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From hopeless to a miracle: The lived experience of rehabilitation
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.
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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)
An Investigation of the Program Curriculum Leading to Successful Sobriety in a Substance Abuse Residential Treatment Center in Florida
Title
An Investigation of the Program Curriculum Leading to Successful Sobriety in a Substance Abuse Residential Treatment Center in Florida.
Creator
Foster, Anthony G., Villares, Elizabeth, Florida Atlantic University, College of Education, Department of Counselor Education
Abstract/Description
Recovery from alcoholism and substance abuse has had an ignominious history. There does not appear to be any statistics that stand up to any rigorous fact-checking which show how well treatment centers do at helping their clients to stay sober. Statistics that are used to show success rates are not considered credible and they are shockingly low. Despite these issues, substance abuse research has failed to link the historical knowledge of why people stay sober for long periods of time with...
Show moreRecovery from alcoholism and substance abuse has had an ignominious history. There does not appear to be any statistics that stand up to any rigorous fact-checking which show how well treatment centers do at helping their clients to stay sober. Statistics that are used to show success rates are not considered credible and they are shockingly low. Despite these issues, substance abuse research has failed to link the historical knowledge of why people stay sober for long periods of time with what is being taught in treatment centers in hopes of creating a better, more accurate outcome. The qualitative, phenomenological research study was conducted to ascertain whether a treatment center was teaching the curriculum components that prior research studies had found allowed an addict or alcoholic to stay sober for 20 plus years. Twelve volunteer participants (i.e., nine clients and three counselors), at a treatment center located in Southeast Florida, were interviewe d regarding their perceptions of the curricula being taught in the treatment center. Patterns emerged with the clients regarding their perceptions of spirituality and 12-step programs, believing that spirituality and 12-step programs were significantly emphasized in treatment and that they were very important to their recovery when they left treatment. Counselors agreed with this finding, but felt stronger about the importance of family and social support than did the clients. Overall, the clients felt that what was emphasized in treatment was important to their recovery and intended to use their new knowledge in helping them stay sober. Implications for treatment centers and recommendations for future studies are discussed.
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Date Issued
2015
PURL
http://purl.flvc.org/fau/fd/FA00004499, http://purl.flvc.org/fau/fd/FA00004499
Subject Headings
Addicts -- Rehabilitation, Alcoholism -- Treatment, Drug abuse -- Treatment, Rehabilitation centers -- Florida -- Management, Spiritual healing, Spirituality, Substance abuse -- Patients -- Rehabilitation
Format
Document (PDF)
Challenges faced by parents caring for their child after traumatic brain injury
Title
Challenges faced by parents caring for their child after traumatic brain injury.
Creator
Greif, Shelley J., Liehr, Patricia, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
When children have a moderate to severe traumatic brain injury (TBI), they are treated in a continuum of care that includes triage and emergency care, hospitalization, rehabilitation and outpatient therapy. Physical and cognitive recovery from brain injury may take several years. Children’s recovery varies, depending on numerous factors including pre-injury conditions and injury severity. While children and families are eager to return home to familiar activities, there are often significant...
Show moreWhen children have a moderate to severe traumatic brain injury (TBI), they are treated in a continuum of care that includes triage and emergency care, hospitalization, rehabilitation and outpatient therapy. Physical and cognitive recovery from brain injury may take several years. Children’s recovery varies, depending on numerous factors including pre-injury conditions and injury severity. While children and families are eager to return home to familiar activities, there are often significant physical, cognitive, behavioral and emotional changes that challenge families. Successful community reintegration depends on the ability of the family to understand and support the child, dealing with and responding effectively to those challenges. The purpose of this study is to understand how parents manage the care and community reintegration of their child who has experienced a TBI over time. This study utilized a mixed methods approach exploring the dimensions of the health challenge faced by parents caring for a child after a TBI, critical turning points as they face health challenges, and approaches for movement toward resolving health challenges. Story theory and story inquiry method were used to gather stories from 10 parents of children who experienced moderate to severe traumatic brain injury between the ages of 12 and 18, and between 2 and 5 years ago. Parents’ perceptions of their child’s quality of life and their ability to manage their child’s health challenge were explored using the Pediatric Quality of Life Inventory and Family Management Measure. Health challenges identified were: living with overwhelming personal upheaval, navigating the unknown, and struggling with how to support independence/dependence. Turning points were chronological or epiphanies. Approaches for movement toward resolving were continuously re-creating a new normal, being fully engaged in meeting the needs of one’s child, and embracing caring relationships to construct the new normal. Qualitative and quantitative data were analyzed to synthesize the findings. Results include a sense of ease in managing the health condition of the child associated with continuously creating a new normal. Healthcare providers can support and strengthen family management of children after TBI by understanding the health challenge, critical turning points and how parents move toward resolving.
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Date Issued
2014
PURL
http://purl.flvc.org/fau/fd/FA00004199
Subject Headings
Brain -- Wounds and injuries, Brain damage -- Patients -- Rehabilitation, Brain damage -- Psychological aspects, Brain damaged children -- Family relationships, Brain damaged children -- Rehabilitation, Parents of children with disabilities
Format
Document (PDF)
Clarity-Parity Community Nursing Practice framework: A critical ethnonursing study of women in recovery from chemical dependence and their return to the community
Title
The Clarity-Parity Community Nursing Practice framework: A critical ethnonursing study of women in recovery from chemical dependence and their return to the community.
Creator
Lange, Bernadette M., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description
Women in recovery from chemical dependence represent a unique culture that should be viewed through a transcultural lens in order to facilitate and sustain their recovery in the dominant culture community. The purpose of this research was to explore the perceptions and experiences of women in recovery from chemical dependence and their return to the community. Leininger's ethnonursing method was used to obtain a holistic transcultural view of the beliefs, values and lifeways of twelve women...
Show moreWomen in recovery from chemical dependence represent a unique culture that should be viewed through a transcultural lens in order to facilitate and sustain their recovery in the dominant culture community. The purpose of this research was to explore the perceptions and experiences of women in recovery from chemical dependence and their return to the community. Leininger's ethnonursing method was used to obtain a holistic transcultural view of the beliefs, values and lifeways of twelve women in recovery. A communal moral focus was used to understand patterns of meaning, values, virtues and principles using Ray's Transcultural Nursing Ethics. Critical Social Theory was used as an overarching framework to critically analyze the lifeworld (community life of women in recovery) and the system (sociopolitical structures) to enhance the community nurse's knowledge about the needs of women to facilitate their return to community. Four themes included the following: understanding the lifeworld of chemical dependence was a symbol for facilitating the recovery process, restoring a sense of well being contributed to the meaning of a successful recovery, resituating in the community was demonstrated by actions of recreating new lifeways, and sustaining recovery by relying on the community as a source for supporting new lifeways. A critical analysis of the themes revealed paradoxical experiences of women in the dominant culture community. A synthesis of the findings from the lifeworld and analysis of the themes resulted in the co-creation of The Clarity-Parity Community Nursing Practice Framework. The framework demonstrates how the moral caring actions of the community nurse and the mutual moral caring actions of the community nurse, women in recovery and dominant culture community can result in increasing the clarity of transcultural communication and encouraging a position of parity for women in recovery within the dominant culture community.
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Date Issued
2005
PURL
http://purl.flvc.org/fcla/dt/12153
Subject Headings
Substance abuse--Patients--Rehabilitation, Drug abuse--Treatment, Women--Substance use, Addicts--Rehabilitation, Transcultural nursing, Nursing--Cross-cultural studies
Format
Document (PDF)
Cognition and adherence in older adults undergoing hemodialysis
Title
Cognition and adherence in older adults undergoing hemodialysis.
Creator
Hain, Debra J., Florida Atlantic University, Liehr, Patricia
Abstract/Description
Background. Adherence to the behavioral change component of the hemodialysis regimen is difficult for many reasons; when individuals fail to adhere, the nurses often become frustrated and individuals may be labeled nonadherent leading to inappropriate interventions. As the number of older adults starting hemodialysis increases, one contributing factor to nonadherence in this population may be cognitive impairment. Objective. The overall purpose of the study was to explore differences in...
Show moreBackground. Adherence to the behavioral change component of the hemodialysis regimen is difficult for many reasons; when individuals fail to adhere, the nurses often become frustrated and individuals may be labeled nonadherent leading to inappropriate interventions. As the number of older adults starting hemodialysis increases, one contributing factor to nonadherence in this population may be cognitive impairment. Objective. The overall purpose of the study was to explore differences in global cognition, in self-report cognition, and in language ability relative to adherence in a sample of older adults undergoing hemodialysis. Methods. This pilot study examined the differences in cognition and adherence of older adults (≥60 years) undergoing out-patient hemodialysis three times a week for at least one year. Nonprobability purposive sampling was used to obtain a sample from multiple centers which offered a diverse sample of study participants (n=63). Stories of the challenges of making life style changes were audiotaped and analyzed with linguistic analysis and word count (LIWC) software and various standardized instruments that measure global cognition (3MS and MMSE), self-report cognition (KDQOL-CF) and language ability (COWA, subsets of BDAE Reading: Sentence and Paragraph and BDAE Complex Ideation) were administered during hemodialysis. Determination of adherence or nonadherence (based on literature) was completed as the last activity of data collection. Results. Statistical significance was not achieved when exploring the difference of global cognition, self-report cognition, and language ability relative to adherence (p > .05). A relationship between structural elements of big words, cognitive process and insight words used in story and measures of adherence was revealed (p < .05). Although statistical significance was not reached the descriptive data supports that a relationship between cognitive impairment and measures of adherence were present across groups. The majority (64%) of nonadherent participants had cognitive impairment; 34% of the middle group and 5% of the adherent group had cognitive impairment. Discussion. Cognitive impairment is prevalent among older adults undergoing hemodialysis, however a relationship between cognitive impairment and adherence was not revealed in this study. This may be the result of the small sample size and adherence markers that were not sensitive in this population. This preliminary work offered a descriptive foundation which generated more questions that may be answered with further research.
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Date Issued
2006
PURL
http://purl.flvc.org/fcla/dt/12211
Subject Headings
Hemodialysis--Psychological aspects, Chronic renal failure--Patients--Rehabilitation, Adjustment (Psychology), Cognition in old age, Patient compliance, Clinical health psychology
Format
Document (PDF)
Promoting daily living skills for adolescents with autism spectrum disorders via parent delivery of video prompting on the iPad
Title
Promoting daily living skills for adolescents with autism spectrum disorders via parent delivery of video prompting on the iPad.
Creator
Cruz-Torres, Elisa M., Duffy, Mary L., Florida Atlantic University, College of Education, Department of Exceptional Student Education
Abstract/Description
Autism Spectrum Disorder (ASD) affects one out of every 68 children in the United States. The disorder is characterized by persistent deficits in social communication, social interaction, and restricted, repetitive patterns of behavior, interest, or activities that together limit and impair everyday functioning. Research has shown that the use of visual resources, such as video modeling procedures, can support individuals with ASD to acquire and maintain a variety of daily living skills...
Show moreAutism Spectrum Disorder (ASD) affects one out of every 68 children in the United States. The disorder is characterized by persistent deficits in social communication, social interaction, and restricted, repetitive patterns of behavior, interest, or activities that together limit and impair everyday functioning. Research has shown that the use of visual resources, such as video modeling procedures, can support individuals with ASD to acquire and maintain a variety of daily living skills leading to enhanced levels of independence.
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Date Issued
2015
PURL
http://purl.flvc.org/fau/fd/FA00004358, http://purl.flvc.org/fau/fd/FA00004358
Subject Headings
Autism in adolescence, Autism spectrum disorders -- Patients -- Life skills guides, Autism spectrum disorders -- Patients -- Rehabilitation, Parents of autistic children, Social skills in adolescence, Visual programming (Computer science), Youth with autism spectrum disorders -- Behavior modification
Format
Document (PDF)