Enduring: The experience of hospitalized elderly patients
Dr. Alicia A. Huckstadt, PhD, PhD, APRN, FNP-BC, FAANP
- Sigma Affiliation
- Epsilon Gamma at-Large
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Huckstadt, Alicia A. by View
Popular Works for Huckstadt, Alicia A. by Download
The number of elderly hospitalized patients is increasing dramatically. Yet, the hospitalization experience of the elderly is not well understood. The purpose of this study was to explore the hospitalization process as perceived by elderly patients, family members, and nurses caring for these patients. The design of the study was grounded theory. Data were generated and theory derived from the environmental context of the data. Ethnographic interviews were conducted with eight white, middle-class elderly patients (aged 66 to 83 years), seven family members, ten nurses, and a patient representative in an acute care setting. Other methods of data collection included participant observation and review of medical records. Data analysis included the constant comparative method of systematically collecting and analyzing data until categories were saturated and a core variable emerged. Substantive theory was developed from the analyses. Enduring The Experience described the theory that elderly patients engage in a process that allowed them to "bear it" until they could be dismissed from the hospital. The theory included six categories: (1) Accepting Assistance--describes the willingness of informants to engage in care giving/receiving behaviors; (2) Believing It Will Be OK--describes the informant's thoughts and feelings that someone or something will provide patients with the needed elements; (3) Playing the Game--depicts thoughts and actions of informants to get through the ordeal, with as few disturbances as possible; (4) Protecting--reflects thoughts and actions taken by informants to shield the patients/family members against negative consequences; (5) Remembering--refers to informant's thoughts of past illnesses/hospitalization; and (6) Worrying--describes the frequent distressing thoughts experienced by the informants. The substantive theory of Enduring The Experience was depicted by a conceptual model and compared to models of stress/copying. This research provides the groundwork for further formal theory of the elderly person's hospitalization experience. Results of the study may be helpful in the understanding of problems related to the hospitalization experience itself and identifying interventions that could facilitate this experience for elderly patients and families.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9029761; ProQuest document ID: 303926276. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Factors related to cardiopulmonary endurance of hospitalized older adults with chronic obstructive pulmonary disease Liao, Lin Yu; Chen, Kuei-MinOur study can investigate cardiopulmonary endurance associated effect factors and predictors, specifically age, gender, disease severity, BMI, dyspnea, respiratory muscle strength, lower extremity muscle strength, and lower ...
Jacelon, Cynthia S.The goal of this grounded theory research was to develop a substantive theory of the social processes engaged in by elderly people while in the hospital. The derived theory is entitled Managing Personal Integrity. Within ...
The relationships of nurses' critical thinking ability and patients' self-disclosure to accuracy in nursing assessment of depression in elderly medical patients Gonzalez, Elizabeth W.This study investigated the relationships of nurses' critical thinking ability and patients' self-disclosure to accuracy in nursing assessment of depression in elderly medical patients. The sample consisted of 120 female ...
Factors that contribute to anticipated turnover among civilian registered nurses employed in United States Army hospitals Huebner, Carol AnnIn this study, selected factors believed to influence anticipated turnover among civilian registered nurses employed in Army hospitals were examined. Based on a theoretical model developed from existing models of nursing ...
Cogito Ergo Sum: A grounded theory of the Filipino elderly transition experiences in Third Age Education Program Chua, Rowena Escolar (2014-11-17)Session presented on Friday, July 25, 2014: Purpose: A considerable number of studies have been carried out to explore the experiences of the elderly engaging in third age education, but most of these investigations have ...