Tesis sobre el tema "Long Term Care – psychology"
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Sunding, Brooke Abrams. "Gratitude in long term care". Thesis, Spalding University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3621800.
Texto completoAn exploratory study was conducted to examine the effectiveness of a group gratitude intervention with 29 permanent residents at a long term care/ skilled nursing facility in improving elder mood, behavior, and well- being over a 3 week time period. The sample included individuals diagnosed with dementia, other cognitive impairment, major depressive disorder, insomnia, and generalized anxiety disorder. The gratitude intervention consisted of asking elders to share what they are thankful for at the dinner table each day. Measures included the Elder Well Being Scale and The Dinner Rating Scale. On both measures, higher scores indicated better functioning. To test the hypothesis that post treatment elder well-being will be significantly higher than pretreatment elder well-being ratings, a one-way ANOVA was conducted. Post-hoc tests revealed a statistically significant increase in Elder Well Being Scale scores. An ANOVA of comparing Dinner Ratings demonstrated a nonsignificant increase over the 3 week experiment. Implications are discussed.
Hackworth-Wilson, Angela. "Long term effects of foster care on social relationships". Thesis, Pepperdine University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3731886.
Texto completoAinsworth and Bowlby’s Attachment Theory suggest that young children experience lasting effects of disconnection if separated from their primary caretaker. Foster children are legally removed from their primary caretakers, yet the effects of foster care on later social relationships of foster children is unknown.
The purpose of this exploratory study was to investigate the perceptions of adult foster children, ages 18 years and over, who were placed into foster care under 5 years of age. The major challenge was to obtain qualifying participants, first, because this is an invisible population in the American culture and, secondly, these individuals are hesitant to share their stories. The initial population included 5 persons from a local shelter and, using the snowball method, the researcher secured an additional 15 adult foster children that met the criteria.
Applying the phenomenological approach, these long interviews included 6 questions that addressed the research question: What do adults who have been in foster care placements prior to age 5 and have experienced more than 5 years in foster care placements from age 0-18 perceive are the long-term effects of foster care on their adult social relationships? The interviews occurred throughout Southern California and were taped and lasted 40 minutes to 2 hours, often filled with tears and high emotion. The participants included 3 with prior jail time, 6 who were homeless, 14 who were employed, 10 with an addiction, and 2 who were married. All had obtained a high school degree. All shared repeated unsuccessful friendship or romantic relationships.
The transcribed interviews were reviewed by 4 trained coders in a doctoral program and produced 8 themes, leading to the 8 conclusions. The primary conclusions are adult foster children express that abandonment is a deep core aspect of their psychological profile (95%); share the mental health issues of low self-esteem, lack of trust, and putting up walls in their social relationships (100%); act out their generational cycles of various addictive behavior relating to abandonment (100%); spirituality helped to stabilize more than half of these adult foster children through challenging times; and those without spiritual connections described the support of mentors in their lives.
Watts, Jasper Joseph. "Depression and Psychotherapy for Adults in Long-Term Care Facilities". ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1217.
Texto completoBarry, Ghislaine. "Improving Nursing Knowledge, Satisfaction, and Retention in Long Term Care". Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10687913.
Texto completoThrough advancements in modern medicine, human beings worldwide are living longer. The increase in life expectancy creates a need for a more qualified and knowledgeable nursing workforce for the delivery of quality geriatric health care. Although nurses are the primary care providers for vulnerable older adults, they are generally not well trained or prepared in geriatric care. Therefore, the purpose of the project was to develop an education program aimed at improving nursing knowledge of geriatric care in the long-term care (LTC) setting. The goal of the project was to answer the research question: What impact would attendance in the program have on improving nursing geriatric knowledge, retention, and job satisfaction by project end? Guided by the advancing research and clinical practice through close collaboration (ARCC) model for evidence-based practice (EBP), the learning needs of nurses in the LTC setting were assessed. The 6-week education program was designed to provide education on the basics of geriatric care, pharmacology and aging, symptom evaluation, dementia care, and geriatric physical assessment. Project participants consisted of 8 nurses who volunteered to take part in the program. The program was evaluated using a pre-test and post-test method to examine nurse’s knowledge before and after the education program. Using a paired t test, the results indicated a significant increase (p < .05) between the mean pre-test (3.75) and mean post-test (4.25) scores of nurse knowledge of geriatric care. The education program improved participant knowledge of geriatric care. Positive social change will be achieved with this scholarly project as nurses with greater knowledge gain confidence, strengthen decision making and clinical skills, and improve patient outcomes in the LTC setting.
Maclean, Joan. "Assessment and prediction of long term psychological outcome after intensive care". Thesis, University of Huddersfield, 2000. http://eprints.hud.ac.uk/id/eprint/4869/.
Texto completoLaPerrière, Barbara P. "Sources of stress for children of parents in long-term care facilities". Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=69731.
Texto completoZieber, Colin George y University of Lethbridge Faculty of Arts and Science. "Pain and agitation in the demented long term care resident". Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Arts and Science, 2003, 2003. http://hdl.handle.net/10133/210.
Texto completoxv, 116 leaves ; 29 cm.
McCormick, Christine Viola. "Cognitive coping and depression in elderly long-term care residents". CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3194.
Texto completoLepore, Michael. "Care workers' motivations for employment in long-term care, assisted living, and particular facilities reconciling inconsistent values /". unrestricted, 2008. http://etd.gsu.edu/theses/available/etd-07102008-085239/.
Texto completoFrank J. Whittington, committee chair; Mary M. Ball, Elisabeth O. Burgess, committee members. Electronic text (285 p. : ill.) : digital, PDF file. Description based on contents viewed Oct. 1, 2008; title from file title page. Includes bibliographical references (p. 213-230).
Chase, Tanya S. "An exploratory study of burnout and self-care as experienced by long-term anti-war activists". Thesis, California Institute of Integral Studies, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3621044.
Texto completoThe purpose of this study was to examine the phenomena of burnout and self-care as experienced by long-term anti-war activists. The current investigation of burnout and self-care was carried out using a qualitative transcendental phenomenological approach developed by Clark Moustakas. Interviews were conducted with eight adult men and women who had been active in the anti-war movement for at least ten years. The data collection consisted of in-depth interviews with open-ended questions regarding participants' experience of self-care and burnout in the process of anti-war activism.
Findings reveal that participants experienced burnout and self-care in much the same way as other professions. Participants experienced burnout within the following themes: stress, frustration and exhaustion; inner and outer pressure and responsibility; body shut-down; betrayal and isolation; and depression and grief. These activists experienced self-care within the following themes: enrichment of soul; satisfaction and celebration; great love and healing; awareness and keeping balance; deep understanding; and belief, enthusiasm and inspiration. In addition, the research uncovered the irony that while anti-war activism causes burnout at times, this same activism plays a critical role in self-care for the activist. Furthermore, findings lend support to previous studies of the experience of anti-war activists. Future research on this topic is suggested in several areas.
Miranda, Megan L. "The Experience of Foster Care and Long Term Attachment Outcomes into Adulthood". University of Akron / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=akron1428366310.
Texto completoCooke, Heather A. "Organizational and physical environmental correlates of bathing-related agitation in dementia special care units /". Burnaby B.C. : Simon Fraser University, 2006. http://ir.lib.sfu.ca/handle/1892/2710.
Texto completoMiller, Marleen L. "The lived experience of pet visitation among residents of long term care facilities". Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1020155.
Texto completoSchool of Nursing
Torres, Angie Lim. "Improvement in the Retention of Graduate Nurses in a Long-Term Acute Care Hospital". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5140.
Texto completoHarry, Jan M. "Psychological adjustment of children in long term foster care : effects of access and foster parent's attitudes /". Title page, contents and abstract only, 1995. http://web4.library.adelaide.edu.au/theses/09PM/09pmh323.pdf.
Texto completoHaberman, Jessica L. "The Cheerful Giver: Altruistic Activity Engagement and Happiness in Older Adult Residents of Long-Term Care". Cleveland State University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=csu1374530083.
Texto completoBinney, Ishaque. "Registered Nurses' Perceptions of Work Engagement and Turnover Intentions in a Long-Term Care Facility| A Case Study". Thesis, Northcentral University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3641466.
Texto completoResearch studies show that work engagement is credited with having a positive effect on business outcomes. As health care leaders and administrators continue to make efforts to improve work engagement, the global nursing shortage has become a major problem that can affect registered nurses (RNs') work engagement and turnover intentions. RNs are important to the nation's well-being as everyone's health care needs involve the role of a nurse, but RNs currently in practice experience higher demands in an environment already constrained. This qualitative case study explored the perceptions of eight RNs in a long-term health care facility located in a Northeastern region of the United States utilizing semi-structured open-ended interviews. The study illustrated how RNs' work engagement could be improved and strengthened, turnover intentions minimized to make nurses' practice environment more attractive to motivate and retain nurses in long-term care setting. Study results suggest that nurses are highly engaged in their work though they encounter several issues including understaffing that creates work overload leading to burnout and job-related stress that challenge and undermine their engagement. Results also indicate that in order to improve RNs' practice environment and minimize turnover intentions and turnover, concerns regarding understaffing, job role stress, and nurse-management conflicts need to be addressed. Study results imply that to be effective as a nurse one has to be dedicated and committed to his or her work and the profession. Additionally, organizational leaders should make concerted effort to identify and address nurses' issues to create practice environments that attract and retain nurses.
Shoemaker, Marilyn L. "Evidence Based Practice Update for Nurse Practitioners| Depression Screening Training for Long-Term Care Facility Caregivers to Improve Quality of Care| A Clinical Scholarly Project". Thesis, Brandman University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10616069.
Texto completoThe primary purpose of this clinical scholarly research project is to determine whether there are undiagnosed symptoms of depression among the residents in a small population Long Term Care facility (LTC). Caregivers at the LTC receive specific knowledge regarding older adult late-life depression and then apply said knowledge by surveying the LTC residents (LTCR’s) using the Geriatric Depression Scale instrument (GDS-15). The secondary purpose is to determine whether the LTC caregivers perceive this training as beneficial. Using two-sample t-test statistical analysis, the results of this study indicate a positive correlation with the alternative hypothesis; the number of LTCRs with previously undetected depressive symptoms increased. Ha: μ LTCR with depression or delirium ≠ μ LTCR with depression or delirium. In this study, the number of LTCRs with symptoms of depression or delirium increased by 60.4 percent. The P (T<=t) two-tail value is less than 0.001. In the literature, this difference is extremely statistically significant. The mean of the medical records examined minus the mean of the number of medical records with an indication of depression or delirium is 0.60. For a 95% confidence interval, this difference must fall between the ranges of 0.45 to 0.76. These data confirm the alternative hypothesis.
Additionally, the caregiver participant’s satisfaction outcome survey results reported the training was substantially beneficial.
Babbage, Roberta Louise. "Relieving strain in informal caregivers of the elderly". CSUSB ScholarWorks, 1989. https://scholarworks.lib.csusb.edu/etd-project/459.
Texto completoHutson, Samantha. "Measuring Patient Satisfaction After Providing a Choice of Nourishment Options Between Meals in a Long-Term Care Setting". Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etd/1805.
Texto completoLyons, Megan L. "First Mothers/Birth Mothers: Social Support and Long-Term Psychological Stress and Growth". Antioch University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1503403065090081.
Texto completoAaro, Jonsson Catherine. "Long-term cognitive outcome of childhood traumatic brain injury". Doctoral thesis, Stockholm : Department of Psychology, Stockholm University, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-38530.
Texto completoDiaz, Rodrigo. "The Experience of Foster Parents: What Keeps Foster Parents Motivated to Foster Long Term?" Antioch University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1503013699534605.
Texto completoCrabb, Brooke Evangeline. "Perceptions of the transition to assisted living as a function of psychological well-being, instrumental activities of daily living, and coping: A prospective study". CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2439.
Texto completoMoss, Susan. "An investigation of the factors involved in the adjustment of carers of spouses suffering organic disease, following the spouse's admission to long term care". Thesis, University of Surrey, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.300344.
Texto completoShahrokh, Bahram Edward Kaikhosrow. "The Experience of Relapse After Long-term Sobriety and Subsequent Return to Sobriety". Antioch University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1560629709925552.
Texto completoMilea, Simona Aostacioae. "The differences in environmental quality of care for HIV/AIDS-infected children in Romanian institutions and group homes". Theological Research Exchange Network (TREN), 1999. http://www.tren.com.
Texto completoRussell, Cynthia Kay. "Care seeking and elders' dependency work: "My time is occupied trying to live"". Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186486.
Texto completoCarson, Paula Penelopy. "Head injury survivorship: The family experience". Diss., The University of Arizona, 1992. http://hdl.handle.net/10150/185753.
Texto completoGalinsky, Jayne. "A grounded theory study of dream fulfilment in children and young people with life-threatening and long-term conditions and their families". Thesis, University of Stirling, 2015. http://hdl.handle.net/1893/23180.
Texto completoHelldin, Lars. "The Importance of Remission in the Treatment of Patients with Schizophrenia Spectrum Syndromes : Clinical Long-term Investigation of Psychosis in Sweden". Doctoral thesis, Karlstads universitet, Avdelningen för psykologi, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-3738.
Texto completoLavoie, Cora Emily Marie. "Situational control and well-being in the institutionalized elderly". Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/27719.
Texto completoApplied Science, Faculty of
Nursing, School of
Graduate
Bruinsma, Jamile Lais. "CONFLITOS INTERPESSOAIS DE IDOSAS EM INSTITUIÇÃO DE LONGA PERMANÊNCIA NA PERSPECTIVA DA EQUIPE DE ENFERMAGEM". Universidade Federal de Santa Maria, 2016. http://repositorio.ufsm.br/handle/1/7468.
Texto completoThe long-term care institutions for the elderly are becoming one of the house source and support to the elderly in need of long-term care. Be admitted in these places has a great impact in the life of these people, which in addition to adapt to the routine, need also to establish new relationships and state their spaces. In these situations, conflicts between elderly residents or between them and professionals working at the institution may arise, which facilitates the occurrence of disharmonious conditions. Thus, situations that triggers conflicts and creates possible implications in daily life and health of institutionalized elderly are identified. This study has the main aim: to analyze the perception of the nursing team about the occurrence of relational conflicts of eldery in a long-term care institution. It is a qualitative study with 15 nursing professionals, that was conducted in March and July 2015 in an institution located in the central region of Rio Grande do Sul State. Data collecting was made using semi-structured interviews, recorded, transcribed and analyzed according to thematic content analysis of Minayo operative proposal. The ethical aspects of research involving human beings were respected following the Resolution 466/12 of the National Health Council. Conflict situations experienced by nurses and elderly of the institution, the aspects that led to these conflicts, and the management of nursing professionals at these situations were identified. Among the situations identified in this study, conflicts emerges in moments when the emotional and inclusion needs of elderly women were not met; when them try to preserve their identity and autonomy within the institution; and in situations where their behaviors are modified by the presence of psychological/psychiatric symptoms and have their attitudes contradicted by others. Factors that motivated the emergence of conflicts included attitudes from habits and the individuality created before the institutionalization and changes in behavior caused by neurological and / or psychiatric diseases. The performance of some professionals in an attempt to stop the conflicts are focused on authority, intimidation, punishment attitudes and the administration of medications. Other professionals have chosen to use conversation as an alternative for solving the conflicts. The results show that nursing professionals have difficulties for the management of relational conflicts of eldery that often come from the lack of skills of interpersonal relationships and knowledge about the specificities of fragile elderly population.
As Instituições de Longa Permanência para Idosos vem tornando-se uma das fontes de residência e amparo à população idosa que necessita de cuidados de longo prazo. Ser admitido nesses locais é um fator de grande impacto na vida do idoso, que além de adequar-se às regras, necessita estabelecer novos relacionamentos e demarcar seus espaços. Frente a essas situações, podem surgir conflitos entre os idosos residentes ou entre eles e profissionais que atuam no local, o que favorece a ocorrência de condições desarmônicas. A partir disso, identifica-se situações propulsoras de conflitos e que geram possíveis implicações no cotidiano e na saúde dos idosos institucionalizados. Este estudo tem como objetivo geral: analisar a percepção da equipe de enfermagem acerca da ocorrência de conflitos interpessoais de idosas em Instituição de Longa Permanência. Trata-se de uma pesquisa qualitativa com 15 profissionais de enfermagem, realizada nos meses de março a julho de 2015, em uma instituição localizada na região central do Estado do Rio Grande do Sul. A coleta dos dados ocorreu por meio de entrevista semiestruturada, gravada, transcrita e, após, os dados foram analisados conforme a análise de conteúdo temática da proposta operativa de Minayo. Os aspectos éticos das pesquisas com seres humanos foram respeitados seguindo a Resolução 466/12 do Conselho Nacional de Saúde. Foram identificadas as situações de conflito vivenciadas por profissionais de enfermagem e idosas da instituição, os fatores que ocasionaram esses conflitos e as condutas dos profissionais de enfermagem nessas ocasiões. Dentre as situações de conflitos identificadas destacam-se momentos em que as necessidades afetivas e de inclusão das idosas não foram satisfeitas, quando as idosas tentam preservar a identidade e autonomia no âmbito da instituição e em ocasiões que apresentam comportamentos alterados pela presença de sintomas psíquicos/ psiquiátricos e tem suas atitudes contrariadas pelos demais. Quanto aos fatores que motivaram o surgimento de conflitos foram evidenciadas as atitudes provenientes de costumes e da individualidade construídos anterior a institucionalização e de alterações no comportamento ocasionadas por doenças neurológicas e/ou psiquiátricas. As condutas de alguns profissionais no intuito de cessar os conflitos centraram-se em atitudes como autoridade, intimidação, punição e administração de medicações. Outros profissionais optaram por utilizar a conversa como alternativa de grande potencial para resolutividade frente aos conflitos. Os resultados apontam que existem dificuldades dos profissionais de enfermagem para o manejo dos conflitos interpessoais das idosas que, muitas vezes, são provenientes da falta de habilidades com os relacionamentos interpessoais e do conhecimento frágil às especificidades da população idosa.
Costa, Ana Caroline. "Lar doce lar? um estudo sobre afetividade de idosos residentes em instituiÃÃes de longa permanÃncia em Fortaleza". Universidade Federal do CearÃ, 2012. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=14367.
Texto completoO objetivo principal dessa pesquisa foi estudar a afetividade de idosos residentes em InstituiÃÃes de Longa PermanÃncia, na cidade de Fortaleza â CE, sendo estas consideradas lugares de moradia para os que aà vivem. Buscou-se verificar questÃes como as polÃticas pÃblicas existentes, relacionar as condiÃÃes de moradia com o nÃvel de satisfaÃÃo dos idosos residentes, assim como avaliar seus processos de apropriaÃÃo do espaÃo e a relaÃÃo desta com o envelhecimento. Com o intuito de se ter um panorama da distribuiÃÃo das InstituiÃÃes de Longa PermanÃncia para Idosos â ILPI - existente na cidade de Fortaleza, fizeram parte do nosso campo de pesquisa um total de 21 idosos distribuÃdos em seis instituiÃÃes, sendo uma de cada Secretaria Executiva Regional â SER â que a cidade està dividida. Utilizou-se como referencial teÃrico a Psicologia Ambiental e a Psicologia Social e seus mÃtodos e tÃcnicas, como os grupos focais, as entrevistas individuais, o diÃrio de campo e o instrumento gerador dos mapas afetivos, este como mÃtodo de apreensÃo dos afetos. Por meio das imagens de agradabilidade e de pertencimento geradas foi possÃvel visualizar sentimentos e qualidades positivos dos residentes, o que revela uma estima positiva com relaÃÃo ao lugar. Jà nas categorias de pertencimento como sobrevivÃncia e pertencimento ao passado foram registrados sentimentos e qualidades despotencializadores do sujeito, o que deflagra uma estima negativa dos residentes com relaÃÃo Ãs ILPIs. Na busca de contemplar esses objetivos percebeu-se que, apesar da populaÃÃo brasileira estar em pleno processo de envelhecimento, a sociedade atual està despreparada para lidar com esse tema. As polÃticas pÃblicas existentes sÃo muito recentes e ainda estÃo em processo de implantaÃÃo. Os ÃrgÃos pÃblicos que deveriam contribuir e apoiar o desenvolvimento de instituiÃÃes como as de longa permanÃncia para idosos (ILPI) se restringem Ãs funÃÃes de cobranÃa, julgamento e multa. Percebe-se que esses idosos residentes em ILPIs estÃo desassistidos tanto no que concerne Ãs polÃticas pÃblicas, como ao apoio da famÃlia e da sociedade em geral.
The main purpose of this study was to investigate the affection of the elderly at Long Term Institutions in the city of Fortaleza - CE, which are considered dwelling places for those who live there. We verified issues such as the current public policies; housing conditions relate to the level of satisfaction of elderly residents and assess their processes of space appropriation and its relation to the aging. In order to have an overview of the Long Term Institutions distribution, in Fortaleza, a total of 21 elderly people distributed in six institutions were part of our field research, one from each Regional Executive Secretary â RES, where the city is divided. As a theoretical framework we had Environmental Psychology and Social Psychology, its methods and techniques such as focus groups, personal interviews, field diary and the instrument to generate affective maps as a method to seize emotions. Through the images of pleasantness and belonging generated we could visualize positive feelings and qualities of residents, revealing a positive esteem about the place. Regarding the categories of belonging as survival and belonging to the past we recorded feelings and qualities that weakened the person, which triggers a negative esteem of residents in relation to LTCF. Seeking to contemplate these goals we realize that, despite the Brazilian population being in full process of aging, the current society is unprepared to deal with this issue. The existing public policies are very recent and still under implementation. Governmental entities which should help and support the development of institutions such as Long Term Care Facilities for the elderly (LTCF) are only with the role of charge, prosecute and fine. We realize that these elderly residents are disadvantaged in public policy and, moreover, they have no support from family and even society in general.
Esliker, Rebecca. "An Examination of Social Support, Contentment with Life and Time Spent in an Assisted Living Setting". ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/882.
Texto completoRichert, Mallory. "Caregiver Burnout, Compassion Satisfaction, and Personality: The Moderating Role of Work Engagement and Job Satisfaction". Xavier University Psychology / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=xupsy162514903678302.
Texto completoNewman, Nicole Rae. "Cognitively impaired elderly individuals and durable powers of attorney for healthcare". CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1795.
Texto completoHolt, Jim. "Navigating Long-Term Care". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6474.
Texto completoHernández-Pizarro, Helena M. "Essays on long-term care". Doctoral thesis, Universitat Pompeu Fabra, 2017. http://hdl.handle.net/10803/456565.
Texto completoAquesta tesi analitza els efectes de l’expansió de les prestacions públiques en dependència a l’estat espanyol, des de tres perspectives diferents. En el primer capítol, estimo l’impacte de les prestacions públiques en la mortalitat dels beneficiaris. Els resultats suggereixen que la provisió d’atenció prevé el deteriorament de la salut, fins al punt de posposar la mort quan el nivell de dependència és baix o moderat. En el segon capítol –amb García-Gómez, López-Casasnovas i Vidiella- Martin–, avaluem l’equitat en l’accés als diversos serveis públics per a l’atenció a la dependència. Mostrem que el sistema públic de dependència és especialment inequitatiu en la forma de provisió de beneficis. Això es tradueix en major concentració entre els més pobres del temps d’espera per accedir als recursos públics. Al darrer capítol –amb López-Casasnovas i Nicodemo–, investiguem les conseqüèencies inintencionades d’un sistema de beneficis no lineal. Identifiquem que entorn el 3% de la gent que sol.licita les prestacions són classificats en nivells de necessitat per sobre dels que els pertoca, fet que incrementa el cost del sistema. És per això, que proposem un sistema lineal de prestacions, que esdevingui més igualitari i minimitzi els incentius perversos.
Yauk, Jessica Ann. "Planning for Long-Term Care". Miami University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=miami1605102319925788.
Texto completoCoe, Norma B. "Long-term care and the elderly". Thesis, Massachusetts Institute of Technology, 2005. http://hdl.handle.net/1721.1/33837.
Texto completo"September 2005."
Includes bibliographical references.
Long-term care expenditures represent one of the largest uninsured financial risks facing the elderly. Medicaid provides incomplete insurance against these costs: unlimited nursing home benefits with a deductible equal to the savings and income above the means-testing limits. While private insurance is available, fewer than 10 percent of the elderly are currently covered. This thesis explores how the elderly prepare for future nursing home use and the interactions between the private and public insurance systems. Chapter one exploits the state-variation in Medicaid generosity to study the financial response of the elderly to perceived future nursing home needs. I find that the elderly shift their consumption and savings decisions in response to Medicaid. Single households have lower net worth through the median of the distribution due to Medicaid policy. On the other hand, I find that married households do not lower total net worth, but they change their relative holdings of protected and non-protected assets. Chapter two explores the crowd-out effect of the public Medicaid program on demand for private long-term care insurance coverage. We estimate the impact of Medicaid program rules on private long-term care insurance coverage for the elderly. We find small but statistically significant marginal crowd-out effects.
(cont.) Our estimates imply that even a $67,000 decrease in the asset disregard for couples would only increase private long-term care insurance ownership among the elderly by 1.9 percentage points. These findings underscore that marginal reforms to the existing Medicaid program are unlikely to be an effective way of increasing private long-term care insurance coverage among the elderly. Chapter three explores individuals' expectations for future nursing home use. I compare self-reported probabilities to the statistical probability computed with a state-of-the-art model used by the long-term care insurance industry. I find that respondents tend to overestimate unlikely outcomes and underestimate likely outcomes. On average, though, the expectations are very accurate. I find that expectations for nursing home use evolve with health conditions in similar ways as the statistical probability. While I find that expectations include private information, they do not account for all information available to the individual, especially the individual's demographic characteristics.
by Norma B. Coe.
Ph.D.
Sheffer, Nathan D. "Memory Care Units in Ohio Long-Term Care Facilities". Miami University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=miami149339984336246.
Texto completoSullivan, Jacqueline Patricia Clay Tubbs. "Pastoral care to younger adults in long-term care". Theological Research Exchange Network (TREN), 1997. http://www.tren.com.
Texto completoMcDougall, Jennifer. "Fostering family relationships in long-term care". Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/62604.
Texto completoApplied Science, Faculty of
Nursing, School of
Graduate
Fashant, Crystal Saric. "Environmental Performance in Long Term Care Facilities". Thesis, Metropolitan State University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10742619.
Texto completoThis research examines the physical operations of a health care sector called long term care facilities. Long term care refers to organizations that provide onsite nursing care for people with long-term illnesses, elderly people who need continuous medical supervision, or for those in long-term rehabilitation programs. Most specifically, this research looks at the performance of the physical buildings (i.e. facilities) and how this performance impacts the external environment. Using secondary data from the organization Practice Greenhealth, this study addresses the following two research questions.
1. What is the combined current state of environmental performance at the long term care facilities that have applied for a Practice Greenhealth award?
2. What are the proposed environmental key performance indicators for the long term care sector?
Based on this research, a model is suggested for future researchers interested in the environmental performance of long term care facilities. The model suggests six drivers for improving environmental performance in long term care; (1) maintain compliance with environmental regulations, (2) reduce costs, (3) meet expectations of parent organization, (4) increase market competitiveness, (5) engage stakeholders, and (6) improve patient outcomes. Four environmental improvement categories are then established; (1) waste, (2) energy, (3) water, and (4) engagement initiatives, along with each categories’ associated indicators. Finally, this study develops a concise environmental performance survey that could be used by any long term care facility looking to make improvements to its environmental performance over time.
Jarek, Holly Elaine. "Administrative changes in pediatric long-term care". Thesis, The University of Alabama at Birmingham, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10105905.
Texto completoThis research used a Delphi methodology to solicit challenges that significantly impact the operational success of pediatric long-term care facilities. Further, this study sought to understand the ability of pediatrics administrators to impact, affect, overcome, or resolve these challenges. Round 1 accomplished the desired goal of eliciting a substantial amount of new qualitative information regarding administrative challenges in pediatric long-term care, which previously had been extant in the literature. In Round 2, data were distilled into categories and unique exemplars which in turn were validated by participants. In Round 3, administrators ranked and rated categories and individual challenges in terms of significance and impact.
Findings revealed that the most important challenges for administrators are those of working with an inadequate model that is designed for a geriatric population, inadequate Medicaid funding, and the lack of clinical and administrative indicators in pediatric long-term care. The most important challenges that could be affected by the administrators are related to inadequate model, clinical practice, and the need for diversification. Administrators believe they can strongly impact the rules, regulations, and protocols that are currently geriatric focused, develop pediatric long-term care indicators and evidence-based research, and impact their financial security by diversification.
The Delphi research accomplishes the desired goal of eliciting a substantial amount of new information regarding administrative challenges in pediatric long- term care and contributes to the broader body of knowledge in health services administration. The significant research findings suggest the need for changes in the regulatory and financial models in pediatric long-term care and the need for enhanced clinical practice though evidence-based practice and outcomes.
Desai, Mitul S. "Modelling future demand for long-term care". Thesis, University of Southampton, 2011. https://eprints.soton.ac.uk/341514/.
Texto completoHogan, Georgiana, Janice Lazear, Jean Croce Hemphill, Catherine Hebert y Emily Wood. "Constipation in the Long-Term Care Resident". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/asrf/2020/presentations/4.
Texto completoD'Avello, Maria. "Intimacy Policies In Long-Term Care Facilities". Bowling Green State University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1435763892.
Texto completoAkullian, Judith. "Resilience in graduates of long-term foster care : a retrospective study /". 2005. http://wwwlib.umi.com/dissertations/gateway.
Texto completoTypescript. Includes bibliographical references (leaves 232-241). Also available in electronic format on the World Wide Web. Access restricted to users affiliated with the licensed institutions.