Needing help and waiting: Symbolic threats to independence in the nursing home
View File(s)
PDF (7.762Mb)
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Driver, Evelyn Jane by View
Title | Page Views |
---|
Popular Works for Driver, Evelyn Jane by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
The meanings of independence for nursing home residents were explored using qualitative research methods within the constructivist paradigm. Purposive sampling was used for selection of the interview site (church related, not-for profit nursing home, admitting Medicaid eligible residents) as well as selection of participants. Eleven residents (eight women, three men, mean age 86.5) thoughtfully participated in the study. Functional ability of these participants ranged from ambulatory without assistance (n = 2) through the need for assistance of two persons for all transfers (n = 2). Seven required at least one person assist in transfers from bed to chair or toilet. Chart data and researcher observations were used to place the interviews within the context of nursing care that was required.
Multiple tape recorded interviews were conducted using "Independence" as a surrogate term for "autonomy". Participants responded to open ended questions that included requests for examples of times they did and did not feel independent within this context. Transcripts of interviews were analyzed first for ways in which the word "independence" was used, then for identification of themes present within the examples. Data strips were then analyzed for interpretation of meanings within the context of nursing home life as experienced by the residents. The need for assistance with toileting was linked to feelings of a lack of independence, particularly for persons who had problems with urinary incontinence. A uniting theme of waiting functioned as a symbol for limited independence. The "Self-Imposed Behavioral Expectations" brought to the nursing home by the resident is suggested as important to the meanings that person assigns to issues such as waiting for assistance. The findings raise theoretical concerns not only about autonomy, but also the role that trust of caregivers plays in the residents' perceptions of autonomy within the long-term care setting. Additional research is needed particularly to explore ways in which the timeliness of direct care-giving actions is related to the resident's feelings of independence within the nursing home.
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9738844; ProQuest document ID: 304370706. The author still retains copyright.
Repository Posting Date
2020-07-10T21:22:54Z
Notes
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.
Type Information
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Grounded Theory |
Research Approach | Qualitative Research |
Keywords | Independence in Elderly; Functional Ability in Elderly; Elder Care Implications |
CINAHL Subject(s) | Dependency (Psychology); Nursing Home Patients; Patient Autonomy; Symbolism (Psychology); Dependency (Psychology)--In Old Age; Patient Autonomy--In Old Age; Symbolism (Psychology)--In Old Age |
Degree Information
Grantor | University of Virginia |
Advisor | Orbolt, Judy G. |
Level | PhD |
Year | 1997 |
Rights Holder
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.
Related items
Showing items related by title, author, creator and subjects.
-
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 ... -
Meaning-in-life, depression and suicide in older adults: A comparative survey study
Buchanan, Diane M.This study compared meaning-in-life (MIL) and other related variables in two populations, those elderly who were and those who were not depressed. The model developed for this study assumed in older adults that spirituality, ... -
Indices of attachment in elderly women who are not mentally compromised residing in nursing homes
Foland, Kay LynnThe purpose of this study was to take the concept of attachment as it has been developed in the literature of early childhood, extend it to the world of the elderly, and to describe the feelings and behaviors of attachment ... -
Depression, cognitive impairment and functional dependence in older adults, users of a geriatric center in Saltillo, Mexico
Villarreal-Reyna, Maria de los Angeles; Carrillo-Cervantes, Ana Laura Sr.; Rodriguez-Flores, Deyanira; Delabra-Salinas, Maria Magdalena; Magallanes-Monrreal, Martha Alicia (2016-03-17)Session presented on Sunday, July 26, 2015: Purpose: To determine the prevalence and relationship of depression, cognitive impairment and functional dependence in older adults users of a Geriatric Center in the city of ... -
Culture change and quality of life in elderly persons living in long term care
Jones, Carol S.Quality of life in long term care (LTC) is a concern for many stakeholders. The elders who are living in LTC facilities, their families, the staff, and government and policy makers are all interested in providing quality ...