Tesis: "Ethics in geriatric nursing"

1

Sinfield, Melissa. "Respectful relationships : an approach to ethical decision-making for gerontic nursing". Thesis, View thesis, 2001. http://handle.uws.edu.au:8081/1959.7/747.

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Ethical decision-making is an integral aspect of gerontic nurses' experiences of caring for nursing home residents and their families. This thesis examines the author's journey into the life-worlds of nine registered nurses working in an Australian nursing home to explore how they manage the ethical problems they encounter in their everyday experience of nursing home life. As a result of interviews, the study revealed that nurses utilized an approach to ethical decision-making not previously described.This approach was identified as being professional, familial, collegial and reciprocal in nature. As an approach to ethical decision-making, respectful relationships is a potential tool for nurses coping with the ethical problems that are an every-day aspect of their professional lives in a nursing home. Respectful relationships can guide nurses' ethical decision-making as they strive to do the right thing

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Sinfield, Melissa. "Respectful relationships : an approach to ethical decision-making for gerontic nursing /". View thesis, 2001. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030924.140531/index.html.

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3

Jonasson, Lise-Lotte. "Ethical values in caring encounters from elderly patients’ and next of kin´s perspective". Licentiate thesis, Linköping University, Linköping University, Nursing Science, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-51739.

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The welfare of the elderly population is one of the most important goals of the public health services. At macro level the Swedish National Board of Health and Welfare state that the premier goal is for elderly people to have dignified and comfortable lives. They should have a life with a sense of value and feel confident. These ethical values which are expressed on macro level or as normative ethics are expected to prevail at micro level. In our study the micro level is the caring encounter between the elderly patient, next of kin and nurses. Ethical values and morals are important aspects that influence the quality of care, videlicet in empiric ethics.

The aim of study (I) was to identify and describe the ethical values experienced by the older person in the daily interaction with nurses in a ward for older people during caring encounters. In study (II) the aim was to identify and describe the governing ethical values that next of kin experience in interaction with nurses who care for elderly patients at a geriatric clinic. Study (I) which was an empirical observational study included follow-up interviews. Twenty-two older people participated voluntarily. In study (II) interviews with fourteen next of kin were conducted. In both studies Constant comparative analysis, the core foundation of grounded theory was used.

Five categories; Being addressed, receiving respect, desiring to participate, increasing self-determination and gaining self-confidence formed the basis for the core category in study (I): Approaching. Approaching concerns the way people become closer to each other in a physical space .It also includes how people become closer to each other in a dialogue, which involves verbal or bodily communication. Approaching indicates the ethical values that guide nurses in their caring encounters with older people. This ethical value is noted by the older person and has an individual value, as well as leading to improved quality of their care. The older person will be confident and satisfied with the caring encounter if the desired components in the nurse’s approaching are exhibited.

Four categories were identified in study (II): Receiving, showing respect, facilitating participation and showing professionalism. These categories formed the basis of the core category: “Being amenable”, a concept identified in the next of kin’s description of the ethical values that they and the elderly patients perceive in the caring encounter. Being amenable means that the nurses are guided by ethical values; taking into account the elderly patient and next of kin. Nurses who focus on elderly patients’ well-being as a final principle will affect next of kin and their experience of this fundamental situation.

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4

Randers, Ingrid. "Upholding older adults' innate and inherent dignity within a caring context /". Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-337-6/.

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5

Mamhidir, Anna-Greta. "Meeting ethical and nutritional challenges in elder care : the life world and system world of staff and high level decision-makers /". Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-943-2/.

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6

Sewell, Linda. "Characteristics and Resource Utilization of Patients of a Proprietary Home Health Agency in Rural South Central Kentucky". TopSCHOLAR®, 1997. http://digitalcommons.wku.edu/theses/355.

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The home health industry's introduction to managed care raises the prospect of reduced access to health care and poor outcomes for a vulnerable segment of our population—the rural elderly. Before effective intervention strategies can be accurately evaluated, a clearer picture of the sociodemographic features and home care service consumption is needed for this understudied group. The study was intended to provide a basis for future research into the evaluation of alternative methods of delivering effective care in terms of outcome and decreased cost for this population. A retrospective descriptive analysis was made of the patient record for the first six months of care from a proprietary home health agency. Eighty-one charts were examined and features such as age, race, gender, socioeconomic level, functional limitations, family support and literacy were analyzed to provide a profile of the patient population. Resource consumption was measured in terms of the type and frequency of disciplines intervening in each case. Comparison was made between the characteristics of the sample and the resource use. The study provided a composite view of the typical patient: Caucasian, literate, low income female, between 70-80 years of age, without family support. No clear linkage between specific characteristics and resource consumption was found; there was a broad range in the numbers of visits made to patients.

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7

Cabrera, Amparita L. "The role of group activity participation in depression among institutionalized elderly". FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/1954.

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The role of group activity participation in depression among a group of residents (N=65), age 80 and older, in a nursing home was examined using the framework of Roy's Adaptation Theory and Nolen-Hoeksema's Response Style Theory of Depression. Roy views depression as a maladaptation. Nolen-Hoeksema views group activity participation as a therapeutic distraction to break depressed moods and thus allow for positive adaptation. This study utilized data from medical records, group activity attendance, and self-report questionnaires. Demographic distributions were computed and correlational statistics were performed between subjects' participation and their degree of depression, pain experience, functional status, presence of social support, and perception of benefits. Results show a negative correlation between frequency of participation and Geriatric Depression Scale score (GDS). The wide range of measured frequencies among low GDS-scored subjects suggests that less depressed individuals exercise more freedom of choice to participate than those who are more depressed. Significant finding show a positive correlation of group activity participation with functional status in terms of ambulation. Data shows that the experience of pain was not a significant deterrent to participation. The presence of social support from the staff and family did not increase participation. However there is a lesser GDS score among subjects who had recent family/friends visit suggesting a positive role of family in decreasing depression. These results are significant not only for optimizing group therapeutic effects but also for understanding basic human and environmental correlates of depression. Study limitations are pointed out and recommendations are presented.

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8

Hansebo, Görel. "Assessment of patients' needs and resources as a basis in supervision for individualised nursing care in nursing home wards : evaluation of an intervention study /". Stockholm, 2000. http://diss.kib.ki.se/2000/91-628-4531-4/.

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9

Walters, Veronica Jeanne. "Geriatric Patient Satisfaction with Discharge Medication Information". University of Toledo Health Science Campus / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=mco1149002272.

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10

Dunham-Taylor, Janne, Joseph Z. Pinczuk y Jo-Ann Marrs. "Ethics in Nursing Administration". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7096.

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Book Summary: Financial Management for Nurse Managers: Merging the Heart with the Dollar, Third Edition is an essential text for nursing students and professionals because it addresses the financial management issues faced by nurse managers. Chief nursing officers and those in nurse administrator roles will also find this text valuable because of the acute focus on the financial impact of administrative and management decisions across hospitals and healthcare organizations.The Third Edition covers a broad range of topics, and demonstrates the interconnectivity between finance and other aspects of health care through evidence in healthcare finance, economics and cost accounting, budgeting, staffing effectiveness, and legal and ethical issues. The text is expertly organized and includes real-world examples to lend context to the reader.Coverage of the value-based reimbursement system is an integral component of the Third Edition. The authors emphasize the concept of giving the patient what is valued and recommend listening to patient needs, collaboration in healthcare decision-making, and shifting the role of the administrator to support care leaders. Additionally, the text has been updated to reflect the impact of the Affordable Care Act.

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Dunham-Taylor, Janne, Joseph Z. Pinczuk, Jo-Ann Marrs y Lois W. Lowry. "Ethics in Nursing Administration". Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/7100.

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Book Summary: Completely revised and updated, the Second Edition addresses a myriad of financial concepts ranging from staffing and budgeting to measuring productivity and forecasting costs. Examples and explanations of terminology will help nurse managers successfully correspond with the financial department to implement change without negatively affecting patient care and outcomes.

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12

Tramer, Beth A. "Case Study: Geriatric Group Art Therapy in a Nursing Home". Ursuline College / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=urs1210555128.

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13

Dinsmore, Kimberly R. y L. Lee Glenn. "Effect Size in Clinical Education Using Standardized Geriatric Patient Simulation". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7456.

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The recommendation by Skinner (2017) that a standardized geriatric patient simulation should be integrated into community health courses was not fully supported by the data and findings. First, in addition to the lack of statistical significance noted by the authors, the effect size was calculated to determine the difference in aging knowledge test scores before and after the simulation and found it was only r = 9.1%, which is low according to Cohen's criteria ( Cohen, 1988 ); therefore, there was not even a trend toward effectiveness in increasing knowledge of aging. Second, in a qualitative component, many of the student participants made positive statements about how much was learned about older adults, but this conflicted with the unimproved knowledge scores. No negative statements were presented. The discrepancy between the quantitative and qualitative findings can be possibly explained by the absence of any methods for assessing the credibility or dependability of the qualitative findings, such as the classic methods of Lincoln and Guba (1985).

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14

Bergeron, Carole Hersey. "Nurses' experience of leadership in assisted living a situational analysis /". [Yellow Springs, Ohio] : Antioch University, 2008. http://www.ohiolink.edu/etd/send-pdf.cgi/Bergeron%20Carole%20H.pdf?acc_num=antioch1209080819.

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Thesis (Ph.D.)--Antioch University, 2008.
Title from PDF t.p. (viewed Apr. 29, 2008). Advisor: Elizabeth Holloway, PhD. "Submitted to the Ph.D. in Leadership & Change Program of Antioch University in partial fulfillment of the requirements for the degree of Doctor of Philosophy January 2008."--from the title page. Keywords: nursing, leadership, assisted living, situational analysis, grounded theory. Includes bibliographical references (p. 192-206).

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15

Weierbach, Florence M. "Panel III, Care Giving Daily Care, Services, Solutions and Economics". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7372.

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16

Anders, Judith E. "Senior Graduating Nursing Students: Career Choices in Gerontological Nursing in Response to Expanding Geriatric Population". Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc103285/.

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Access to healthcare is needed and wanted by people of all ages and especially by those of the older population. The number of people in the 65 years of age and older population is rapidly growing with their needs expected to have a significant impact on the existing healthcare system and healthcare providers. The impact will be critical given the severe shortage of healthcare providers, especially of nurses and the rate of services being more often provided in non-hospital settings. The objectives of the study were to discover the plans of graduating nursing students as they choose their first place of employment, if they have future plans to pursue a nursing advance practice degree, and if they are very happy with their decision to become a nurse. Data for the study were obtained from a questionnaire presented to senior graduating nursing students. The findings were: (a) Most students prefer a hospital setting. (b) Younger students are three times as likely to seek out the hospital, and 1/3 of the students seek out the hospital setting because they were encouraged to become a nurse. (c) About 70% of the students want to work with their friends while 1/3 will seek the hospital worksite, as it is perceived as being the strongest resource in paying back loans. (d) Nearly 87% are considering the nursing advance practice role, and 52% have interest in the nurse practitioner role. The majority of students identified as very happy with their decision to become a nurse. This study provided insight for schools of nursing as they make curriculum decisions and to businesses as they learn of the preferences and plans of the new emerging nurses.

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17

Andrews, Sheila Bernadette. "Skilled nursing facility based rehabilitation outcomes of the geriatric stroke patient". CSUSB ScholarWorks, 1995. https://scholarworks.lib.csusb.edu/etd-project/1000.

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18

Flint, James A. "Epidemiology of methicillin resistant Staphylococcus aureus in South Australian nursing homes /". Title page, table of contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmf624.pdf.

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19

Weierbach, Florence M. "Testing an Innovative Model of Caregiver Health". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7398.

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20

Weierbach, Florence M. "Facilitator for Quarterly in Service Focusing on Health of Paraprofessional Caregiver and Client Bondaries". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7403.

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Weierbach, Florence M. "Changes and Contributors to Caregiver’s Health". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7404.

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22

Weierbach, Florence M. "Health Caregivers Workshop". Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7405.

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23

Weierbach, Florence M. "Caregiver Support Group Facilitator". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7406.

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24

Hagerty, Marylyn A. "Fall Reduction Among the Geriatric Population in Assisted Living Facilities". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5626.

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Incidents of falls among the elderly increase with age. About $31 million is spent annually in the United States on medical costs related to fall injuries in the elderly. This project evaluated the outcomes of a fall reduction program implemented in an assisted living facility (ALF). The Stop Elderly Accidents, Death & Injury program developed by the Centers for Disease Control and Prevention was implemented by the ALF for 60 days prior to the outcome evaluation project. The program included a convenience sample of 62 residents and involved medication evaluation, exercises, assistive devices, environmental risk reduction, and evaluation of blood pressure. Bandura's theory on self-efficacy was applied in guiding the implementation process. The practice-focused question compared the fall rate among the ALF's elderly residents during the 30-day period following implementation of the program, and the previous 12months. The fall rates were analyzed with descriptive statistics. Results showed the preintervention fall rate was 6.6 falls per month, while at the end of the 30-day postimplementation period, that rate was reduced by 39.4% to 4 falls per month. The conclusion of this outcome-evaluation project is that falls among the elderly in the ALF can be reduced with evidence-based programs. The recommendation is that ALFs should have fall reduction programs, thereby avoiding unnecessary complications of falls among elderly residents. Implications for nursing practice include improved understanding of falls as a safety issue for ALF residents and the need for nurse practitioners to take a more active role as advocates for fall prevention programs in ALFs. The positive societal change produced is improved safety and reduction in fall injuries among the elderly in assisted living facilities.

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Chan, Pui-yan y 陳培欣. "An evidence-based guideline of skin care management for older adults with incontinence-associated dermatitis". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193038.

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Background Incontinence-associated dermatitis (IAD) is a common and preventable condition in older adults with incontinence. People suffering from IAD are usually disdained by individuals, professionals, policy makers, caregivers, and communities. To date, a standard guideline on IAD management is still lacking in Hong Kong. Thus, it is important to develop an evidence-based incontinence-associated guideline for older adults with incontinence in Hong Kong. Objectives This thesis aims to identify the best available evidence for skin care management for people suffering from IAD and to develop an evidence-based practice guideline to reduce the incidence of IAD. Methods Review of literature related to the management of IAD was performed on electronic database according to the inclusion and exclusion criteria. The inclusion criteria included randomized controlled trials and quasi-experiments. In addition, the studies should be in English and should contain the full text. The target participants should be patients aged 60 or above who are suffering from urinary, fecal, or double incontinence and are using diapers. Participants should include cognitively impaired patients, as well as those experiencing skin redness or injury at the perineal or thigh area resulting from incontinence. All non-medical regimens, skin care products, and absorbent diapers or pads designed for managing incontinence related to skin breakdown in older adults with incontinence were also included. The quality of the literatures was assessed according to the checklist provided by the Scottish Intercollegiate Guidelines Network (SIGN) (2011), and the data obtained from the reviewed papers were extracted and summarized in eight tables of evidence. Then, an IAD skin care management guideline was developed based on these pieces of evidence. The transferability, the feasibility, and the cost-benefit ratio of implementing the proposed IAD skin care management guideline were assessed. In addition, the communication plan, the evaluation plan, and the pilot study of the proposed guideline were included in this thesis. Results The proposed IAD skin care management guideline is a structured skin care management program for older adults with incontinence. With the help of the proposed guideline, registered nurses could provide a standard IAD skin care program based on best available evidence. Moreover, reviewed studies show that the IAD severity score, which is used to evaluate the prevalence of IAD, can be reduced by 47 % by implementing the proposed guideline. In addition, a systematic communication plan with stakeholders, an evaluation plan, and a pilot study were designed to examine the feasibility and the transferability of the proposed guideline. Patient outcome is the main outcome measure, and this measure is directly related to the IAD severity score. In this study, the IAD severity score was reduced, indicating that the proposed IAD skin care management program is effective, feasible, and cost-effective in the local setting. Conclusion The proposed skin care management guideline for caring for older adults with IAD was developed based on best available evidence. The prevalence of IAD is expected to be reduced after the implementation of this guideline.
published_or_final_version
Nursing Studies
Master
Master of Nursing

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Raustol, Anne. "Impartiality and partiality in nursing ethics". Thesis, University of Reading, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542065.

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This thesis is concerned with the role of partiality and impartiality in nursing ethics. Nurses are often faced with the following challenge: should I provide care for the patient who is my patient or should I give preference to someone else in greater need of nursing care? This challenge can be characterised as a conflict between impartial and partialist moral demands on the nurse. The thesis analyses the concepts of impartiality and partiality as found in moral philosophy and then applies these concepts and their implications to the nurse-patient relationship. Some issues of particular interest to the impartiality-partiality issue have been selected to be given close examination in the thesis. These are an analogy between the nurse-patient relationship and friendship, the relation between trust and impartiality, the question about whether moral obligations can arise from physical proximity and immediacy, the relation between professional detachment and impartiality, and partiality and impartiality in care ethics. The thesis argues that the nursing role is an institutional role as well as a professional role and a role involving a close personal cooperation. Some institutional roles require a high level of impartiality, and the nursing role is one such role. Therefore, the nurse ought to show a high level of impartiality as well as being committed to the good of her particular patient. 11

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27

Haddad, Lisa y Sharon Bigger. "Radiology Nursing Ethics and Moral Distress". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8511.

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Ethics in health care is a topic that has been around since ancient times. It was the basis for the Hippocratic Oath. With the development of modern nursing and specialties in nursing, ethics in nursing becomes an important topic for consideration. This article gives an overview of the history of ethics, with particular considerations to nursing ethics. It provides an overview of moral distress within nursing and how ethical decisions affect care. It also provides examples of ethics within radiology nursing.

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Lamb, Ruth M. "Multiple loyalty conflicts in nursing". Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24417.

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The International Council of Nurses [ICN] Code for Nurses clearly states that the registered nurse's first obligation is to the patient (ICN, 1973). But, in the clinical setting, multiple loyalties or obligations to the patient, family, physician, employing agency, professional standards, and personal ethical beliefs may conflict. Given the diversity of obligation in nursing practice and the ever expanding array of life sustaining technologies and techniques, a problem arises for nurses when they attempt to employ clinical guidelines offered by the ICN Code. Therefore, in order to ascertain how nurses uphold patient autonomy when responding to conflicts in the empirical setting and to delineate the patterns of reasoning which contribute to the actual response as well as to the preferred response, a qualitative grounded theory methodology was selected. This exploratory approach provided evidence that when conflict occurs, perceptions of relevancy on both a cognitive and affective level, influence the nurses' response. Often nurses with apparently equal cognitive capabilities on a moral developmental level perceived conflict of loyalty situations in vastly different ways and thereby responded with a range of behavior that went from exemplary care, which supported patient autonomy, to unsafe care, which completely denied patients their autonomy. An inductively derived substantive theory outlines this variance in care. The manner in which patient autonomy is upheld in multiple loyalty conflicts can be expressed on a three dimensional categorical basis with perceptions of imposed, bounded and volitional relevance conjoined with three levels of cognitive moral development, including both descriptive and normative explanations of conflict resolution. Principles and their supporting rules for nursing action derived from each category emphasize the little researched but complex relationship between moral cognitions, perceptions and affective valuing.
Applied Science, Faculty of
Nursing, School of
Graduate

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29

Smolen-Hetzel, Ann. "Geropsychiatric Nursing Staff: The Role of Empowerment, Geriatric Caregiving Self-efficacy, and Emotional Labor at Work". VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2288.

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The current research examined the influence of the emotional labor strategies of faking emotion and suppression of emotion, empowerment, and geriatric caregiving self-efficacy on the relationship between work stress and emotional exhaustion—one dimension of burnout—for a sample of nursing staff members employed in a state-level geriatric psychiatric hospital. The total sample included 79 participants, which included registered nurses (n = 15), licensed practical nurses (n = 23) , and human service care workers (n = 41) who completed the Stress in General scale (Stanton, Balzer, Smith, Parra, & Ironson, 2001), Maslach Burnout Inventory (Human Services Survey; Maslach, Jackson & Leiter, 1996), Discrete Emotions Emotional Labor Scale (Glomb & Tews, 2004), Psychological Empowerment Scale (Spreitzer, 1995), and Geriatric Nursing Self-efficacy Scale (Mackenzie & Peragine, 2003). The mean emotional exhaustion score for the sample fell in the moderate range of burnout. First, it was hypothesized that work stress and emotional labor strategies (i.e., faking emotion and suppression of emotion) would have positive relationships with the burnout domain of emotional exhaustion while empowerment and geriatric caregiving self-efficacy would have negative relationships with this outcome. Next, a series of regression analyses tested emotional labor (i.e., faking emotion and suppression of emotion), empowerment, and geriatric caregiving self-efficacy as moderators for the relationship between stress and burnout. Results indicated that study variables were all related to emotional exhaustion in the expected direction, although several relationships fell short of statistical significance. In addition, emotional labor was a significant predictor of emotional exhaustion, with suppression of emotion playing a larger role. There was no support for the potential moderating role of emotional labor or empowerment on the relationship between work stress and burnout. However, geriatric caregiving self-efficacy was a significant moderator of this relationship. More specifically, when staff reported high work stress, those who had low self-efficacy experienced the highest emotional exhaustion values. However, when self-efficacy was high for this group, their emotional exhaustion scores decreased. For this sample, higher levels of self-efficacy appeared to play a protective role from experiencing more emotional exhaustion when in a high stress condition.

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Obeng, Gladys K. "Reducing the Symptoms of Depression among Geriatric Population Using Walking Activity". Thesis, Brandman University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=13424583.

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Depression among the elderly is a significant concern due to the limited evidence-based treatment options and its overall global burden. Walking activity as a form of physical activity serves as an evidence-based intervention in addressing the issue of depression among the elderly. The depression level among elderly patients was examined (n = 17, Mage = 68.71, SD = 3.04) before walking activity using the Geriatric Depression Scale (GDS) – 15 questionnaire version. Thirty minutes of a bi-weekly walking activity was implemented for eight weeks followed by the depression level measured using the GDS-15. There were statistically significant differences across the variables before walking activity (Mbefore = 7.71, Sbefore = 1.53) and after walking activity (Mafter = 6.59, Safter = 1.58, P = .00) determined through the utilization of the Statistical Package for Social Sciences (SPSS) version 24. The finding supports the consistent usage of walking activity in reducing the symptoms of depression consequently decreasing mortality and morbidity rate, reducing healthcare expenditure as well as addressing the overall depression related public health concerns.

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31

Reed, J. "All dressed up and nowhere to go : Nursing assessment in geriatric care". Thesis, University of Newcastle Upon Tyne, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.234416.

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Shaw, Fiona E. "Nursing culture, communication rules and job satisfaction in geriatric long stay wards". Thesis, University of Edinburgh, 1990. http://hdl.handle.net/1842/20179.

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An exploratory, descriptive questionnaire survey was conducted in wards providing continuing care for elderly people, to describe nursing staff perceptions of ward culture and its relation to job satisfaction. The study was designed to answer three principal research questions:1. To what extent are management practices in geriatric long stay wards perceived as participative (open) by nursing staff?2. Is the degree of ward openness positively associated with nursing staff levels of job satisfaction?3. Are perceptions of ward openness and levels of job satisfaction related to nursing staff grade? Study participants were recruited from 79 wards in two mainland health boards to provide a stratified random sample of 474 nursing staff, comprising first level nurses, second level nurses and nursing auxiliaries. The study was based on a communication rules approach to understanding organisational culture. Likert's (1961) description of a hypothetical 'participative group' management system, where there was free flow of information, participative decision-making and high job satisfaction levels was used to develop a 30-item 'Communication Rules' questionnaire to assess nursing staff perceptions of management 'openness' in geriatric long stay wards. Quinn and Staines' (1979) Facet Free Job Satisfaction Test was used to assess levels of job satisfaction among ward nursing staff and the relationships between staff grade, perceptions of openness and job satisfaction were explored. Ward members mean 'openness' and mean 'job satisfaction' scores were used to provide simple indices of 'ward openness' and 'ward satisfaction' in order to explore differences among wards. The majority of wards were perceived as open; the score differences between those wards with the highest and those with the lowest openness indices were statistically significant. A positive association was found between ward openness and staff job satisfaction. Further, ratings of openness and levels of job satisfaction correlated positively with respondents' reports in the frequency of 'good days', negatively with 'bad days'. Openness ratings and levels of job satisfaction were also associated with nursing staff grade. Through advances in organisation theory that include 'culture' concepts, the 'communication rules approach' provided new insights about nursing staff perceptions of ward openness and its relation to levels of job satisfaction. Further, in-depth research on the relationship between ward openness and nursing staff job satisfaction is recommended. The implications of the study for information sharing, decision-making, change management, education and nursing practice are considered. It is recommended that the findings should be used to guide future approaches to nursing management and skill development in the nursing care of elderly people in long stay wards.

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Maalouf, Elizabeth W. "Assessment of the knowledge and attitudes of nurses caring for patients with Alzheimer's disease / by Elizabeth W. Maalouf". Access Digital Full Text version, 1995. http://pocketknowledge.tc.columbia.edu/home.php/bybib/11751095.

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Thesis (Ed.D.)--Teachers College, Columbia University, 1995.
Includes tables. Typescript; issued also on microfilm. Sponsor: Barbara Wallace. Dissertation Committee: Marie O'Toole. Includes bibliographical references (leaves 95-103).

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Risner/Garick, Shirley Ann. "Nursing ethics: An historical analysis and conceptualized module for today's practitioner". Diss., The University of Arizona, 1992. http://hdl.handle.net/10150/185885.

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As the twenty-first century approaches, science and technology in healthcare are making dramatic changes within the healthcare system. These changes are impacting the profession of nursing. Many of the changes included organ-transplants, genetic manipulation, surrogate mothering and other dramatic events that will collide with many of societies concepts of right and wrong. Nursing ethics has been lost in the modern day milieu of science and technology. This dissertation posits a foundation of ethics, axiology and nursing ethics via an historical review of nursing history. Included is a historical review of ethics, axiology and philosophical theories which encompass nursing ethics. This is followed by an analysis of nursing ethics and its historical development through codes of nursing. At the end of the analysis, a conceptualized learning module is presented to allow the nurse to develop an understanding in the area of nursing ethics with an educational foundation for understanding ethics and axiology. The conceptualized module contains theoretical situations which the nurse may encounter followed by an analysis of each situation. Within the context of the analysis, options and choices have been presented to help the nurse make an ethical decision.

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35

Weierbach, Florence M. "Determinants of Health for Rural Caregivers". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7374.

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Weierbach, Florence M. "A Model of Health for Family Caregivers". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7386.

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37

Terriquez-Kasey, Laura. "Disaster preparedness education program for elders in the community| The geriatric passport project". Thesis, State University of New York at Binghamton, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3713647.

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Over the last half a century, the frequency and intensity of tornados, floods, and other severe weather events have underscored the need for disaster preparedness, particularly for older adults. Functional limitations, cognitive decline, and medical comorbidities such as heart disease and diabetes create additional vulnerabilities, regardless of the type of disaster. Still, elders are capable of self-identifying needs and can be empowered to prepare communication plans, assemble disaster kits, and learn how to respond to threats posed by specific disasters. By increasing the level of disaster preparedness through training, many of the health problems faced by elders during a disaster could be alleviated and their overall response improved. Yet despite their abilities and the known benefits of disaster preparedness, disaster education and planning for elders has not been widely implemented.

The purpose of the Geriatric Passport Project was to increase the level of disaster preparedness through implementation of a disaster education program among community-dwelling older adults over the age of 55. Recruitment strategies included media, engaging key staff from program sites, and word of mouth.

The project used a pre-post reflexive control design. Knowledge about the elements to include in a disaster communication plan increased as did knowledge about items to include in a disaster kit. Notably, self-rated level of stress associated with evacuation to a shelter remained unchanged. Most importantly, the perceived level of disaster preparedness increased, suggesting that those who participated in the Geriatric Passport Project felt more prepared to respond to a disaster as a result of having attended the disaster education program.

The Geriatric Passport Project appears to have beneficial effects and the success of the pilot project supports exploring the feasibility of expanding the program to a wider geographic region and conducting a more rigorous evaluation of program effectiveness, efficacy, and efficiency.

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38

Diggle-Fox, B. Suzy. "A comparison of two teaching strategies on nursing students' knowledge and self-efficacy regarding their geriatric nursing care". Thesis, Capella University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3606856.

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The purpose of this study was to examine the effectiveness of the most frequently utilized teaching strategy of lecturing followed by discussion and to compare it with lecturing followed by role playing to determine how to best prepare nursing students both in terms of knowledge and self-efficacy. The primary goal of the study was to learn how to educate nursing students who will be better prepared to meet societal needs by learning to become confident, knowledgeable, and therefore competent healthcare providers. The study revealed there was not a statistically significant relationship between type of teaching strategy to which the students were exposed and either of the final self-efficacy or knowledge posttest scores of the students. This was true even after controlling for pretest scores as well as for any other potentially influential demographic variables. There were significant increases in both the knowledge and self-efficacy scores of the students for both of the teaching strategy groups. Three associate nursing programs were utilized and all the participants completed two pretests and two posttests, one for self-efficacy and one for knowledge, related to geriatric care. Analysis of covariance was utilized because significant extraneous variables were considered in this quantitative nonrandomized quasiexperiment. For example, the number of years of college education was not a significant predictor of pretest or posttest scores. Demographic data were analyzed in this study to investigate if they affected the results in any way. The study revealed that an individual's age, school, and exposure to geriatric care in a work environment were related to pretest knowledge scores. In addition, self-efficacy posttest scores were not different according to the research groups, even after adjusting for any potential demographic or pretest influences. Both of the research groups increased their knowledge and self-efficacy tests significantly even after adjusting for any potential demographic and pretest influences. The study revealed the pretest scores were predictors of the posttest scores.

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39

Willis, Melissa Ann. "Literature Review for the Non-pharmacological Treatment of Geriatric Depression". Kent State University Honors College / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1463052971.

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Tran, Michael. "Factors associated with postoperative delirium in the geriatric population : implications for nursing intervention". Honors in the Major Thesis, University of Central Florida, 2001. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/306.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
Bachelors
Health and Public Affairs
Nursing

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41

Fort, Fachecia L. "Type 2 Diabetes Management for Geriatric Veterans". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5462.

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Managing diabetes in the geriatric long-term care population can be challenging, yet important because diabetes is a chronic, progressive disease. The purpose of this project was to identify clinical practice guidelines for managing Type 2 diabetes in geriatric veterans and to develop a class to educate providers on diabetes management in the geriatric long-term care population at a community living and rehabilitation center. The practice focused question asked if providing education to providers about the clinical practice guidelines for managing Type 2 diabetes in geriatric long-term care veterans would improve knowledge as measured by a pre- and posttest. The project was based on the stage theory of organizational change and focused on the goal of improving diabetes management in the long-term care geriatric population by using clinical practice guidelines. The American Medical Directors Association's and Diabetes Association's updated clinical practice guidelines and systematic review literature on diabetes provided the evidence to support the educational project. A pretest, posttest, and summative evaluation were used to evaluate the project. A paired t test was used to compare the pretest and posttest scores for all participants. Posttest results showed a significant improvement in provider knowledge compared to pretest scores (t = -4.416, df = 12, p < .01). Participant evaluation of the program showed that the goals and objectives were met, content was understandable, and presentation was professional. The findings of the project may be beneficial at the organizational level to promote positive social change by improved management of diabetes in the geriatric long-term care population, thus potentially decreasing unwanted side effects and improving geriatric veteran health.

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42

McDaniel, Vivienne. "Enhancing the Nurse Aide Student's Knowledge of Evidence-Based Geriatric Care Practices". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5903.

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Certified nurse aides provide approximately 65% of care to more than 1.4 million older adults residing in nursing homes who have been diagnosed with 1 or more chronic illnesses or debilitating conditions. Licensed nurses rely on nurse aides to report potentially harmful status changes in geriatric residents. Nurse aides often receive limited education and do not have a structured care process to guide them in their practice in the geriatric population. The purpose of this educational quality improvement project was to develop a geriatric-specific nurse aide care process to increase the knowledge of student nurse aides regarding processes to identify and observe potentially harmful status changes in geriatric residents, and what changes to report immediately to a licensed nurse. The knowledge-to-action model was used to address the practice problem and to guide the translation of this evidence-based project into practice. The methodology used to guide data collection and analysis was a 1-group, quasi experimental, pretest/posttest design to compare participants' knowledge before the intervention with their learning outcomes after the educational intervention was implemented. The findings revealed an increase in the knowledge of student nurse aides after the educational intervention. The project may promote social change on an organizational level by demonstrating the need for a structured geriatric care process for nurse aides prior to their entry into the long-term care workforce to improve care outcomes for geriatric residents. The project may involve social change at the state level because incorporating this process may require additional hours in the nurse aide education program curriculum.

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Chang, Hui-Chen. "Evidence-based practice in nursing homes a study of Taiwanese nurses' and nursing managers' perceptions /". Connect to full text, 2008. http://hdl.handle.net/2123/3572.

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Thesis (Ph. D.)--University of Sydney, 2008.
Title from title screen (viewed 11 February 2009). Includes tables and questionnaires. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the School of Behavioural and Community Health Sciences, Faculty of Health Sciences. Includes bibliographical references. Also available in print form.

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44

Buck, Harleah G. "The Geriatric Cancer Experience in End of Life: Model Adaptation and Testing". [Tampa, Fla.] : University of South Florida, 2008. http://purl.fcla.edu/usf/dc/et/SFE0002305.

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45

Hines, Beverly Bass. "Caregivers' preferences for institutional information and support during the geriatric long-term admission process". Thesis, Virginia Tech, 1987. http://hdl.handle.net/10919/45768.

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The focus of this study was to determine what types of information and support families wanted at the time they admitted a relative to a long-term care facility. Twenty families were interviewed by telephone, including both the primary caregiver and, where appropriate caregiving family members. It was found that half of the families felt they wanted no additional information or support than they had received, and that they were basically satisfied with the facility's admission process. The majority of the families felt that the institution also encouraged their continued involvement with their relatives after admission.

The results suggest that researchers and practitioners need to be aware, however, that the admission process if often a stressful time, and that family members may be so involved in making long-term care arrangements that they do not focus on their own needs, but only on those of the elderly patient. Support services and information should be provided on an individual basis, considering such factors as whether the caregiver is employed full-time and the distance the caregiver lives from the facility.

Master of Science

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46

Weierbach, Florence M. "Relationships Between Rural Family Caregiver Health and Health Promotion Activities". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7400.

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47

Weierbach, Florence M. "Who Provides Care in the Home for the Tri-State Area Elderly: Sn Assessment of Informal Family Caregiver’s Perception of Health?" Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7401.

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Daugherty, Julie A. "The Relationship between Hearing Status and Cognitive Performance and the Influence of Depressive Symptoms in the Older Adult". Scholar Commons, 2015. https://scholarcommons.usf.edu/etd/5467.

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Hearing loss and cognitive impairment are significant health problems, threatening the independent function of older adults. While there appears to be a strong relationship between the two conditions, the mechanisms underlying this association are complex and are not fully elucidated. The purpose of this secondary analysis was to explore the relationship between hearing ability and cognitive performance in older adults. In addition, this study attempted to examine the role of depressive symptoms in the relationship between hearing loss and cognitive performance. Comprehensive measures of peripheral hearing, central auditory processing and cognitive performance were utilized to examine these relationships in a sample (N = 30) of adults aged 60 years and older. The Geriatric Depression Scale (GDS) was used to assess depressive symptoms. Correlational analyses revealed a statistically significant relationship between central auditory processing and executive function. Statistically significant relationships were also observed between speed of processing and peripheral hearing as well as central auditory processing. No significant relationships were noted between depressive symptoms, hearing acuity and cognitive performance. While the correlation coefficients (r) for several of the hearing and cognitive performance measures were not statistically significant, medium effect sizes were detected, suggesting a moderate association may exist between these variables.

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Beaugard, Carol R. "How hospital nurses reason about ethical dilemmas of practice /". Access Digital Full Text version, 1990. http://pocketknowledge.tc.columbia.edu/home.php/bybib/10937985.

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Godfrey, Nelda Schwinke. "Character and ethical behavior of nurses". free to MU campus, to others for purchase, 1999. http://wwwlib.umi.com/cr/mo/fullci?p9962525.

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Tesis sobre el tema "Ethics in geriatric nursing"

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