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1.
John W. Gibson 《Educational gerontology》2013,39(6):607-619
The numbers of aging and older persons with developmental disabilities are rapidly growing. Knowledge based on new and ongoing research is fast beginning to accumulate. Efforts to provide training, both preservice and in‐service, are beginning to be implemented. This article (a) reports on existing health‐care training materials, (b) discusses service providers’ training needs in the area of developmental disabilities and aging, and (c) provides recommendations for future training and curriculum development. The investigation included a search of library and archival records for existing information on health, aging, and developmental disabilities; semistructured interviews with 20 “expert” providers of health care to developmentally disabled elderly individuals; and a survey of 245 service providers for their perceptions of providers’ training needs in the area of health care for older adults with developmental disabilities. 相似文献
2.
Most health care and social service providers are routinely required to work with elderly clients and clients’ aging family members. Research suggests that students entering these professions have knowledge deficits and lack positive attitudes toward older people. Few prefer to work with aging clients. Professional curricula are not providing students with adequate training to serve the current needs of this population, much less to meet projected increases in demand for services. To examine this issue, 67 master's students in nursing and social work completed questionnaires assessing (1) knowledge about aging, (2) attitudes toward old people, and (3) perceived barriers to gerontological education. Results confirmed the existence of knowledge deficits among respondents. Attitudes tended to be neutral rather than strongly positive or negative. Knowledge scores were related to attitudes, to respondents’ ages, and to their having lived in households with older relatives. Nursing students identified the greatest barriers in gerontological education as insufficient curriculum time and lack of academic role models. Social work students perceived lower status of work with the elderly and limited experience with healthy older people as the greatest barriers. The two groups agreed that fragmentation of services contributes to inadequate gerontological preparation. Findings suggest a need for didactic and experiential learning opportunities, reinforced by appropriate academic role models, for students in service professions. 相似文献
3.
Globally, the need for development of a competent workforce to serve the burgeoning older population is well documented. Persons with degrees in gerontology are prepared to fill positions in this labor market, yet they are not in demand. This research explores the path of professionalization of gerontologists in Canada as a means of increasing their contribution to the aging services workforce. A cross-sectional online survey of aging-service administrators (n = 66) was conducted in Ontario, Canada, to ascertain their perceptions of gerontologists as professionals in the service delivery to older persons. Aging-service administrators show low rates of hiring gerontologists and low knowledge of gerontological competencies. There was a significant (p < .05) relationship between the knowledge of gerontologist's competence and their rate of employment. The administrators expressed high interest in regulation and credentialing of gerontologists (63.6%). Credentialing of gerontologists is a means of professionalization that legitimizes the competence of this field as a profession. Education is needed—for governmental agencies and health and social service providers—on the role of gerontologists in meeting aging service workforce demands. Ultimately, regulatory policy considerations are needed. 相似文献
4.
Maryam Ravanipour Shayesteh Salehi Fariba Taleghani Heidar Ali Abedi Marieke J. Schuurmans Anneke de Jong 《Educational gerontology》2013,39(10):923-938
Power is a resource for living that is present in all individuals, and has a positively uplifting effect on one's quality of life. In a grounded theory approach, we searched for factors influencing the sense of power, which exist in elders' interactions in their environment. These factors were awareness of personal changes, coping, role taking, perceived satisfaction, independence, and being in control. Self-management was at the core of all these factors. Educational interventions by health care professionals based on the elders' needs for empowerment comprise a major part of wellness approaches. 相似文献
5.
We report on knowledge about old age among social service providers from three service networks. Data are based on a survey of 245 respondents from Washington State's developmental disabilities, aging, and generic service networks. Palmore's Facts on Aging Quiz (FAQ; 1977, 1988) was used to measure the level of knowledge about old age. Key findings are as follows: (a) Overall, the respondents averaged 64% correct on the FAQ. (b) Developmental disabilities service providers scored lower than either aging service providers or generic service providers. (c) The content areas in which items were most often missed were the psychological aspects aging, the demographic trends of the aging population, and the socioeconomic status of the elderly. Implications of the results for training service providers are discussed. 相似文献
6.
Christine A. Gayda-Chelder 《Educational gerontology》2013,39(12):942-943
Editor's Note: This piece represents the first installment of a new section of Educational Gerontology called Professional Thoughts and Experiences. The effective practice for professionals engaged with the aging population is an optimal balance of best available clinical evidence, personal expertise, and common intuition. At Educational Gerontology we have made it our primary goal to provide our readers with the highest quality of evidence-based aging studies. However, care providers' clinical expertise, i.e, the proficiency and judgment acquired through clinical experience and practice, which varies among care providers and the individual needs of the patients (clients), does not always receive published recognition. As such, we will, from time to time, publish the narratives, poetry, and anecdotes of our professional care providers so that we can all respect—and even aspire to—their dedicated service to this population. This article presents the story of a wife whose husband has frontotemporal dementia. Her story of love and loss is illustrated from the perspective of her clinical psychologist. The narration reveals how one client–therapist interaction can provide a lesson in love and life to the clinician and countless others. 相似文献
7.
In this longitudinal study, 108 older individuals (M age = 70.58 years, SD = 6.94) estimated the extent to which their fluid and crystallized skills had changed over the previous three years. For each perceived change, individuals also estimated the extent to which numerous explanatory factors were responsible for such change. Crystallized skills were seen as unchanging, whereas fluid skills were perceived as having declined slightly. In both cases, self-initiated efforts to maintain one's skills were endorsed most frequently as explanations for the maintenance of one's skills. Variability in attributions in three-year changes in both fluid and crystallized skills was associated with individual differences in health, self perceived everyday cognitive failures, and state anxiety. The findings from this study suggest that it is important to identify factors over which older adults perceive themselves as having control as salient targets for educational interventions fostering a sense of self-efficacy, critical to feelings of enhanced competence in later life. 相似文献
8.
Juanita Bacsu Bonnie Jeffery Sylvia Abonyi Shanthi Johnson Nuelle Novik Diane Martz 《Educational gerontology》2013,39(5):327-337
To date, initiatives to support healthy aging in place have focused primarily on the views of policy makers, researchers, and health professionals. This article explored the meanings, experiences, and perceptions of healthy aging in place among rural older adults. Guided by a community-based participatory research approach, this study sheds light on the perspectives of rural seniors themselves. Through semistructured interviews with 40 rural older adults, the study found that rural older adults' conceptualization of healthy aging in place consisted of factors that policy makers and health professionals would not necessarily consider. In contrast to biomedical approaches, the rural older adults situated healthy aging in place within a more holistic context of health, ranging from social interaction to maintaining an optimistic mental outlook. If policy makers and researchers are to develop more effective interventions that support rural healthy aging in place, then the importance of rural older adults' perspectives, experiences, and input must be recognized. 相似文献
9.
Lucinda Lee Roff David L. Klemmack Kristina Jaskyte Lina Kundrotaite Brigita Kimbriene Jurate Macijauskiene 《Educational gerontology》2013,39(7):577-585
Having regained independence from Russia in 1990, Lithuania is in the process of developing a social service system to meet the needs of its older citizens. This paper describes the current situation of older persons in Lithuania and the early stages of gerontology education and gerontological service provision in that nation. Future social service providers (n = 22) who participated in one of Lithuania's first gerontological education training programs completed the 17 items of Kogan's Attitudes Toward Old People Scale. Results indicate that future service providers hold generally neutral to positive attitudes toward older persons. The absence of negative attitudes toward older persons among the first generation of Lithuanian gerontological service providers bodes well for the development of gerontology education and services for older persons in Lithuania. 相似文献
10.
The sexual needs and wellbeing of older people living in residential aged care receives scant attention in practice, is easily dismissed by care staff, and remains a significant challenge for aged care service providers. This study reports on the evaluation of an education program delivered to residential aged care nurses to improve their knowledge about, and attitudes towards, older people's sexuality in this context. Participants' attitudes and beliefs towards older people expressing their sexuality in long-term care, including same sex couples and people with dementia, were more permissive following education. Findings further underscore the value of sexuality education as an important factor in dispelling the commonly held negative views of residential aged care staff about older people expressing their sexuality, thereby improving staff responses to this issue. 相似文献
11.
Knowledge, anxiety, and attitudes about older adults and one's own aging were assessed in 256 college students. The Facts on Aging Quiz (Palmore, 1988), the Knowledge of Aging and the Elderly Quiz (Kline, Scialfa, Stier, & Babbitt, 1990), the Anxiety about Aging Scale (Lasher & Faulkender, 1993) and the Aging Semantic Differential (Rosencranz & McNevin, 1969) were administered at the end of the semester to students enrolled in an upper level psychology course on aging and students enrolled in an introductory psychology course (who had never had a course on aging). Comparisons of those finishing the psychology of aging course and those never having taken a course on aging revealed significant differences in knowledge of aging and the elderly and attitudes toward the average 70-year-old. Interestingly, the two groups of students did not differ in personal anxiety about aging and attitudes about one's own aging. The implications of these findings are discussed in relation to attitudinal judgments of oneself versus others and the differential benefits of education for attitudes and anxiety about other old adults versus attitudes and anxiety about one's own aging. 相似文献
12.
Geriatrics education at the University of Valle Medical School uses many teaching strategies in undergraduate and postgraduate programs. These include improving communication with older patients, accepting one's own aging, teaching human values, providing experiences with well elderly, and participating in an interdisciplinary team. There are common curricular areas in geriatrics for health care disciplines which include medicine, dentistry, nursing, speech therapy, physiotherapy, and occupational therapy. However, each discipline also has specific curricular components. There is a curricular program for family medicine and internal medicine residents. A curriculum design was approved for a new geriatrics fellowship program which is in development. Finally, the progression of the curriculum is according to the learning needs of each level of education among medical students, residents and fellows. 相似文献
13.
Janelle R. Harding 《Educational gerontology》2017,43(9):462-467
Research has shown that healthcare providers are not proactive in assessing and educating the aging adult population about sexual health. Barriers to discussing sexual issues by healthcare providers commonly cited in the literature include lack of time, lack of perceived knowledge, and personal embarrassment. Using an online survey collector, the survey was distributed to advanced practice registered nurses, doctors of osteopathy, medical doctors, and physician assistants in general practice in a mid-western state who care for patients 50 years and older. The results of this survey showed that only 28% of the respondents routinely assess the sexual health of aging adults. Nearly half of the providers that responded felt that they find it difficult to proactively assess the sexual health of an aging adult. Common barriers of patient discomfort, lack of time, and low medical importance reveal a need for interventions. 相似文献
14.
15.
In this article we respond to the call to action that is the crisis among seniors called The Silver Tsunami! We describe the education of students through the use of Feil's Validation Therapy. There are growing concerns among social service providers regarding the rapid increase of the elderly population and the lack of adequate staff to provide care for our seniors. If we as educators, agency administrators, or committed family members ignore this call to action, the cycle of the employee “revolving door” will continue with inadequately trained and emotionally disconnected personnel working with aging persons. Frontline workers are the backbone of any agency. They are the ones who interact with seniors and their loved ones and collaborate with other medical and community professionals. We, as their teachers, must enhance their knowledge and skills so they many continue to provide service to the second most vulnerable population. 相似文献
16.
With the growing trend in population aging, declining birthrates, and changing patterns in living arrangements, aging in place has become a primary choice for elderly people after retirement (Hooyman & Kiyak, 2010). Home care service has become a key aspect of successful aging so that recent studies started to examine how to serve the dailyneeds for the elderly by adopting new home care services, in particular technology-enabled services for better living. This study applied Maslow’s theory to conduct an in-depth assessment on elders need and examine the factors that influence their satisfaction.Based on the concept of the social change process model (Glofia 1983), the “social awareness” on seeking external (societal) help to solve the problem was proposed and tested on its moderating effects in satisfying elder’s needs. The results from the empirical testing reveal that that elderly people rely on assistance from others and home-care service providers mediating the service to satisfaction when they are in less favorable health and economic conditions. 相似文献
17.
Theorists argue that one's personal view of communication affects the actual communicative relationship. This paper explores the positive, growth‐promoting implications for communication between generations when the model that persons bring to the cross‐generational relationship is transactional, and discusses implications of the transactional model for trainers and educators in gerontology. With the rising number of older persons in American society, the question for persons working on a consistent basis with the elderly (kin, social service provider, etc.) of how to relate most effectively on an interpersonal basis with an older person is an issue of great import. The authors suggest that the transactional perspective to interpersonal communication with older persons is the answer to most effectively dealing with factors affecting communication cross‐generationally and suggest that educators adopt this perspective. Factors that the transactional perspective addresses directly include negative stereotypes and fears of aging, crises encountered as the person ages, shifts during the later life cycle in exposure to interpersonal communication, and ability to negotiate relationships. 相似文献
18.
Kathy Black 《Educational gerontology》2013,39(11):982-994
Professional practice with older adults is performed in a variety of settings and across a broad range of areas. Planning for care throughout the end of life represents an increasingly important aspect of work with older adults as a result of the nation's aging demographic and concomitant health care needs. Community-based geriatric case managers represent a growing cadre of professionals encountering frail older adults with future care needs that can be anticipated in advance; however, little is known regarding specific professional and personal factors associated with greater practice in this area. This article presents the findings from a study of 148 community-based case managers' advance care planning practices, conducted in the Southeastern United States. Correlational analyses revealed specific gerontological skills, educational activities, and personal experiences in advance care planning that was highly correlated with practice. Implications for training are discussed. 相似文献
19.
Amanda Fulford 《Educational theory》2016,66(4):519-534
In this paper Amanda Fulford addresses the issue of student writing in the university, and explores how the increasing dominance of outcome‐driven modes of learning and assessment is changing the understanding of what it is to write, what is expected of students in their writing, and how academic writing should best be supported. The starting point is the increasing use of what are termed “technologies” of writing — “handbooks” for students that address issues of academic writing — that systematize, and smooth the work of writing in, Fulford argues, an unhelpful way. This leads to a reconsideration of what it means to write in the university, and what it is to be a student who writes. Fulford explores etymologically the concept of “writing” and suggests that it might be seen metaphorically as physical labor. Writing as physical labor is explored further through the agricultural metaphors in Henry David Thoreau's Walden and through Stanley Cavell's reading of that text. In making a distinction between writing‐as‐plowing and writing‐as‐hoeing, Fulford argues that some technologies of writing deny voice rather than facilitate it, and she concludes by offering a number of suggestions for the teaching and learning of writing in the university that emphasize the value of being lost (in one's subject and one's work) and finding one's own way out. These “lessons” are illustrated with reference to Thoreau's text Walden and to American literature and film. 相似文献
20.
H. Arleen Johnson 《Educational gerontology》2013,39(6):547-559
Guidelines for including geriatric content in six health care disciplines recommend training in topics such as fear of aging, death, dying, grieving, and suicide. The psychoanalytic theory of humor provides a basis for using humor to teach these sensitive topics. Humor used in clinical settings relieves anxiety, decreases discomfort, and provides a coping mechanism for both patients and health care providers. Humor used in educational settings increases comprehension, enhances retention, and improves faculty ratings. Suggestions are provided for incorporating humor into lesson plans and assignments. The use of humor contributes to learning and to improved health care for older people. 相似文献