanson’s (1991) caring theory on (a) nurses’ knowledge and caring behavior to late preterm infants (LPIs) and their families, and (b) the incidence of LPIs’ hospital visits and readmission rates for hyperbilirubinemia and dehydration in the first 30 days of life. The study began with the initial testing of the two instruments used and there were no inconsistencies identified in the content being measured...
Show moreThe purpose of this study was to examine the effect of an educational intervention using Swanson’s (1991) caring theory on (a) nurses’ knowledge and caring behavior to late preterm infants (LPIs) and their families, and (b) the incidence of LPIs’ hospital visits and readmission rates for hyperbilirubinemia and dehydration in the first 30 days of life. The study began with the initial testing of the two instruments used and there were no inconsistencies identified in the content being measured. A convenient sample of nursery and postpartum nurses was recruited from two hospitals within a healthcare system. The nurses completed the consents and the surveys online via Survey Monkey®. Instruments used in the survey included a demographic, knowledge, and caring questionnaires. The participants’ inclusion criteria were nurses who have: a) completed at least one year experience working with well newborns, b) attended the educational intervention, and c) completed tests at the three intervals. SPSS for Windows (version 21) was used to analyze data using statistical techniques and ANOVA repeated measures. Study findings support improved knowledge for all participants; however, there was decreased retention of knowledge noted one month later. There was a 37% increase in knowledge from the baseline mean scores to the posttest mean scores (52% to 89%), although there was a 20% knowledge decrease from the posttest to one month later (89%- 69%). There remained a true knowledge gain since knowledge increased between the baseline measurements to the 1-month follow-up assessment (52% to 69%). Infant outcomes related to hyperbilirubinemia and dehydration also demonstrated patterns of improvement in the direction of statistical significance. The study added to the body of nursing science regarding educational intervention as a tool in increasing nurses’ knowledge.
Show less - Date Issued
- 2014
- PURL
- http://purl.flvc.org/fau/fd/FA00004145, http://purl.flvc.org/fau/fd/FA00004145
- Subject Headings
- Maternity nursing -- Psychological aspects, Neonatal nursing -- Psychological aspects, Nursing -- Study and teaching, Perinatal nursing -- Psychological aspects
- Format
- Document (PDF)
- Title
- The meaning of intuition to first-time mothers: A phenomenological perspective.
- Creator
- Wik, Shelly Jeannette., Florida Atlantic University, Locsin, Rozzano
- Abstract/Description
-
The purpose of this study was to explore the meaning of intuition as experienced by first-time mothers. A phenomenological approach employing van Manen's research method was utilized. Six participants described their experiences of being first-time mothers. Seven essential themes emerged: Naturalness, Knowing, Connection, Value, Delivering Comfort, Structure, and Transformation. These themes describe the lived experience as the essence of Naturalness to facilitate Knowing the Connection to...
Show moreThe purpose of this study was to explore the meaning of intuition as experienced by first-time mothers. A phenomenological approach employing van Manen's research method was utilized. Six participants described their experiences of being first-time mothers. Seven essential themes emerged: Naturalness, Knowing, Connection, Value, Delivering Comfort, Structure, and Transformation. These themes describe the lived experience as the essence of Naturalness to facilitate Knowing the Connection to one's infant is Valuing intuition in Delivering Comfort that is without Structure and involves self Transformation. The unity of meaning discovered from the data is stated as: The Illumination of Intuition to First-Time Mothers and Experiencing the Presence of Other. The results of this study suggest that the recognition of intuition to first-time mothers is significant to nursing and nursing practice.
Show less - Date Issued
- 1996
- PURL
- http://purl.flvc.org/fcla/dt/15351
- Subject Headings
- Motherhood--Psychological aspects, Intuition, Phenomenology, Nursing
- Format
- Document (PDF)
- Title
- The impostor phenomenon: A study of its incidence in registered nurse first assistants.
- Creator
- Ellerie, Sandra Charline., Florida Atlantic University, Dunphy, Lynne M.
- Abstract/Description
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With expanded nursing roles emerging in the health care system, it is imperative to identify psychological barriers that can limit the potential of these practitioners. If feelings of inadequacy exist in the RNFA, the nurse may pursue tasks that are less than those of which the person is capable. The purpose of this study was to ascertain if RN First Assistants (RNFA) experience the impostor phenomenon, an intense, subjective feeling of achievement-related fraudulence. The Impostor Phenomenon...
Show moreWith expanded nursing roles emerging in the health care system, it is imperative to identify psychological barriers that can limit the potential of these practitioners. If feelings of inadequacy exist in the RNFA, the nurse may pursue tasks that are less than those of which the person is capable. The purpose of this study was to ascertain if RN First Assistants (RNFA) experience the impostor phenomenon, an intense, subjective feeling of achievement-related fraudulence. The Impostor Phenomenon Scale, a 14 item, 7-point Likert Scale, was self-administered to 109 registered nurse First Assistants to determine the degree of security and comfort they experience in their roles. The results of this research indicated that the RNFA sample did not experience the impostor phenomenon. The demographic data presented some facts that can possibly explain the high degree of competency that RNFAs perceive in their role.
Show less - Date Issued
- 1997
- PURL
- http://purl.flvc.org/fcla/dt/15481
- Subject Headings
- Impostor phenomenon, Operating room nurses, Nursing--Psychological aspects
- Format
- Document (PDF)
- Title
- The experience of being a nurse who finds satisfaction in the nursing profession: A phenomenological study.
- Creator
- Basel, Patricia A., Florida Atlantic University, Bruce, Nancie
- Abstract/Description
-
This qualitative research study used the hermeneutic phenomenological method to discover the meaning of the experience of being a satisfied nurse. The study utilized van Manen's approach to phenomenology. The methods of inquiry included turning to the nature of the lived experience, existential investigation, identification of themes, phenomenological reflection, and phenomenological writing and rewriting. The aim of this study was to understand the meaning of being a nurse who finds...
Show moreThis qualitative research study used the hermeneutic phenomenological method to discover the meaning of the experience of being a satisfied nurse. The study utilized van Manen's approach to phenomenology. The methods of inquiry included turning to the nature of the lived experience, existential investigation, identification of themes, phenomenological reflection, and phenomenological writing and rewriting. The aim of this study was to understand the meaning of being a nurse who finds satisfaction in the nursing profession. Six themes emerged as being significant to the experience of being a satisfied nurse: connecting with others, committing oneself, experiencing rewarding feedback, uncovering the unknown, caring for others, and finding meaning to life. The six themes reflect a unity of meaning of the experience of being a satisfied nurse. The unity of meaning is in feelings of enhanced humanness of the nurse and others. Implications for nursing research, nursing practice, and nursing education were discussed.
Show less - Date Issued
- 1996
- PURL
- http://purl.flvc.org/fcla/dt/15340
- Subject Headings
- Nurses--Job satisfaction, Nursing--Psychological aspects, Job satisfaction
- Format
- Document (PDF)
- Title
- The student's experience of learning caring in a college of nursing grounded in a caring philosophy.
- Creator
- Drumm, Judith T., Florida Atlantic University, Chase, Susan
- Abstract/Description
-
Caring has been identified as an essential value for baccalaureate education across all programs of study. The purpose of this phenomenological research study was to investigate the lived experience of students learning caring in a college of nursing grounded in a caring philosophy. The question guiding the research was: "What is the student's experience of learning caring in a college of nursing that has caring as a central tenet in its philosophy?" This study was guided by the caring...
Show moreCaring has been identified as an essential value for baccalaureate education across all programs of study. The purpose of this phenomenological research study was to investigate the lived experience of students learning caring in a college of nursing grounded in a caring philosophy. The question guiding the research was: "What is the student's experience of learning caring in a college of nursing that has caring as a central tenet in its philosophy?" This study was guided by the caring theories of Boykin and Schoenhofer (2001), Roach (2002), and the philosopher Mayeroff (1971). The researcher interviewed seven senior baccalaureate student nurses attending a public university. The nursing program at this university was grounded in a caring philosophy. The research questions explored the students' experiences of learning caring at this school of nursing. One student shared this thought with the researcher, "I knew who I was and I knew I could care about people, but I didn't know how to use caring in nursing. The educational process helped me to transfer caring to nursing." Transcripts of the audiotaped interviews were analyzed using Colaizzi's seven-step methodology. Two major themes and six sub-themes related to learning caring emerged and an exhaustive description of the students learning of caring in a caring based curriculum was developed. The two major themes identified were: Innate Knowing of Self as Caring, and Caring in the Curriculum. The first major theme of Innate Knowing of Self as Caring is supported by the sub-themes: Being present for the patient, Being open to reshape the patient's experience, and Enhanced capacity to care. The second major theme of Caring in the Curriculum is supported by the sub-themes: Clinical experiences are valuable to learning, Doing little things to express caring, and Learning activities facilitated understanding caring. Descriptions of the two major themes and six sub-themes were portrayed with verbatim stories told to the researcher by the student participants. Finally, implications for nursing education, research, practice, theory, and policy are presented for the reader.
Show less - Date Issued
- 2006
- PURL
- http://purl.flvc.org/fcla/dt/12215
- Subject Headings
- Nursing--Study and teaching (Graduate), Nursing--Psychological aspects, Nurse and patient, Nursing--Philosophy
- Format
- Document (PDF)
- Title
- The clinical scholar model: a strategy to bridge the theory-practice gap.
- Creator
- Arnold, Kathryn., Christine E. Lynn College of Nursing
- Abstract/Description
-
The purpose of this study was to evaluate student outcomes following implementation of a clinical scholar model of clinical education in one of four placement sites of a college of nursing grounded in a caring philosophy. The question guiding the study was to determine if the clinical scholar model has an influence on student perceptions and outcomes when used with second-degree accelerated BSN students. Watson's Human Caring theory, based on ten caritas processes, serves as the theoretical...
Show moreThe purpose of this study was to evaluate student outcomes following implementation of a clinical scholar model of clinical education in one of four placement sites of a college of nursing grounded in a caring philosophy. The question guiding the study was to determine if the clinical scholar model has an influence on student perceptions and outcomes when used with second-degree accelerated BSN students. Watson's Human Caring theory, based on ten caritas processes, serves as the theoretical framework for this study (Watson, 2007). A sequential mixed-methods approach that combined quantitative and qualitative data collection techniques was implemented using a pre-experimental, post-test only design with non-equivalent groups to determine differences between the Traditional Model (TM) and Clinical Scholar Model (CSM) in clinical nursing education... Limitations of this study include low sample size and are partially due to limitations of the class size and low survey participation. Additionally, only CSM students attended a focus group, which prevented comparisons of qualitative feedback between groups. Even with these limitations, CSM students scored as well or better than TM students, indicating that the CSM could be a viable model for nursing clinical education.
Show less - Date Issued
- 2013
- PURL
- http://purl.flvc.org/FAU/3360742
- Subject Headings
- Nursing, Study and teaching, Nursing, Philosophy, Evidence-based nursing, Nursing, Psychological aspects
- Format
- Document (PDF)
- Title
- The role of oppression on disruptive behaviors.
- Creator
- Longo, Joy, Dobrin, Adam L.
- PURL
- http://purl.flvc.org/fcla/dt/3183261
- Subject Headings
- Oppression, Disruptive Behavior, Nursing, Nursing --Psychological aspects, Oppression (Psychology) --Research, Horizontal Hostility, Interpersonal Relations, Communication
- Format
- Document (PDF)
- Title
- A phenomenological study of connectedness.
- Creator
- Lee, Gayle Jean., Florida Atlantic University, Beckerman, Anita
- Abstract/Description
-
This research study, utilizing Colaizzi's phenomenological method, explored the lived experience of connectedness as experienced by nurses practicing in an acute care setting. Eight currently-practicing nurses described their experiences of connectedness with a patient. Based on the significant statements which were formulated into meanings and then grouped into themes, five common themes emerged. These themes revealed that connectedness occurs with death or during near-death situations, when...
Show moreThis research study, utilizing Colaizzi's phenomenological method, explored the lived experience of connectedness as experienced by nurses practicing in an acute care setting. Eight currently-practicing nurses described their experiences of connectedness with a patient. Based on the significant statements which were formulated into meanings and then grouped into themes, five common themes emerged. These themes revealed that connectedness occurs with death or during near-death situations, when the nurse identifies with the patient, provides an authentic presence in the nursing situation, utilizes non-verbal communication, creating a pleasant and exhilarating experience. Through providing a better understanding of this phenomenon, nurses may experience a greater fulfillment in nursing.
Show less - Date Issued
- 1994
- PURL
- http://purl.flvc.org/fcla/dt/15009
- Subject Headings
- Nurse and patient, Communication in nursing, Caring, Nursing--Psychological aspects
- Format
- Document (PDF)
- Title
- ATTITUDES TOWARDS DEATH: A COMPARISON OF ASSOCIATE DEGREE NURSING STUDENTS AND GRADUATE NURSES.
- Creator
- CAMPBELL, JUDY BANKS, Florida Atlantic University, Kite, Robert H.
- Abstract/Description
-
This study analyzes the impact of a selected associate degree nursing program upon the attitudes of students toward death. An instrument, "Attitudes Towards Death," was developed for use in the study and was administered to a randomly selected sample of 122 freshmen, 84 sophomore and 46 graduate nurses. Analysis of each group's responses and comparisons among the group were made using several statistical procedures. The results were as follows: 1. There were no significant differences in...
Show moreThis study analyzes the impact of a selected associate degree nursing program upon the attitudes of students toward death. An instrument, "Attitudes Towards Death," was developed for use in the study and was administered to a randomly selected sample of 122 freshmen, 84 sophomore and 46 graduate nurses. Analysis of each group's responses and comparisons among the group were made using several statistical procedures. The results were as follows: 1. There were no significant differences in attitudes towards death of beginning freshman associate degree nursing students, graduating sophomore associate degree nursing students, and graduate associate degree nurses working in nursing. 2. There were no significant differences between freshman and sophomore nursing students in the following subscales: fear of death of self, fear of death of others, fear of dying of others, general attitude, and inconsistency of attitude. There was a significant difference on the fear of dying of self. 3. There were no significant differences between freshman nursing students and graduate nurses on any of the six death attitude subscales. 4. There were no significant differences between sophomore nursing students and graduate nurses on any of the six death attitude subscales. 5. Among the demographic variables the following chi-square subscale correlations were significant: personal meaning that the subject attached to the concept of death, and the fear of death of self, fear of dying of self, general attitude, and inconsistency of attitude; degree of religiosity and fear of death of self, fear of dying of others, general attitude, and inconsistency of attitude; desire to be told of a terminal illness and fear of death of self, fear of dying of self, and fear of dying of others; amount of nursing experience and inconsistency of attitude; marital status and fear of death of others, and area of clinical specialization and fear of death of others. The variables of age , income, and first personal involvement with death had no significant chi-square subscale correlations.
Show less - Date Issued
- 1976
- PURL
- http://purl.flvc.org/fcla/dt/11663
- Subject Headings
- Nurses--Attitudes, Nursing students--Attitudes, Death--Psychological aspects
- Format
- Document (PDF)
- Title
- From hopeless to a miracle: The lived experience of rehabilitation.
- Creator
- Towers, Patricia M., Florida Atlantic University, Locsin, Rozzano
- Abstract/Description
-
This study used the Colaizzi phenomenological, descriptive method to uncover what it was like for patients to be in a rehabilitation program. Ten rehabilitation patients were interviewed. They were asked, "What is it like for you to be in rehabilitation?" Significant statements were extracted from which meanings were formulated. Clusters of themes were developed from the meanings. Four themes were identified: dependence versus independence, rehabilitation is a miracle, rehabilitation is a...
Show moreThis study used the Colaizzi phenomenological, descriptive method to uncover what it was like for patients to be in a rehabilitation program. Ten rehabilitation patients were interviewed. They were asked, "What is it like for you to be in rehabilitation?" Significant statements were extracted from which meanings were formulated. Clusters of themes were developed from the meanings. Four themes were identified: dependence versus independence, rehabilitation is a miracle, rehabilitation is a struggle, and trust and trusting that working the plan will pay off. These themes are related to other care concepts in nursing and the other literature and film. Understanding what it is like for patients in a physical rehabilitation program will assist nurses to plan care to meet the patients' needs, will provide personal glimpses of patients' view of care for nursing, and will help nurses to further explore the world of the patients.
Show less - Date Issued
- 1994
- PURL
- http://purl.flvc.org/fcla/dt/15087
- Subject Headings
- Nurse and patient, Rehabilitation nursing, Rehabilitation--Psychological aspects, Patients--Rehabilitation
- Format
- Document (PDF)
- Title
- Caring for self for nursing leaders: Climbing to the mountain peak.
- Creator
- Brown, Cynthia J., Florida Atlantic University, Chase, Susan
- Abstract/Description
-
The nursing leader's challenging position in today's work environment may lead to an experience of stress, over-commitment, and overdoing. The purpose of this phenomenological study was to examine the meaning of caring for self by registered nurse leaders who had participated in a caring for self project in a community hospital setting. This group of 10 nursing leaders had participated in a caring for self project and had experience in nursing ranging from 18 to 32 years. One year after...
Show moreThe nursing leader's challenging position in today's work environment may lead to an experience of stress, over-commitment, and overdoing. The purpose of this phenomenological study was to examine the meaning of caring for self by registered nurse leaders who had participated in a caring for self project in a community hospital setting. This group of 10 nursing leaders had participated in a caring for self project and had experience in nursing ranging from 18 to 32 years. One year after taking part in the caring for self project the 10 nursing leaders participated in individual taped interviews to explore the meaning of caring for self. Hermeneutic phenomenology (van Manen, 1990) was the method used for the interpretation of this research study. The depth of the lived experience of caring for self was described by each nursing leader. A metaphor of climbing a mountain to the peak of wisdom, being on the path and staying on the path regarding care of self, came from the words of the participants. In their words, the leaders communicate four common themes: Reflections on the Journey, Why Care for Self on the Journey, How to Care for Self on the Journey, and the Wisdom Learned Along the Path. Based on their reflections, recommendations include implementing creative ways to encourage care of self are for the hospital environment and educational methods to reinforce care of self for nurse leaders in the educational curriculum. A focus on care of self described by the leaders in this study may improve personal health, add to personal growth, assist in communication skills, allow for role modeling care of self to others, support setting priorities and boundaries, contribute to flexibility, and promote a work-life balance. These qualities would assist in creating a positive work environment and may influence the retention of nurses and contribute to recruiting new nursing leaders. Caring for self by nursing leaders is an important way for caring nursing theory to be brought to the practice setting. By role modeling a work-life balance nursing leaders bring the circle of caring out to others, beginning with care of self.
Show less - Date Issued
- 2006
- PURL
- http://purl.flvc.org/fcla/dt/12202
- Subject Headings
- Nursing--United States--Psychological aspects, Nurses--Conduct of life, Nursing--Philosophy, Self-efficacy, Burn out (Psychology)--Prevention, Stress management
- Format
- Document (PDF)
- Title
- The lived experience of sexuality for post-menopausal women.
- Creator
- Taylor, Susan Lynn., Florida Atlantic University, Thomas, Debera J.
- Abstract/Description
-
Phenomenologic inquiry was used to answer the research question, "What is the lived experience of sexuality for the postmenopausal woman?" Three dimensions of the experience of sexuality were uncovered in the interviewing process. The first dimension was adjusting to postmenopausal puberty. This referred to the physical and emotional adjustment each participant went through while coming to accept and adjust to hormone related changes in their bodies. The second dimension was self perception...
Show morePhenomenologic inquiry was used to answer the research question, "What is the lived experience of sexuality for the postmenopausal woman?" Three dimensions of the experience of sexuality were uncovered in the interviewing process. The first dimension was adjusting to postmenopausal puberty. This referred to the physical and emotional adjustment each participant went through while coming to accept and adjust to hormone related changes in their bodies. The second dimension was self perception as related to being and becoming through menopause. This referred to the personal growth that took place in each participant as she navigated through the menopause experience. The final dimension uncovered was changing patterns of sexual intimacy. The frequency of sexual encounters decreased for participants following menopause however, participants found new ways of coping and meeting their needs for sexual intimacy.
Show less - Date Issued
- 1998
- PURL
- http://purl.flvc.org/fcla/dt/15566
- Subject Headings
- Menopause--Psychological aspects, Middle-aged women--Sexual behavior, Nursing
- Format
- Document (PDF)
- Title
- An exploratory study of biofeedback in reducing pain after thoracic surgery.
- Creator
- Angel, Laurie R., Florida Atlantic University, Freeman, Edward
- Abstract/Description
-
This study is a pilot concerning the relationship between acute pain management and biofeedback training. The population studied included patients from a local community hospital undergoing coronary artery bypass graft surgery. The study applied theories of the mind/body connection and stress frameworks for exploring the correlation between patients' hand temperatures and their reported levels of pain pre-operatively and post-operatively. Study findings indicated that there was significant...
Show moreThis study is a pilot concerning the relationship between acute pain management and biofeedback training. The population studied included patients from a local community hospital undergoing coronary artery bypass graft surgery. The study applied theories of the mind/body connection and stress frameworks for exploring the correlation between patients' hand temperatures and their reported levels of pain pre-operatively and post-operatively. Study findings indicated that there was significant within-subjects effect in hand temperature after biofeedback treatment across three points in time. But the study also found no difference between-subjects in hand temperature after biofeedback treatment across three points in time. Therefore, the sample proved to be heterogeneous. Further study was indicated with larger samples to demonstrate the analgesic effects of biofeedback in the management of acute pain.
Show less - Date Issued
- 1997
- PURL
- http://purl.flvc.org/fcla/dt/15489
- Subject Headings
- Biological control systems, Pain--Treatment, Mind and body, Pain--Psychological aspects, Nurse and patient
- Format
- Document (PDF)
- Title
- Long-term survivorship in women with breast cancer.
- Creator
- Marinak, Catherine Carpenter., Florida Atlantic University, Dunphy, Lynne M.
- Abstract/Description
-
The purpose of this study was to develop a theory of survivorship in long-term breast cancer patients, and a subsequent educational program to assist health care practitioners to guide these survivors. Seven women who had survived breast cancer for at least 10 years, were interviewed over a twelve month period. This qualitative study used Glaser & Strauss's grounded theory method to generate the process of survivorship for these women. The emergent core category, "life's journey" was...
Show moreThe purpose of this study was to develop a theory of survivorship in long-term breast cancer patients, and a subsequent educational program to assist health care practitioners to guide these survivors. Seven women who had survived breast cancer for at least 10 years, were interviewed over a twelve month period. This qualitative study used Glaser & Strauss's grounded theory method to generate the process of survivorship for these women. The emergent core category, "life's journey" was characterized by two core variables, "caring with self" and "completing the grieving process". The following themes emerged from within these variables: coping strategies, maintaining support networks, accepting self-image, motivating stressors, seeking information, and relying on spirituality. Implications for nursing and recommendations for further research are presented.
Show less - Date Issued
- 1998
- PURL
- http://purl.flvc.org/fcla/dt/15612
- Subject Headings
- Breast--Cancer--Patients, Breast--Cancer--Psychological aspects, Breast--Cancer--Nursing
- Format
- Document (PDF)
- Title
- Health Challenges of Family Members in End of Life Situations.
- Creator
- Sopcheck, Janet, Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
-
The growing older adult population, their age-related morbidities, and lifelimiting chronic illnesses increase the demand for quality yet cost-effective end of life (EOL) care. Losing a loved one creates emotional turmoil, heightened uneasiness, and EOL uncertainties for family members. Understanding the complex needs of family members and supportive actions deemed most significant to them can guide nurses to enhance EOL care, encouraging palliation and peaceful death experiences. This study...
Show moreThe growing older adult population, their age-related morbidities, and lifelimiting chronic illnesses increase the demand for quality yet cost-effective end of life (EOL) care. Losing a loved one creates emotional turmoil, heightened uneasiness, and EOL uncertainties for family members. Understanding the complex needs of family members and supportive actions deemed most significant to them can guide nurses to enhance EOL care, encouraging palliation and peaceful death experiences. This study used a qualitative descriptive exploratory design guided by story theory methodology to explore the dimensions of the health challenge of losing a loved one who had been in an acute care setting during the last three months of life, the approaches used to resolve this health challenge, and turning points that prompted decisions about a loved one’s care with 15 older adults residing in a Continuing Care Retirement Community (CCRC) in Southeast Florida. Theoretical grounding for this study was Watson’s (1988, 2002) theory of human caring and Smith and Liehr’s (2014) story theory. Older adults’ stories were analyzed through theory-guided content analysis. Themes that describe the health challenge include moving from painful holding on to poignant letting go, uneasiness that permeates everyday living and precious memories, patterns of disconnect that breed discontent, and pervasive ambiguity that permeates perspectives about remaining time. Approaches to resolve this challenge include active engagement enabling exceptional care for loved ones, appreciating the rhythmic flow of everyday connecting and separating to get by, and embracing reality as situated in one’s lifelong journey. Failure to establish normalcy, coming to grips with abrupt health decline/demise, and recognition – there’s nothing more to do – were the turning points identified by CCRC residents. Older adults’ vivid recollections of losing a loved one and willingness to share EOL concerns as well as recommendations regarding support of family members who are facing this challenge serve as invaluable guidance for improving EOL care for dying patients and their family members.
Show less - Date Issued
- 2016
- PURL
- http://purl.flvc.org/fau/fd/FA00004635
- Subject Headings
- End-of-life care., Terminal care--Psychological aspects., Hospice care., Palliative treatment., Critical care nursing., Loss (Psychology)
- Format
- Document (PDF)
- 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.
Show less - 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)
- Title
- Transition experiences of the chronically ill adolescent.
- Creator
- White, Kelly N., Keller, Kathryn B., Florida Atlantic University, Christine E. Lynn College of Nursing
- Abstract/Description
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The continued development of the American health care system and evolving technology have led to an increased life expectancy within the general population. In fact, these advancements have also resulted in growing numbers of young people with chronic illnesses living into adulthood. Approximately one third of children ages 10-17 have a chronic disease, and the vast majority of these children will survive beyond their 20th birthday (Blum, 1995; Lotstein, McPherson, Strickland, & Newacheck,...
Show moreThe continued development of the American health care system and evolving technology have led to an increased life expectancy within the general population. In fact, these advancements have also resulted in growing numbers of young people with chronic illnesses living into adulthood. Approximately one third of children ages 10-17 have a chronic disease, and the vast majority of these children will survive beyond their 20th birthday (Blum, 1995; Lotstein, McPherson, Strickland, & Newacheck, 2005; White, 2002). The main objective of this study was to explore the healthcare transition (HCT) practices of health care providers and the HCT experiences of chronically ill young adults living with sickle cell disease, cystic fibrosis, and/or diabetes. Meleis, Sawyer, Im, Hifinger Messias, & Schumacher’s (2000) theory on transition and Boykin and Schoenhofer’s (2001) theory of Nursing as Caring provided the theoretical lenses throughwhich study findings were viewed. This was a descriptive exploratory mixed methods design that consisted of survey data and used conventional content analysis to analyze the qualitative data. The quantitative portion of this study incorporated a 41-question survey that was completed by 33 health care providers working with chronically ill young adults in the southeast Florida region. Additionally, semi-structured interviews were conducted with eight young adults (18-24 years of age) living with a sickle cell disease, cystic fibrosis, and/or diabetes. Five themes emerged from an analysis of the data describing the healthcare transition (HCT) experience: Transition Confusion, Familial Reliance, Lost in Transition, Fiscal Stressors, and Transition Uneasiness. The findings of this study demonstrate that there are, at minimum, three general parts of the HCT process that remain deficient: educational preparation, consistent communication between all parties involved in the HCT process, and guidance for the independent negotiation of the present healthcare system. Recommendations for healthcare providers that work with chronically ill young adults include establishing a HCT framework that incorporates consistent communication among team members and patients/families, individualized educational formats, and guidance for navigational skills to negotiate the healthcare system.
Show less - Date Issued
- 2014
- PURL
- http://purl.flvc.org/fau/fd/FA00004234, http://purl.flvc.org/fau/fd/FA00004234
- Subject Headings
- Children with disabilities -- Care, Chronic diseases in children -- Psychological aspects, Chronically ill children -- Services for, Health services accessibility, Nursing -- Philosophy, Nursing models
- Format
- Document (PDF)
- Title
- The experience of caring for an elderly parent with Alzheimer's disease.
- Creator
- Davies, Sally., Florida Atlantic University, Beckerman, Anita
- Abstract/Description
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The purpose of this study was to describe the experience of caring for an elderly parent in the last year of her life. Using the historical research design, the author examined a journal kept during the time of the experience. The analysis revealed the recurrent themes of mother/daughter and patient/nurse relationships in the journal. These themes were then analysed to reflect the frequency and the alternating rhythms of interactions throughout the time the journal encompasses. The writing of...
Show moreThe purpose of this study was to describe the experience of caring for an elderly parent in the last year of her life. Using the historical research design, the author examined a journal kept during the time of the experience. The analysis revealed the recurrent themes of mother/daughter and patient/nurse relationships in the journal. These themes were then analysed to reflect the frequency and the alternating rhythms of interactions throughout the time the journal encompasses. The writing of this personal story of caregiving and its analysis documents a personal event that can be used by others to understand the caregiving experience.
Show less - Date Issued
- 1996
- PURL
- http://purl.flvc.org/fcla/dt/15342
- Subject Headings
- Aging parents--Care--Psychological aspects, Alzheimer's disease--Patients--Family relationships, Caregivers--Psychology, Daughters--Psychology, Parent and adult child, Diaries--Therapeutic use, Nurses--Psychology
- 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
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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.
Show less - 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)