Dissertations / Theses: 'Hospice'

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Cho, Yuen-yee Christine, and 曹婉怡. "Hospice." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B3198454X.

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Cho, Yuen-yee Christine. "Hospice." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2595099x.

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Phinazee, Teresa Y. "BELIEFS ABOUT HOSPICE CARE AMONG HELPING PROFESSIONALS." CSUSB ScholarWorks, 2015. https://scholarworks.lib.csusb.edu/etd/214.

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ABSTRACT Centered on interviews with 13 hospice care professionals from two large hospice organizations in Southern California, this thesis project examines the challenges that arise in hospice work. Hospice’s delivery of end-of-life care is becoming even more significant as the population lives longer. According to the National Institute on Aging (2014), the face of aging in the United States is changing dramatically. This examination discloses some of the challenges that hospice workers face in a continuously changing health care system, while trying to provide extraordinary service to the terminally ill. Hospice regards dying as a conventional progression, and neither hastens nor defers death. Hospice health care professions are essential in providing care. This thesis uses a qualitative method and examined beliefs about hospice care among hospice professionals using compassion fatigue also known as burnout, job satisfaction and religion and spirituality as a foundation. The findings of this thesis found that compassion fatigue is a real phenomenon and has been experienced by nine or 69% of participants, and of the 69%, six or 67% that experienced compassion fatigue are paid employees who work a forty hour work week. The remaining three participants or 33% who have experienced compassion fatigue are volunteers who commit to volunteering more than two days a week. Frequent contact with individuals who are terminally ill increases the likelihood of compassion fatigue. The iv findings also indicate that 100% of participants experienced job satisfaction while working in patient care, despite the length of time working in the field of hospice. Job satisfaction is contributed to the belief that participants have regarding hospice care, and that belief is the work they do in hospice is a "calling" and they all consider working with the terminally ill as a privilege. Lastly, the findings indicate that religion and spirituality play a major role in how participants deal with the ongoing death of patients. Ninety two percent or 12 out of the 13 participants claim a belief in a higher power, and they use this belief to cope with the suffering and death of patients. They also use religion and spirituality as a way to decrease stress and to have a piece of mind that when a patient dies they are in a much better place and relieved of their suffering. Taken as a whole, this study concentrated on hospice professionals and the correlation of compassion fatigue, job satisfaction and religion and spiritually which can have a pronounced impact on the overall quality of service delivery. The purpose of this study was to bring mindfulness to the hospice social professional. What has been provided in this study is empirical support for advanced research in the field of hospice care. Additional research is necessary in order to understand more about the beliefs of hospice care among helping professionals and the motivations they use in order to deliver optimal service to the terminally ill.

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Coffell, Amy Marie. "Hospice Social Workers' Roles and Responsibilities Within Interdisciplinary Hospice." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4431.

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The role of the hospice social worker is unclear and misunderstood by interdisciplinary team members due to role blurring, communication challenges, and poor collaboration efforts. This is important because these actions may result in decreased quality of patient care and decreased quality of life for the clinical hospice social workers. The purpose of this action research project was to explore communication, role blurring, professional activities and abilities, and cohesive goals among hospice clinical social workers. The theoretical foundation for this research was the model of interdisciplinary collaboration (MIC) which was used to describe both the concepts of interdisciplinary collaboration and the influences on that collaboration. The research question addressed the 5 concepts of the MIC to fully understand the collaboration challenges identified within hospice interdisciplinary teams. This action research study utilized the design and method of open-ended questions to gather the information using an online questionnaire. The data were coded by the action researcher to yield the key results of 3 main concepts of challenges for clinical hospice social workers (a) underutilization and misunderstanding of skillsets, (b) role blurring among the disciplines, and (c) working toward cohesive goals. A conclusion of this research was that hospice social workers are misunderstood, which presents a spectrum of challenges for the entire hospice interdisciplinary team. Implications for positive social change occurred through recommendations to reduce or eliminate these challenges, thus improving the quality of patient care and clinical hospice social workers' quality of life.

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Papež, Jakub. "Zaměření budovy hospice v Rajhradě." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2014. http://www.nusl.cz/ntk/nusl-227096.

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In this Diploma thesis, a 3D model and building plans of hospice building in Rajhrad was created. These products can be used by building management for planning reconstructions and annexes. In the introductory part of this work, informations about hospice building are presented. The second part is devoted to describing data collection for the model. The last largest part describes the modeling in AutoCAD 2014, creation of building plans and the accuracy testing of the final product.

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Parker-Oliver, Debra. "The diffusion of hospice care in Missouri /." free to MU campus, to others for purchase, 2000. http://wwwlib.umi.com/cr/mo/fullcit?p9988689.

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Sharifi, Nahal Alsadat. "Children's Hospice Care." Thesis, Virginia Tech, 2016. http://hdl.handle.net/10919/71772.

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With advancements in medical technology, the mechanics of dying and death has changed significantly. Centuries ago, people mostly died of infectious diseases. From the time they were diagnosed, to the time of their death did not take long. Today, public health has improved remarkably. We have a better control over infectious diseases, but we have to deal with cancer and other chronic illnesses. The long period of treatment for such illnesses makes us spend a lot of our time in healthcare facilities such as hospitals, hospices, and care homes. Unfortunately, in many cases, these facilities do not pay much attention to emotional and spiritual needs of their patients and are mostly designed around their own institutional and technological needs. In that regard, these buildings become pretty awful places with no natural light and long corridors. Today, due to the nature of chronic diseases that we mostly deal with, hospice care facilities are becoming more popular. The idea of a hospice is to focus on quality of the place for families and patients who have already spent a lot of their time in a hospital setting. The goal is provide humane care for patients who do not have much time left, to make sure that they live the remainder of their lives as comfortably and as fully as possible. It is important to remember that when such facilities are designed for children, we need to pay extra attention to their unique needs. It is important to provide opportunities for children with terminal illnesses to continue to learn and grow. This thesis is exploration of an architectural setting in which children with a terminal prognosis would spend the last few weeks of their lives. Located in Old Town Alexandria, Virginia, this project takes advantage of the existing nature of the site to create an oasis for families who have gone through an exhausting battle with an untreatable disease. The goal is to shift the focus from curing to healing and to create a nurturing place that helps to bring normalcy back to the lives of patients and their families.
Master of Architecture

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Wilks, Keith M. "Bridging hospice and church: preparing church members to be hospice volunteers." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2012. http://digitalcommons.auctr.edu/dissertations/336.

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There are a number of hospice patients and their families struggling through the end-of-life journey without the aid and comfort of a faith community. Some of these families have been separated from faith communities for many years. Hospice provides spiritual care to all patients who will accept chaplain support. However, there is still a place for the local church to join in the care plan for hospice patients and their families. As a Heartland Hospice chaplain and local pastor the researcher became aware there was a divide between Heartland Hospice and local churches in the area. This project was designed to build a bridge between hospice and the church by preparing church members to become hospice volunteers. The project design was to assist church members to dispel their myths about hospice, address unresolved fear of death and dying, and realize the need for a hospice volunteer ministry at the church. Project participants gained knowledge and experience in being hospice volunteers through hands on caring for ten hospice-patients from their church membership. This project has been instrumental in transforming Mount Carmel’s current hospice patient ministry within the congregation.

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Kaufman, Isabel Esther. "Assessing Spirituality Among Hospice Patients: A Phenomenological Study of Hospice Nurses." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1518.

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The shift in health care and nursing philosophy and practice from a holistic approach to a highly technological, cure-oriented approach has been attributed to effective pharmaceuticals made to prolong life. Recently medical professionals have shifted their focus to a combination of spiritual healing and medicine. Hospice care in particular have taken a key interest in integrating spirituality within their health care. The problem is that due to the complications in defining spirituality and appropriate training and education of spirituality within nursing curriculum, assessing patients' spiritual distress may be difficult for many hospice nurses which may be at a loss when attempting to integrate spirituality within their practice. This study used a phenomenological approach to explore the infusion of spirituality in nursing practice and the hospice nurses perceptions of assessing spiritual distress needs of terminally ill patients. Frankl's existential theory and Kubler- Ross's stages of grief theory framed the study. Participants included 8 hospice nurses working in a Pacific Northwestern state. Face-to-face interviews were conducted to explore the essence of the experience of integrating spirituality as well as their views and concerns regarding assessment instruments used to assess spiritual distress. Data was analyzed for content themes. The study found that spiritual courses were merged into hospice nursing as a teaching unity making it difficult for hospice nurses in a Pacific Northwestern State to fully grasp the concept of spirituality. Further findings suggested that only a handful of schools had spiritual nursing as an independent course. The study may impact social change by informing the advancement of hospice nurses and hospice administrators in the practice of including spirituality within healthcare and integrating extensive existential support training within nurses' curriculum.

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Hunt, Halley Lambert. "IMPROVING EQUITY IN HOSPICE ACCESS BY REDUCING CULTURAL BARRIERS IN HOSPICE SERVICES AND HOSPICE DISCUSSIONS FOR NONWHITE US GROUPS." Master's thesis, Temple University Libraries, 2017. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/432978.

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Urban Bioethics
M.A.
Though there is ample evidence in existing literature demonstrating racial inequity in end-of-life care, there is minimal examination of how the culturally mainstream values of hospice contribute to inequity and reduced access for nonwhite populations. This paper reviews participatory action research, interviews and chart reviews of nonwhite populations including African Americans, Latinx, Asians and Native Americans to determine what end-of-life values these groups report and how they differ from the values of hospice and western biomedicine. All of these groups reported unmet cultural needs with respect to hospice access ranging from differing communication style preferences to different religious beliefs to different ideas about what they dying process should look like. Contributing to these barriers was practitioner ignorance about cultural variance in end-of-life preferences, demonstrated by studies of physicians to identify barriers to effectively providing end-of-life care. To help foster better knowledge and understanding between practitioners and nonwhite patients whose cultural needs are not being met, I have created a value-assessment tool to add to the standard structure of end-of-life conversations. Using this tool with patients in end-of-life conversations could improve physician confidence in understanding the needs of patients and provide patients an opportunity to freely communicate their needs and therefore increase access to the hospice services that can meet those needs.
Temple University--Theses

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Salvage, Ann. "Caring towards death : a phenomenological inquiry into the process of becoming and being a hospice nurse." Thesis, University of Roehampton, 2010. https://pure.roehampton.ac.uk/portal/en/studentthesis/caring-towards-death(28deba3a-8ee0-4d08-a2d8-bb91168bf4f0).html.

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Aguero, Cecile. "Hospice-veteran partnership program for community based hospice agencies| A grant proposal." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527867.

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The purpose of this thesis and the overall goal of this grant is to offer support to a community-based hospice agency by creating a position for a veterans' health consultant. The consultant will train staff to the unique care needs of veterans at the end of life by using the National Hospice-Veteran Partnership model from wehonorveterans.org. Upon the completion of an extensive literature review, this writer wrote a grant proposal for Wisteria Hospice, a local community-based hospice agency located in the City of Long Beach. After conducting a thorough funding search, the Archstone Foundation was chosen as the most compatible funding source. This funding source was selected as this foundation provides funds for professional education and training, focusing on end of life care. The actual submission of this grant for funding was not required for successful completion of this project.

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Biddle, Linda Diane. "Parental Bereavement and Hospice Participation: An Evaluation of the Edmarc Hospice Program." W&M ScholarWorks, 1988. https://scholarworks.wm.edu/etd/1539625480.

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Scott, Rosalind. "Strategic asset or optional extra? : the impact of volunteers on hospice sustainability." Thesis, University of Dundee, 2013. https://discovery.dundee.ac.uk/en/studentTheses/ffac35b1-ca4a-46c0-9b4f-7879196c1915.

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Volunteering is a vital and integral part of UK independent hospices. Volunteers were the founders of many, if not all, UK hospices. Today, hospices are still heavily dependent on volunteers to raise funds and undertake a wide range of roles which help to support the patients and their families. Trustees, who are seen very differently to volunteers, also work in a voluntary capacity on hospice Boards. In this role they are responsible for the governance of hospices, carrying significant legal responsibility and setting the strategic direction. Yet volunteering is often overlooked at a strategic level and there are barriers to involvement in key areas, such as care. The purpose of this research was to explore the relationship between volunteering and the future sustainability of UK independent hospices. This was carried out by developing and testing a theoretical model of organisational sustainability in adult and children’s hospices to explore how volunteering is understood by UK independent hospice senior staff, volunteers and trustees; to consider the influence of volunteers on four key organisational sustainability factors: governance; service delivery; hospice economy; and community engagement and explore whether there is a link between volunteering and hospice sustainability. As this study had a strategic focus, the views of senior staff, trustees and volunteers were sought. Findings suggest that there is little understanding of the role of volunteers in governance, that there is a lack of planning for volunteer involvement and that volunteering has a strong influence on the sustainability of independent hospices. This is the first study of its kind and makes an original contribution to knowledge by producing evidence to demonstrate the relationship between hospice sustainability and volunteering. It has the potential to influence and develop thinking about volunteering in UK independent hospices

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Moran, Karen Ann. "The experiences of hospice patients and the music therapy clinician in hospice care." Scholarly Commons, 2011. https://scholarlycommons.pacific.edu/uop_etds/765.

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This thesis reports on a phenomenological inquiry into the experiences of hospice patients and music therapy clinician in end of life care. Three total participants were included in this study, two hospice patients and the music therapy clinician. Interventions included singing familiar songs, music for relaxation and Music and Imagery, an adaptation of the Bonny Method of Guided Imagery and Music. Each hospice patient participated in two music therapy sessions, plus an interview. Data included audio recorded sessions and interview, a process journal kept by music therapist, clinical observations, and one of the participant's mandala. Data was analyzed according to Moustakas' modification of the Stevick - Colaizzi - Keen method of Transcendental Phenomenology. Experiences for the hospice patients include themes of Positive Experience with Music, Positive Experience with Music and Pain, Negative Experience with Music, Music and Imagery, The Artist, Coping, The Mandala, Processing Music and Imagery and Transcendence. Experiences for the therapist include Feelings, Clinical Awareness, Meeting my Own Needs, Desire to Help, Ebb and Flow, and the Guide Following. Implications for further research are given.

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Cisneros, Francisco. "Terminally ill and hospice residential settings." Theological Research Exchange Network (TREN), 1996. http://www.tren.com.

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Nilsson, Stina, and Sofie Wirén. "Copingstrategier hos vårdpersonal på Hospice." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-192600.

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Syfte: Syftet med studien var att ta del av hur vårdpersonal på Hospice beskriver sina olika känslor som uppstår i vården av patienter i livets slutskede, vilka copingstrategier de använder sig av för att bearbeta dessa känslor samt vilka faktorer som de upplever påverkar valet av copingstrategier. Metod: En kvalitativ metod med semistrukturerade intervjuer användes. Åtta kvinnliga deltagare ur vårdpersonalen på Hospice (lika fördelade mellan sjuksköterskor och undersköterskor med varierande ålder och erfarenhet) blev intervjuade. Resultat: Känslor av skuld, frustration, maktlöshet, stress och otillräcklighet upplevdes betungande. För att bearbeta dessa användes främst aktiv och problemfokuserad coping, framförallt samtal och stöd. Vårdpersonalen lägger stor vikt vid att kunna separera privatlivet från arbetslivet. Även känslofokuserad coping i form av distraktion eller avskärmning användes ibland. Detta för att uthärda i stunden och vid senare tillfälle bearbeta dessa upplevelser. Faktorer som påverkade bearbetningen var samarbetet i arbetsgruppen, tidsbrist, samt individuella egenskaper. Slutsats: Klimatet på arbetsplatsen, det vill säga organisation, attityder samt tid för gemensam reflektion är viktigt för bearbetningen. Det är också viktigt att blivande vårdpersonal får kunskap om palliativ vård och olika copingstrategier för att hantera sina känslor. Vårdutbildningar behöver ses över inom detta område. Hur coping används påverkar personalhälsan och även i förlängningen patientvården. Kunskap om copingstrategier måste finnas även på avdelningar där inte specifik palliativ vård bedrivs.
Objective: The aim of this study was to learn how the healthcare personnel at Hospice describes their emotions during work with patients in palliative care, which coping strategies they use to deal with these emotions as well as factors they experience affects the choice of strategies. Methods: A qualitative approach with semi-structured interviews was used to collect data. Eight female participants with varying age and work experience from the Hospice nursing staff were interviewed. Results: Feelings of guilt, frustration, powerlessness, stress and inadequacy were perceived as difficult. To cope with these emotions active and problem-focused coping was used mainly for ventilation and social support seeking. They find it important to separate their private life from work. Emotion-focused coping was used at times for distraction or to distance themselves, to endure in the moment and later on process these emotions. Factors affecting the coping strategies were cooperation in the work group, time constraints and individual qualities. Conclusion: The workplace climate regarding organization, attitudes and times for group reflection, is significant for coping. It is important that aspiring health professionals learn about palliative care and coping strategies to manage their emotions. Nursing programs need to be reviewed in this area. How coping is used affect health among the staff and ultimately also the patient care. Knowledge of coping strategies is important in all areas of healthcare.

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何敏泉 and Man-chuen Anthony Ho. "A hospice in Sandy Bay." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B31982414.

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Mak, Kiu-yan Wayne, and 麥喬恩. "Towards nirvanna: a Buddhist hospice." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31983546.

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Mak, Kiu-yan Wayne. "Towards nirvanna : a Buddhist hospice /." Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25955585.

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Ho, Man-chuen Anthony. "A hospice in Sandy Bay." Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25946043.

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Taylor, Sarah Fese. "Understanding Quality of Care in a Hospice Setting." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5272.

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Assuring quality of care for patients who face the end of life has been a major concern for those in hospice settings. Limited research is available that has a focus on understanding what quality of care in a hospice setting looks like. This research is important to provide insight into hospice health care providers' perceptions of the quality of care in the hospice setting and on the indicators that influence care quality. A qualitative phenomenological approach was used to answer the research questions on the perspectives of the health care providers in the hospice care setting regarding the quality of care and the factors that health care providers perceive as important to the quality of care in the hospice setting. Kolcaba's comfort theory served as the theoretical framework that guided the preparation of the questions used for the interviews and for interpreting the findings. Data collection was conducted through structured interviews with a sample of 15 hospice health care providers. Interviews were held in a private office of the hospice setting. After Walden Institutional Review Board approval, participants consented and interviews commenced. Data were transcribed and Nvivo software was used to assist with identifying major themes. Recommendations from the study reflect Kolcaba's comfort theory providing patient-centered care and enhanced quality of care for patients in a hospice setting. The research findings and recommendations will help promote a positive social change by raising awareness for effective provider communication, staffing, education and adequacy of resources in the hospice setting.

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Jenkins, Todd M. "Hospice use in Alabama a cross-sectional assessment /." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2008. https://www.mhsl.uab.edu/dt/2009r/jenkins.pdf.

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Becher, Monica M. "Hospice, a place for the dying." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ42334.pdf.

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Isherwood, Philip. "Numinous connections : poetry in the hospice." Thesis, University of Bolton, 2015. http://ubir.bolton.ac.uk/730/.

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This thesis offers a distinctive approach to writing poetry which has been developed within the context of the author’s/researcher’s observations of, and participation in, end of life care. It will be argued that poetry can have a unique role in supporting patients within a hospice setting. It emerges that there may be a further role of the poem as ‘memorial art’. The practical base to the research has been writing poetry based on conversations with, and the creative artwork of, hospice patients throughout a period of over three years. These working methods have enabled the author to produce a substantial collection of poetry, presented at the start of the thesis, as the prime evidence of the value of the approach. In this research context the ‘numinous’ is interpreted from its extended definition as relating to transcendence, wonder and otherness. Particular components of the writing practice have formed a ‘numinous poetics’. The numinous as a focus in this research has emerged through careful and scholarly reading and reflection as part of the author’s response to the perceived qualities and value of the poems as they were written. Seeking for the ‘numinous’ was not a prelude or prescription for the research but a consequence of it. It encompasses cognitive, linguistic and literary components, and further draws from the often numinous experience of a poem’s inception whilst talking with an individual patient. The numinous is argued to be of particular value to inform the creative representation of a patient’s life at a time when a more simplistic presentation of meaning and understanding may prove inadequate. The research details the poetics of the various components, and documents the writing experience to demonstrate the potential to other writers choosing to work in hospice settings. Following the Creative Work of 93 poems beginning the thesis, Chapters 1 and 2 introduce the numinous approach and outline components of numinous poetics. Chapter 3 details the development of particular techniques and skills by specific examples, and then Chapter 4 fully explains the practice and key learning points gained as a hospice poet. Chapters 5 and 6 deal with further key issues regarding the role of the poet and the case for this approach to be integrated within the end of life care aims regarding a ‘good death’.

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Hale, Beth Ann. "Hospice Interdisciplinary Team Processes and Effectiveness." Diss., The University of Arizona, 2007. http://hdl.handle.net/10150/195961.

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The purpose of this research was to test a causal model of interdisciplinary hospice processes and effectiveness. This research examined the impact of organization and team level structure constructs (organizational culture, team complexity, and team leadership) on hospice interdisciplinary team processes and subsequent influence on perceived team effectiveness. The relationships among perceived team effectiveness, team task satisfaction, and family satisfaction with hospice care were also examined.The sample consisted of 41 hospice interdisciplinary teams drawn from two hospice organizations in a southwestern city of the United States. Participants included 410 interdisciplinary team members and 32 hospice team leaders. Measures used in this research were adapted from instruments previously used in non-hospice settings. Data were collected through self-report surveys. Psychometric properties of all instruments were performed at the individual and group level. Psychometric properties of all but three scales (Hospice Organizational Culture: Group Culture, Hierarchical Culture, and Developmental Culture) exhibited reliability and evidence of validity as group measures.Four hypothesized relationships were supported, and six nonhypothesized relationships were significant in the model. All team processes except conflict management had positive direct effects on perceived team effectiveness. Perceived team effectiveness had a positive direct effect on team task satisfaction, and team task satisfaction was positively correlated with family satisfaction with hospice care in a limited sample. The proposed structural factors (hospice organizational culture, team complexity, and team leadership) did not impact hospice interdisciplinary team processes or team effectiveness. Approximately sixty-five percent of the variance in team effectiveness was explained by team hospice experience and team processes (leadership, communication, and coordination). Nearly fifty percent of variance in team task satisfaction was explained by the processes used for conflict management and perceived team effectiveness.Relationships identified in this research are viewed as preliminary. Future research should modify and re-examine model relationships with a larger sample drawn from diverse hospice organizations. In addition, structural variables influencing the hospice interdisciplinary team need to be re-examined for appropriateness and conceptual relevance. However, this study provided a foundation for understanding hospice interdisciplinary team processes and the influence of these processes on team and family satisfaction.

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Renteria, Claudia. "HOSPICE PATIENT'S PERCEPTION OF FAMILY SUPPORT." CSUSB ScholarWorks, 2014. https://scholarworks.lib.csusb.edu/etd/36.

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This qualitative and quantitative study focused on exploring hospice patient’s perceptions of family support. Family support was conceptualized as which family member they expect to receive support from, types of support provided, frequency of support, family communication about medical illness, and type of support that is perceived to be most helpful. Fifteen partcipants between the ages of 70 to 98 were interviewed using purposive sampling. Findings showed that although participants found both physical and emotional support helpful, more than half reported perceiving emotional support as the most helpful. Recommendations for social work practice and research were discussed.

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Behr, Macrina. "Hospice care in the United Kingdom and in the United States of America." Theological Research Exchange Network (TREN), 1990. http://www.tren.com.

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Gore, Maria. "LGBT affirming environments in hospice care settings." Honors in the Major Thesis, University of Central Florida, 2013. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/848.

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The documented experiences and perceptions of lesbian, gay, bisexual, and transgender (LGBT) patients receiving hospice or palliative care gives merit to the need for the implementation of LGBT affirming environments in hospice care settings. The guidelines for creating these affirming environments are described in this paper. Applying the Donabedian (1988) model of structure, process, and outcome this thesis project analyzes identified interventions relevant to the implementation of LGBT affirming environments in hospice care settings. Utilizing a formal PICO questioning method, a search strategy was devised and studies were identified based on established criteria. The results suggest that there is a paucity of data in relation to the implementation of LGBT affirming environments in hospice care settings. In an effort to assist in identifying existing interventions that have not been studied this project also includes a recommended survey tool to measure the active efforts of hospice organizations to implement LGBT affirming environments.
B.S.W.
Bachelors
Health and Public Affairs
Social Work

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Taylor, Tracy Lee 1975. "Passages : a hospice for New York City." Thesis, Massachusetts Institute of Technology, 2004. http://hdl.handle.net/1721.1/28322.

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Thesis (M. Arch.)--Massachusetts Institute of Technology, Dept. of Architecture, 2004.
Page 94 blank.
Includes bibliographical references (p. 91).
At the beginning of the 20th century most Americans died at home from diseases whose onset was quick and aggressive. The average life expectancy was only 50 years. Antibiotics first appeared in the 1940's and when the baby boomers were born medicine entered an unprecedented age of transformation, one where illness could be prevented, treated and cured. Unfortunately, along with this progress have also come slower and often more painful deaths. The most common causes of death today are degenerative diseases such as cancer and heart disease. Thus, it appears that the ability to treat disease has altered medical philosophy from a platform of maintaining health to one of preventing death at almost any cost. It is into this environment that the concept of hospice care has emerged as an alternative way of thinking about death and dying, a reaction to the existing biomedical model of care. Hospice has put a humane focus on dying by creating a setting where pain is managed allowing the patient to move onto the hard work of dying, the psychological and spiritual dimension of the process. While the philosophical concept of hospice developed in the United States during the 1970's the questions surrounding the appropriate hospice environment have not yet been answered successfully This thesis attempts to give form to the notion of hospice. It attempts to create a place where dying exists within the natural processes of life and is celebrated and sanctified as such.
by Tracy Lee Taylor.
M.Arch.

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Purswell, Valerie Gaddis. "Place, Bound By A Circle A Hospice." Thesis, Virginia Tech, 1992. http://hdl.handle.net/10919/35412.

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Death is a profoundly solitary moment in which one faces the meaning of one's existence. Death is an emotional, spiritual, psychological and physical act. For the terminally ill, the hospice is a viable alternative to dying in a hospital. The Hospice can accommodate death being faced intimately amidst loves ones. This emerging institution places new and unique demands upon architecture. Solitude and fellowship have significant implications for triumph by simply dying well. A building's meaning comes from its making, culture, syntax, and from the immutable qualities of humans. Meaning is discovered, not applied. Structuralist architects search for the order within various phenomena. Anthropological Structuralism involves the discovery of the underlying structures found within and between cultures and the human mind. Myths of different cultures address similar underlying questions even if they generate different answers. Linguistic Structuralism studies the role of language and the individual expression of language. Topology, the science of place, is the study of relation and invariance. Structuralism proposes a signification of place and occasion. Particular articulations occur while the capacity to be interpreted is retained. In-betweens are tangible elements that make sense. Moments within the architecture relate to each other as a series of places. In this thesis a hospice and a chapel are designed. Massive walls are carved out to form rooms, subtractive in nature. Series of walls are placed together, additive in nature, to form rooms. Geometric forms are studied for their qualities and are placed according to forged relationships. A travel journal explores the building practices of the Soninke
Master of Architecture

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Pham, Séverine. "L'ancien hospice de Montluel et son apothicairerie." Lyon 1, 1995. http://www.theses.fr/1995LYO1P054.

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Savage, Sharalee Brown. "Resiliency in the family receiving hospice care." Oklahoma City : [s.n.], 2009.

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Carreno-Lukasik, Gina D. "The rewards and challenges of hospice work." Tallahassee, Florida : Florida State University, 2009. http://etd.lib.fsu.edu/theses/available/etd-05042009-122151.

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Thesis (Ph. D.)--Florida State University, 2009.
Advisor: Jill Quadagno, Florida State University, College of Social Sciences, Dept. of Sociology. Title and description from dissertation home page (viewed on October 7, 2009). Document formatted into pages; contains x, 178 pages. Includes bibliographical references.

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Godfrey, Belinda Arjona. "Hospice nurses' attitudes on active voluntary euthanasia." FIU Digital Commons, 1995. https://digitalcommons.fiu.edu/etd/3944.

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Active voluntary euthanasia is one of the most controversial issues in the nursing and legal systems today. The purpose of this study was to explore hospice nurses' attitudes on active voluntary euthanasia (AVE). One hundred useable questionnaires were collected, for a response rate of 33%. The questionnaires included demographic data, four vignettes which described a patient care situation and possible responses to AVE, questions on awareness of organizations and legislation that promote legalization of AVE, and questions on adequate pain relief. The findings revealed fifty - three percent of the nurses supported AVE. Eighty - three per cent of the nurses would not administer the medication that would cause death. Also, there were significant relationships between the nurses' age, religion and educational level and their responses.

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Figueroa, Juan A. Jr. "Immigrant Views of Hospice and Posthumous Repatriation." CSUSB ScholarWorks, 2014. https://scholarworks.lib.csusb.edu/etd/29.

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The focus of this study is to explore and examine the views and feelings of United States documented and undocumented immigrants on their final resting place after death, posthumous repatriation, whether there is a need for repatriation, and if a lack of such need is preventing immigrant groups from remaining in the United States and benefiting from end-of-life services such as hospice. A quantitative research method was utilized. The use of a quantitative research method allowed for an expansive look into the use of posthumous repatriation and its effect on hospice use by immigrants. Data were obtained from multiple locations that serve and cater to specific ethnic groups within the region of the Inland Empire in Southern California. Sixty-three immigrants who identified themselves as persons born in a country outside the United States are the sample. This study produced evidence that family plays a major role in end-of-life decisions and argues the need of repatriation by immigrant groups as a potential reason for the underutilization of hospice services. The guarantee of return to their country of origin after death produced greater inclination to use hospice.

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Montoya, Ian M. "HISPANICS' UNDER-UTILIZATION OF HOSPICE CARE SERVICES." CSUSB ScholarWorks, 2015. https://scholarworks.lib.csusb.edu/etd/177.

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The purpose of this project was to learn about Hispanics’ utilization of hospice care and to increase knowledge about under-utilization of hospice services by the Hispanic community. Research in hospice services indicates that the Hispanic community underutilizes end-of-life resources when compared to their majority counterparts, European Americans. Research that has controlled for variables such as socio-demographic characteristics, medical history, prognosis, and access to health care demonstrate Hispanics significantly under-utilizing hospice services. This project was conducted within Southern California in the cities of Riverside and Anaheim which are predominantly Hispanic communities. A quantitative design was used to explore the perspectives of Hispanic individuals and their views on hospice care services. Data was collected through questionnaires. Results indicated correlations between language preferences and gender as possibly having an impact on knowledge and cultural acceptance of hospice care services.

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Jumah, Anne Mukeli. "The nature and extent of palliative care in the Nairobi Hospice." Diss., Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-11202008-163831.

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Schaeffer, Sharon F. "The impact of music listening on hospice patients' acceptance of a good death| A qualitative study of hospice caregivers' perceptions." Thesis, Capella University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3559908.

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The current study served to provide new knowledge that may benefit future researchers, policy makers, health care leaders, and health care professionals who aspire to improve the delivery status for quality end of life care. A missing link in the hospice care continuum was identified as the need for the use of music listening by patients and caregivers as a low cost viable non-invasive alternative intervention that can be effectively utilized in real life situations. The researcher chose the current study's generic qualitative design to enhance understanding of how informal hospice patients' caregivers perceived music listening as a means for the patients to accept the state of a good death. Generic qualitative research design offered the researcher with an opportunity to hear and inductively analyze the hospice patients' vulnerable voices per their caregivers. Data was collected during a semi-structured face-to-face interview process and was reflective of the perceptions of hospice caregivers (N = 4). The researcher incorporated an axial coding process with the use of NVivo 9 software to analyze the data. A priori coding method incorporated the use of four predetermined themes: three domains for the concept of a good death and one for music and a good death. Overall, the findings indicated that music listening had a positive effect on the hospice patients, according to their caregivers' perceptions. The study limitations reflected the use of a small sample size from one Southwestern city that consisted of four female caregivers and the study results were dependent upon the perceptions of these caregivers. Consequently, due to the study's limitations, health care researchers and health care administrators should cautiously generalize the study's findings and decide for themselves if the study benefits outweigh its limitations. Further studies are indicated to enhance and supplement the knowledge presented in this study. One suggestion to further research is to broaden the scope of recruitment to include younger hospice patients, including children, who receive care either in their own home or in a medical facility. Another suggestion to further research would be to compare the effects of different types of music preferred by hospice patients.

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SINTES, JEAN-FRANCOIS. "Un hospice en france en 1989 : l'hospice du centre hospitalier general d'hyeres." Aix-Marseille 2, 1990. http://www.theses.fr/1990AIX20274.

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Kemmer, Anna, and Karin Hamrin. "Mötet med döden : -den anhöriges upplevelser från Hospice." Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-12167.

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I bakgrunden beskrevs döden och döendet som en naturlig del av människans liv. För de människor som dör tillföljd av svår sjukdom beskrevs en god palliativ vård som viktig. Inom Hospice inriktas arbetet på samspelet mellan individerna med utgångspunkt i en helhetssyn, i målen för Hospice ingår också att stödja de anhöriga. Syftet med denna litteraturstudie var att belysa upplevelsen av att ha haft en anhörig som vårdats på Hospice. Metoden bestod av en litteraturstudie där 14 artiklar från databaserna PubMed och Cinahl klassificerades och analyserades. I resultatet framkom följande tre kategorier. Trygghet gav tillfredställelse, där det beskrevs att tilltro till personalen, att bli uppmärksammad samt information var viktiga faktorer för anhörigas upplevelse. I den andra kategorin Känslomässig strid framkom att anhöriga upplevde konfliktartade känslor samt en rädsla för övermedicinering. Den sista kategorin Möte med döden handlade om förberedelse för och arbete med sorgen. I diskussionen beskrevs att olika faktorer var viktiga för att anhöriga skulle känna trygghet och tillfredställelse. Det ansågs viktigt för anhöriga att sjuksköterskan arbetade stödjande och relationsbyggande, löpande informerade och återkopplade, allt för en god upplevelse.

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Wells, Joanne. "'Shielding behaviour' : corneal donation in the hospice setting." Thesis, University of Southampton, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.439633.

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Miller, Amie Jacqueline. "Hospice Nurses- Attitudes and Knowledge about Pain Management." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4165.

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It has been well established that many people will suffer with pain at the end of life, and untreated pain contributes to reduced quality of life. Many barriers contribute to this issue including a lack of knowledge in nurses who care for dying patients. Many nurses in general practice settings do not possess adequate knowledge about basic pain management principles; and the same may be true about hospice nurses despite the assumption that hospice nurses are more adept at pain management. Contributing to this problem may be the attitudes that nurses, including hospice nurses, have regarding pain and its management. This study sought to identify the knowledge levels of hospice nurses. Because attitudes may affect the delivery of effective pain management, the study also sought to determine attitudes of hospice nurses regarding pain and its management. Thirty-five hospice nurses completed two instruments: The Pain Management Principles Assessment Test measured levels of knowledge and the Nurses Pain Management Attitude Survey determined attitudes. Data was analyzed using means, standard deviations, frequencies and percentages. A correlation between knowledge level and attitude was also calculated, along with a correlation between knowledge level and certification status. The overall mean knowledge score for the nurses studied was 21.74 (72.3%), which falls below accepted standards. The mean attitude score found was 82.34, which demonstrates only slightly positive attitudes. These findings support the idea that knowledge and attitude are not synonymous and that a nurse may have a positive attitude about the management of pain, without sufficient knowledge to effectively alleviate pain. It is often said that hospice nursing is a calling, and these are the nurses who are at the forefront of pain management. This study demonstrates that slightly more positive attitudes may indicate that this group of nurses is motivated to gain a better knowledge base. This should motivate hospices and other education institutions to incorporate more specific instruction regarding pain management into their curricula. Despite some common misconceptions pain does not have to be an unavoidable part of life, and with a better knowledge base hospice nurses could more effectively deliver compassionate, expert care.

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Froggatt, Katherine Alison. "Keeping the balance : hospice work, death and emotions." Thesis, London South Bank University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.336371.

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Croft, Nicholas Adrian. "The charity hospice : a theory of governance processes." Thesis, Sheffield Hallam University, 2010. http://shura.shu.ac.uk/7491/.

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The study considers the processes by which a charity hospice reconciles internal, external and governmental tensions in the provision of public healthcare services. Thus the focus is on change, decision-making and relationships with public sector partners. The study is practice-based utilising a grounded theory methodology and a case study strategy based in two empirical phases. Phase 1 comprises a single organisation case study at a charitable hospice for the purposes of theory production. Data collection was primarily via participant observations from a close insider perspective as recognised by Adler & Adler (1987). Emerging theory from phase 1 was later tested and developed via Phase 2 empirics, comprising a cluster of four organisational case studies. Data collection during phase 2 was based in semi-structured interviews and, in part, critical incident technique. Around thirty interviews were held, evenly spread across participating organisations and between trustees and managers. The original contribution is a theoretical model of governance processes that identifies the ‘individual contribution’ of trustees and the ‘collective will’ of the board of trustees as key concepts. It is recognised that both are subject to ‘leakage’ from their maximum potential. Component elements of the three concepts are identified and discussed. A three-tier model is presented using these key concepts as linkages between governance, culture and change management. The theory is used to form a framework for practice, aimed at facilitating improved control and effectiveness of a charity hospice board of trustees. The theory is placed in a critical realist perspective for discussion. The study contributes to the debate on issues around public and voluntary sector commissioning and funding relationships. There is also a methodological discussion in the context of researching from the perspective of a close-insider addressing issues of access, ethics and the dual role of researcher/practitioner. There is a contention that production of emergent grounded theory for testing and development and the Scapens (1990) differentiation between positive/normative perspectives may be too simplistic for the purposes of this study.

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Finney, Timothy John. "Urban Hospice: A Montage of Expiration and Memory." Thesis, Virginia Tech, 2003. http://hdl.handle.net/10919/31237.

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Architecture is visuality. Its object is what Norman Bryson has referred to as a screen of signs. â Between subject and the world is inserted the entire sum of discourses which make up visuality, that cultural construct, and make visuality different from vision, the notion of unmediated visual experience. Between retina and the world is inserted a screen of signs, a screen consisting of all the multiple discourses on vision built into the social arena.â (Norman Bryson, from Practice; Architecture, Technique, and Representation, by Stan Allen)

Architecture and representation are integral to the screen.

How do we make architecture?

Is the act of making architecture a montage?

Can architecture be made through montage?

What is the role of montage in an architecture for life and death?

The process of making architecture is not a prescribed methodology with a predetermined outcome. Architecture, crafted by the hand of the architect, is a divine act of assemblage of subconscious allegorical thought, image, and tectonics. Through this art of assemblage, an architecture is born capable of instigating a narrative of metaphor and memory. Metaphorical narrative has the innate ability of summoning memory, and is critical in an architecture for life and death. Architecture is the only total sensory means of narrative.
Master of Architecture

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Day, Michele Oliver Debra. "Team communication and collaboration in hospice pain management." Diss., Columbia, Mo. : University of Missouri--Columbia, 2008. http://hdl.handle.net/10355/6632.

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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb 25, 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Dissertation advisor: Dr. Debra Oliver. Vita. Includes bibliographical references.

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Cain, Cindy L. "Heart Work: Challenges and Adaptations of Hospice Workers." Diss., The University of Arizona, 2013. http://hdl.handle.net/10150/293534.

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This dissertation analyzes the everyday work experiences of hospice, a type of end-of-life care. The following chapters integrate micro-sociological perspectives with meso- and macro- level explanations of organizational behavior to account for workers' performances of emotional labor, care-related identities, constraints on their daily work, and ultimately hospice workers' strong commitment to their jobs and the hospice philosophy. Using a mixed methodological approach, I argue that hospice workers engage in emotional labor, but that instead of feeling dissonance or alienation, hospice workers develop a positive identity around their work. Their identities and work experiences are still constrained by institutional forces, however. Hospice workers' experiences highlight two tensions in the administration of caring labor: keeping commitment during times of organizational change and balancing the needs of the self with the needs of the care recipient. The main contributions of this work include new understandings of the relationships between identity, emotions, and work; a novel combination of theories that better explain care workers' behaviors and constraints on their action; and, a refined approach to thinking about emotional labor.

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Friesz, Gregory Daniel. "Reducing Compassion Fatigue in Hospice Nurses Through Education." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6430.

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Compassion fatigue is a secondary stress reaction that results from providing care to those undergoing traumatic life events. Frequent exposure to dying patients with complex medical concerns has been identified as a contributing factor to compassion fatigue and resultant turnover among hospice nurses. The purpose of this project was to assess whether the provision of education to hospice nurses regarding compassion fatigue resulted in a demonstrable improvement in their levels of compassion fatigue. Watson's theory of human caring and Roy's adaptation model provided the theoretical foundation for this project. The practice-focused question for this project asked whether a reduction in compassion fatigue among hospice nurses would result after providing them with educational material focused on compassion fatigue. Twenty-three hospice nurse participants were administered Stamm's Professional Quality of Life Scale to measure their compassion fatigue levels before and after being presented with an educational booklet. Scores for this project were compared using a before-and-after quality improvement design and percent difference to measure the impact of the educational offering. Results demonstrated an 8.6% reduction in compassion fatigue among the hospice nurse participants, indicating that educational interventions support a positive effect in reducing compassion fatigue. Positive social change might result from this project by improving nurses' awareness of the need for self-care that contributes to resiliency and prevention of compassion fatigue.

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Goodwyn, Robin H. "A study of the relationship between the misconceptions of hospice care and the influence on the utilization of hospice care services." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2009. http://digitalcommons.auctr.edu/dissertations/99.

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This study examines the misconception issues that influence the underutilization of hospice services by African Americans. This descriptive study was based on the premise that there is no relationship between African Americans’ knowledge of hospice and their decision to utilize hospice. The results revealed that African Americans who completed the survey indicated they understand what hospice is; however the answers provided in the survey were not congruent. The conclusions drawn from the findings suggest that African Americans have misconceptions about hospice, and not a true understanding of what hospice is or how to use the service.

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Dissertations / Theses on the topic 'Hospice'

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