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- Mullins, LC, et al.
(author)
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An examination of nursing home personnel's perceptions of residents' autonomy
- 1998
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In: JOURNAL OF APPLIED GERONTOLOGY. - : SAGE Publications. - 0733-4648 .- 1552-4523. ; 17:4, s. 442-461
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Journal article (other academic/artistic)abstract
- Autonomy, especially of nursing home residents, concerns the essence of values such as personal freedom and independence. This study examines Collopy's six polar dimensions of autonomy from the perspective of 202 nursing home personnel from a sample of 15 nursing homes in West Central Florida. Using regression analysis, autonomy was examined with respect to four catego ries of variables: (a) nursing home staff background factors, for example, education; (b) nursing home staff attitudinal issues, for example, job satisfaction; (c) staffing issues, for example, turn over rates of nurses; and (d) formal facility and resident characteristics, for example, percentage of residents physically restrained. The results confirm that autonomy is a complex construct with considerable subtlety. The most predictive set of variables overall include race, educational at tainment, and employee type (i.e., certified nursing assistants vs. others). The results are dis cussed with respect to their implications for care.
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- Randers, I, et al.
(author)
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The "social self": The 11th category of integrity - Implications for enhancing geriatric nursing care
- 2003
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In: JOURNAL OF APPLIED GERONTOLOGY. - : SAGE Publications. - 0733-4648 .- 1552-4523. ; 22:2, s. 289-309
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Journal article (other academic/artistic)abstract
- The purpose of this study was to enhance an earlier identified and briefly described social self category of integrity and how it affects the quality of care in patients older than 70 years. The two methods used in the earlier research were qualitative interviews and participant observations. From the data analysis, two themes were identified: social exchange and social experiences. The results indicate that improving care for geriatric patients includes offering more time to these patients for therapeutic social interactions such as listening, talking, storytelling, and reminiscing. Improving care for geriatric patients also includes providing information from the world outside from such sources as newspapers, radio, television, and communication from fellow patients and significant others. An increased awareness of the “social self” category in older adults by health care professionals will provide a more comprehensive foundation for holistic geriatric care.
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