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1.
The aim of the present study was to examine the involvement, beliefs, and knowledge of social workers in health care settings in the process of making decisions regarding life-sustaining treatments. A convenience sample of 68 social workers participated in the study (65 F and 3 M; mean age = 42.4 ; SD = 10.0 . Fifty-two participants worked at hospitals and 16 at nursing homes. The area in which social workers reported being more involved were activities related to family members. The extent of social workers' involvement was related to their beliefs regarding their role and their knowledge about life-sustaining treatments. Findings of this study emphasize the need for developing educational programs aimed at expanding social workers' knowledge in order to increase their autonomy and professional involvement in end-of-life decision making.  相似文献   

2.
Survival rates for very preterm and critically ill infants are increasing, raising complex ethical issues for health-care providers and parents who face the challenge of making end-of-life decisions for newborns. The purpose of this integrative literature review was to evaluate parental involvement in end-of-life care and decision making for their infant in the newborn intensive care unit. Findings revealed that establishing good relationships and clear communication between health-care providers and parents builds trust and eases stress placed on parents making decisions about the care of their infant. Palliative care programs provide support for parents and facilitate their decision making. Parents can be educated about how to communicate with health-care providers. Educating nurses on how to provide end-of-life care may also help improve support for parents during this difficult time. Additional research is recommended to examine parents' needs during and after end-of-life care decisions for their newborn.  相似文献   

3.
ABSTRACT

With the development of information and communication technologies (ICTs), there are increasingly more Internet-based communication methods available for older adults besides traditional methods (e.g., in-person or landline phone). However, older adults’ preferred communication methods remain under-investigated. The purpose of this study is to explore the communication preferences and patterns of older adults in the United States, with emphasis on technologically-mediated environments. In this study, 17 semistructured interviews were conducted with participants from a midwestern state in the United States. The goal was to examine older adults’ communication patterns and preferences with family members and friends, as well as their views about the impacts of modern technology on communication. Three themes (communication preferences and reasons, communication barriers, and the impacts of technology) were generated from the interviews. The findings showed that although face-to-face communication is the most preferred method, telephone communication is the most commonly adopted method. Interviewees also shared different opinions regarding Internet-based communication. The current study illustrated the importance of understanding the preferences and patterns of older adults’ communication needs and desires.  相似文献   

4.
ABSTRACT

Complementary and alternative medicine (CAM) includes a wide variety of treatments including modalities that are ingestible (e.g., vitamins/minerals), mind/body (e.g., yoga), and physical (e.g., acupuncture). Disclosure of CAM to medical care providers is important for avoiding potential health risks. The aim of the study was to elucidate reasons for CAM nondisclosure to physicians among a population of older adults. A sequential exploratory mixed-methods design utilizing quantitative questionnaires and qualitative interviews was employed. Linear regression was performed to evaluate variables that may contribute to disclosure. Ninety older patients from two primary care clinics – including 12 who completed qualitative interviews were included in this study. Participants were significantly less likely to disclose ingestible types of CAM compared to physical (p < .01) and mind/body modalities (p < .03). Linear regression resulted in a model that explained 25% of the variance in disclosure of ingestible forms of CAM; age, doctor’s opinion of CAM, and participants’ with less concern of their health were significantly related to disclosing CAM use. Qualitative interviews suggested that individuals over 70 years of age with longer lasting chronic conditions were less likely to disclose CAM as compared with those aged 65–69 who tended to use CAM for episodic and preventative care. Rates of CAM disclosure among older adults may be dependent on the participant’s age, their experience with health, and expectations surrounding communication with their physician. Understanding patterns of CAM use can help guide age-appropriate conversations and limit possible adverse outcomes from non-disclosure.  相似文献   

5.
The capacity to achieve and retain control over one's own life—to make decisions about and exert power over one's situation—is strongly correlated with being healthy. For older persons, there is a real danger that professionals with good intentions will encroach on this control in the name of providing service. We examine the issues of power, control, decision making, and healthy aging from the perspective of educating health care providers. Particular attention is paid to how health care providers see their role in defining older adults as being at risk when they refuse service or take risks that providers define as unacceptable. We raise this issue of appropriate professional control and cite the literature on successful coping to argue for policies and practices that enhance personal autonomy and interdependence as effective vehicles for healthy aging. Lessons from primary health care are applied to healthy aging even in the face of diminished capacities.  相似文献   

6.
ABSTRACT

This study investigated age preferences for 11 different service providers and the age at which workers in these occupational roles were considered to be “too old” by three age groups: young (18–24), middle-aged (35–55), and older adults (65 +). Results indicate that in comparison to middle-aged and older adults, young adults continue to have unrealistic age preferences and, at a time when the workforce is becoming increasingly older, feel that many workers are too old. The hypothesis of a positive relationship between age group and age preference was not supported; there were few significant differences between the middle-age and older adults.  相似文献   

7.
This study examined the associations of educational level with functioning and life satisfaction among community-dwelling older adults in South Korea (n = 4,152). The sample was drawn from Wave I of the Korean Longitudinal Study on Aging. To examine educational disparities, separate analyses were run to note predictors in less educated (below the 6th grade) and better educated (above the 6th grade) respondents. Educational disparities were found in major predictors of health and well-being. Older age and lower cognition were strong predictors of functional limitations, while being married, receiving public assistance, and better psychological functioning were associated with greater life satisfaction. The health and well-being of less educated respondents were influenced by demographic factors, while social engagement and psychological functioning were more prominent predictors for better educated respondents. These findings highlight the importance of enhancing cognitive functioning and function among older adults in Korea to promote their health and well-being.  相似文献   

8.
Objective. To determine how parents evaluate decisions about children's autonomy, Korean mothers and fathers as well as nonparental female and male adults, all living in the United States, were interviewed about parental decisions regarding children's engagement in gender consistent and gender inconsistent extracurricular activities. Design. A homogeneous sample of parents and nonparental adults (N = 80) participated to control for social experience beyond parental status. Participants were interviewed about whether it was acceptable for parents to allow their sons and daughters to engage in gender consistent (boy plays baseball, girl takes ballet), gender inconsistent (boy takes ballet, girl plays baseball), and gender neutral (boy goes to a sleepover, girl goes to a sleepover) peer activities, along with questions about autonomy, gender preferences, parental jurisdiction, cultural change, and stereotype knowledge. Results. Whereas all participants promoted autonomy, parents were more likely to sacrifice autonomy to conform to gender stereotypic expectations than were nonparental adults and to use social-conventional reasoning to justify their evaluations. Parents were more likely than nonparental adults to promote boys' autonomy than girls' autonomy in the absence of stereotypic expectations but were less likely to do so in gender inconsistent contexts. Conclusions. Korean parents and nonparental adults differ in their decisions about children's engagement in gender related peer activities. In contrast to nonparental adults, parents used multiple forms of social reasoning when evaluating children's autonomy in the context of gender expectations. These findings shed light on the complex decision-making that parents engage in when granting children autonomy and promoting social development.  相似文献   

9.
Live-in home care provided to older adults blurs the boundaries between private and professional, personal and public matters, and working hours versus off-duty time. As a result, live-in home care workers are at risk for exploitation. The present study examines the extent to which older adults, family members, and migrant live-in care workers are familiar with the rights of migrant live-in care workers. A random stratified sample of adults over the age of 70 who receive home care services was conducted. Overall, 338 migrant live-in care workers, 224 older adults, and 442 family members were interviewed and asked about their knowledge regarding 10 basic migrant live-in workers’ rights. Moderate levels of knowledge regarding migrant live-in care workers’ rights were found. On average, older adults were aware of 4.22 workers’ rights (out of a possible number of 10 rights), whereas family members and migrant live-in care workers were aware of 7.77 and 7.34 rights, respectively. No more than 4% of older adults, 18% of family members, and 10% of migrant live-in care workers were aware of all 10 workers’ rights. It seems that whereas some rights regarding social benefits were well acknowledged, core issues related to the job and to the status of migrant care workers remain unclear. Implications for policy and practice are discussed.  相似文献   

10.
ABSTRACT

Yoga has been found to provide numerous health benefits to older adults including preventing or slowing physical frailty and subsequent functional limitations. The purpose of this study was to examine pre-frail or frail older adults’ beliefs about yoga as well as to identify barriers to participation. We recruited 37 older adults from a Faint, Fall, and Frailty Clinic at a medical center and asked them to complete questionnaires regarding their physical health and beliefs about yoga using the Beliefs About Yoga Scale. Frailty and fall risk were obtained through electronic health records. Participants’ had mean age of 72.81 years. Participants were considered to be prefrail (66.7%) or frail (33.3%), and most (78.4%) had fallen at least once in the past year. Over 72% of participants engaged in light physical activity. The BAYS mean score was 59.17 (SD = 12.5; Range 11–77). Higher scores indicted more optimistic beliefs about yoga. Over 90% of participants had not practiced yoga, 97.1% had no intentions to practice, 61.8% did not know locations placed where yoga classes were offered, 82.4% were unsure about the costs associated with yoga, and only 56.3% reported having transportation. The three primary barriers to practicing yoga were perceived difficulty of yoga practice, lack of motivation, and fear of injury. Participants held positive beliefs about yoga, yet had limited experience and little intention to participate indicating a need to provide targeted educational interventions to this population of older adults.  相似文献   

11.
ABSTRACT

Although information and communication technologies (ICTs), such as smartphones, tablets, and the internet, have all become increasingly important in modern society, available studies on the adoption of ICTs have mostly focused on healthy and community-dwelling “young-old” adults. Relatively little is known about ICT use among long-term care residents, such as “old-old” adults, who often have various functional impairments and live in institutionalized settings. The study includes data on ICT use (TV, radio, computers, smartphones, tablets, and internet) among a large sample of 940 residents (mean age: 87.6 years) living in 20 retirement homes in Zurich, Switzerland. Twenty-one percent of residents reported using the internet, 13% used a smartphone, and 5% used a tablet. Younger older adults, those with more education, those with lower nursing-care levels, and those who reported being particularly interested in technology were more likely to own more than one ICT device. Compared with nonusers, internet users were more likely to be younger, better educated, and more interested in technology in general. Modern ICT usage has reached the long-term care sector and appears to play a significant role in many residents’ lives. Researchers should continue to examine the role of ICTs in the lives of older adults in general and for residents in long-term care in particular, given that this population is often ignored in studies of older adults and ICT use.  相似文献   

12.
The number of older adults taking advantage of courses offered by institutions of higher learning is increasing. Despite this trend in university and college enrollment, educators know little about the reasons why adults aged 55 years and over are making the decision to return to school. This paper describes the results of an exploratory study about: (1) educational motivations of older students; (2) effect of involvement in university classes on older adults' attitude toward aging; and (3) impact of older individuals' participation in university classes on marital relations.

Interviews were_ conducted with twenty‐one married couples, aged 55 years and older (X = 68.54), with one spouse attending university classes. In order to compute life satisfaction analyses, a control sample was secured. This group consisted of 33 married couples, 55 years and over (X = 70.93), with neither spouse participating in continuing education.

Results indicated that older students viewed intrinsic learning goals to be significantly more important than extrinsic incentives (p<.01). Student couples reported significantly more positive attitudes toward growing older than did nonstudent couples (p<.05). Although participation in university classes had only a minimal impact on members' marital interaction, student couples express satisfaction with this effect.

Recommendations suggested the construction of assessment measures of older adults' self‐initiated versus externally reinforced learning goals. It is advised that pre‐ and posttest interview schedules be used when determining the impact on family solidarity of older adults' pursual of further learning. Future research is suggested which explores whether participation in continuing education provides skills or information for older persons to adjust to their changing environments which in turn would have an influence on level of morale.  相似文献   

13.
ABSTRACT

Ageism refers to discrimination against individuals based on age, while aging anxiety is defined as fear about getting older. We were interested in whether ageism and aging anxiety had distinct correlates among young adults. The purpose of this study was to explore the effects that knowledge of aging, contact with older adults, fear of death, and optimism have on ageism and aging anxiety in young adults (N = 623). Knowledge of aging and contact with older adults were associated with lower ageism. Aging anxiety was associated with greater fear of death and lower optimism. Results indicate that the positive effects of contact and knowledge on the attitudes of young adults toward the older adult population. Increased education on the aging process and improving quality of contact with older adults could help reduce ageism and ageing anxiety.  相似文献   

14.
DVD-delivered behavioral skills training may help disseminate efficacious treatments to older adults independent of internet access. The present study examined the usability of a portable DVD player alongside iterative revisions of accompanying instructions to be used by older adults in a DVD-delivered behavioral skills treatment study. The sample comprised 20 older adults with a mean age of 69.5 years (SD = 7.3). Behavior observations revealed that three of five steps to play the DVD were completed by more than 90% of participants. Quantitative ratings revealed that 75% could play the DVD easily. Qualitative content analysis further elucidated the usability of the player and the clarity of the instructions. Findings suggest user-centered design of instructional support in DVD-delivered treatments for older adults may be critical to minimizing user error and frustration and increase user experience.  相似文献   

15.
The primary purpose of the present study was to examine age differences in choice deferral when young and older adults make high vs. low conflict decisions in two domains (i.e., health and commodity). Sixty young and 60 older adults were presented with four different decision scenarios in which they could either choose an option or use choice deferral (i.e., not choose any of the options for the time being). The high conflict decisions had negative interattribute correlations, while the low conflict decisions had positive interattribute correlations. Older adults were more likely than young adults to choose the deferral option across domains. Participants were more likely to choose the deferral option when making high conflict decisions than when making low conflict decisions. For older adults, an increase in postdecision positive affect was greater for those who deferred choice than for those who did not defer choice in the commodity domain. Implications were discussed in terms of real-life decision making of older adults.  相似文献   

16.
This paper provides insight into the reasons underlying medical students' interest in geriatrics. Semi-structured interviews, informed by attitude theory, were conducted with first-year medical students who indicated that they were not interested in geriatric medicine (n = 10) and those who indicated that they were moderately to very interested in geriatrics (n = 10). The interviews were analyzed qualitatively. While most students in both groups did not plan on pursuing geriatric medicine, differences were found between the two groups. Students who expressed an interest in geriatrics had more positive and negative experiences with older adults, were more comfortable with palliative care, did not view their patients as responsible for their illnesses, and held more fears about aging and death than did those students who were not interested in geriatrics. The discussion of the results focuses on the role of experience in students' interest in geriatrics, and their beliefs about personal gain and loss and the field of medicine in general. Implications for educators, including the need to increase exposure to older patients and geriatric medicine for all students, are discussed.  相似文献   

17.
ABSTRACT

Primary care physicians play a central role in the process of providing a timely diagnosis of Alzheimer’s disease (AD). Recent reviews reported that their lack of knowledge and stigmatic beliefs about the disease are important barriers to providing an adequate diagnosis and even affect physicians’ referral recommendations for help-seeking (HS). This topic however, has not been examined among medical students. Thus, the aim of this study was to examine Israeli medical students’ HS recommendations for a person with AD, and their associations with knowledge about the disease and stigmatic beliefs, including agism and AD stigma. A convenience sample of 142 six-year medical students completed a structured questionnaire (60% female; mean age = 25.8). Overall, regarding nonprofessional sources, the vast majority of the participants stated they would recommend seeking help from close family members and friends. Regarding medical sources, almost all the participants recommended seeking help from family physicians and neurologists. Results showed that AD stigma mediated the relationship between knowledge about AD and HS recommendations. Our results stress the importance of investing efforts during the training and socialization phases of future clinicians in order to improve the timely diagnosis of AD, placing special attention on AD stigma.  相似文献   

18.
It has been identified that performance of Activities of Daily living (ADL) and chronic disease are predictors of depression for older Asian immigrants. This study examined the independent and interactive effects of ADL performance and chronic disease on depressive symptoms among older Korean immigrants. Data from 210 older Korean immigrants in Los Angeles County were analyzed. Self-reported measures included sociodemographic characteristics, ADL performance, chronic disease, and depressive symptoms. A hierarchical regression model indicated that performance of activities of daily living were negatively associated with depressive symptoms. Also, older Korean immigrants with more chronic diseases were more likely to have depressive symptoms. The interaction between ADL performance and chronic diseases was significantly associated with lower levels of depressive symptoms (β = .46, p < .05). Findings suggest that it is critical to develop various strategies for enhancing immigrants’ ability to perform activities of daily living; this can lead to increased independence and reduced chronic illnesses, thus, improving overall quality of life.  相似文献   

19.
ABSTRACT

This study examined ways in which Information and Communication Technology (ICT) plays a role in contexts between two countries: the US and South Korea, comparing individual situations and structural factors that support the use of ICT among older adults. Surveys were administered to 113 US and 104 Korean community-dwelling respondents, inquiring about their ICT use, eHealth Literacy, and Social Capital. Significant differences between the two countries were found in respondents’ educational levels, marital status, and types of social activities. A vast majority of Korean elders (77.9%) reported being current users of the Internet, compared to 63.7% of their US peers. A greater level of eHealth literacy was found among Koreans. In both groups, factors affecting eHealth literacy included educational levels and confidence in using ICT. In both countries, ICT can provide a diverse array of online resources for low-income elders to manage their health problems and maintain social connections. Hence, further services are needed to help older adults become more involved in technology in order to maximize the utilization of ICT.  相似文献   

20.
The revolution in communication technology has resulted in more age-segregated conversation among adolescents. In a similar way, older adults have increased online conversations with their peers. This article explores some obstacles that prevent the intergenerational connections needed for mutual understanding and care. Several research emphases are described that together define the complexity of intergenerational dialogue. The concerns provided for consideration include (a) age-segregated communication practices of adolescents and older adults, (b) willingness of older people to disclose personal opinions and feelings to younger people, (c) need for general adoption of the reciprocal learning concept to support harmony, (d) amount of time spent with adolescents as a predictor of parent and grandparent success, (e) learning expectations for later life that contribute to productive aging, and (f) recognition of the leadership role that adolescents should assume to reconnect the generations. Attitude and behavior change are recommended for older adults, adolescents, parents, educators, and school stakeholders.  相似文献   

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