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1.
The purpose of this research was (a) to determine whether there is a comparative difference in the level of conscious death anxiety between young-old and the old-old nursing home residents and (b) to assess the predictive value of educational attainment, gender, subjective health, functional ability, social support, and length of stay on the conscious death anxiety of the persons in the two age groups. A discriminant analysis of 228 residents from three nursing homes revealed that among the 103 young-old subjects poor subjective health, poor functional ability, poor social support, and extended stays in the facilities were indicative of high death anxiety. Among the 125 old-old subjects, high death anxiety was associated with poor subjective health, poor functional ability, and higher educational attainment. Further, it was found that age was an important variable. A significantly greater proportion of the older residents compared to the younger residents had higher conscious death anxiety. The results may direct practitioners and planners in program development for the elderly nursing home patient.  相似文献   

2.
A stratified random sample of 226 U.S. nursing schools was surveyed to determine the extent and nature of current death education training for nursing students. Of the 205 responding schools, 5 percent reported offering a required death and dying course, while an additional 39.5 percent indicated that a death and dying course was available for their students on an elective basis. The authors challenge the current pedagogical approach toward death education in U.S. nursing schools. They propose the need for the development of a model that would formally link a death education course, or courses, with the clinical phase of training. It is hypothesized that such an approach would enhance the nursing students' recognition and management of their feelings regarding death and dying and therefore result in more effective means of relating to terminally ill patients.  相似文献   

3.
Agencies and institutions dealing with the elderly have only limited time, money, and personnel with which to plan and implement educational programs. Yet a basic knowledge of aging and death and dying seems to be essential for those working with older adults. The purpose of this paper is to review the literature on short‐term educational programs on death and dying and aging in order to offer practitioners some guidance for efficiently structuring programs to bring about desired changes in these areas. From 15 selected studies, 3 aspects of such programs are reviewed and analyzed: the length of the intervention, the type of treatment, and the nature of the target group involved.  相似文献   

4.
ABSTRACT

The Advanced Cardiac Life Support (ACLS) training aims to help nurses establish the basic competence of the comprehension of electrocardiograms (ECG/ EKG). However, learners usually have difficulty memorizing the meanings of different EKG waveforms, which could represent clinical symptoms or even the feeling of dying, via traditional instruction. Some serious problems could lead to death if the nursing staff do not make correct judgments and provide timely treatment. Thus, this paper reports an explorative study investigating the effects of a flipped classroom approach on nursing staffs’ ACLS learning achievement. A 2-week experiment was conducted to compare the learning achievement of the nursing staff who learned with the ACLS situation-based flipped classroom approach to those who learned with the ACLS traditional flipped approach. The experimental results show that the nursing staff who learned with the proposed approach had better learning achievements, motivation, and satisfaction than those who learned with the ACLS traditional flipped approach.  相似文献   

5.
ABSTRACT

Nursing home residents over the age of 65 years are at high risk for poor oral health and related complications such as pneumonia and adverse diabetes outcomes. A preliminary study found that Massachusetts’ nursing homes generally lack the training and resources needed to provide adequate oral health care to residents. In this study, an intervention targeting Certified Nurses’ Aides (CNAs) was developed and tested. We hypothesized that following the training, CNAs would have increased knowledge and self-efficacy toward providing oral health care to the residents in their charge.

This pilot study used a one-group pretest-posttest design to test the effectiveness of a psycho-educational training intervention. Utilizing the constructs of knowledge and self-efficacy from the Theory of Planned Behavior and the Social Cognitive Theory, we framed the content of a training intervention and administered a 21-item instrument. The survey was distributed to the CNA staff of a single midsize nursing home immediately prior to and after the intervention. The 1-hour training intervention was empirically supported by formative data and delivered by dental faculty researchers.

Findings indicate increases in two areas of oral health knowledge: toothbrush position and frequency of brushing. Self-efficacy, however, did not significantly change. Although the results marginally supported our hypothesis, this pilot study demonstrates the feasibility of delivering interventions to CNAs who have direct responsibility for promoting the oral health of long-term care facility residents.  相似文献   

6.
Miles MS 《Death education》1980,4(3):245-260
The purpose of this study was to measure the effects of a course on death and grief on the attitudes toward death and toward dying patients of nurses who work in high-risk death areas of hospitals. This quasi-experimental design used four groups of subjects. One group experienced the treatment. Another group served as a waiting-list control group and then experienced the treatment. Two groups were control groups. The treatment consisted of attendance at a 6-week continuing education course entitled "Coping with Death and Dying in High-risk Areas of Hospitals." The Death Anxiety Semantic Differential, Parts I and II, was used as the dependent variable. The results indicate that the small-group counseling and education experience did have an impact on attitudes toward death and dying patients of nurses who attended. The discussion of the findings and recommendations for further study are presented.  相似文献   

7.
This study identified dietetic students' knowledge of aging, attitudes, and intentions to provide services to the elderly and compared the cross-cultural differences between the United States and South Korea. The results show that knowledge about aging and the elderly, coursework experiences, and internship experiences are much greater among American college students than among Korean college students. Stepwise regression results found positive attitudes toward working for the elderly, as well as internship experiences, influenced behavioral intentions among both Korean and U.S. students. Effective education programs should integrate sufficient knowledge, positively reflect student attitudes toward aging populations, and control the quality of contact with the elderly.  相似文献   

8.
广州城市养老急需高素质的专业护理人员,高职院校要应对这一需求,改革护理专业课程：增加实用的养老护理专业知识和操作技能训练,增加中医护理知识和技能,加强敬老爱老职业精神和素质的培养。要加快课程改革,就必须充分认识培养养老护理人才的重要性和紧迫性,加强社区和养老院、福利院等养老机构实习基地的建设,把职业技能证书考核内容纳入专业知识学习范畴,同时学习日本、香港等地的先进养老经验,不断完善课程改革。  相似文献   

9.
心血管专科护士的日常护理工作在心血管疾病的治疗和康复过程中起着重要的作用。但目前我国高校心血管专业方向护生培养还存在人才培养方案不够科学、师资缺乏、实践设备设施不足等问题。武汉亚心医院与相关高校在合作培养心血管专业方向护生的实践中,共同制定人才培养方案、共同进行课程体系设计、共同编写教材、共同探讨教学模式、共同设计教学方法、共同检讨教学效果等,收到了较好的成效。  相似文献   

10.
Nurses play a significant role in geriatric care. However, as the aging population and demand for geriatric nurses increase worldwide, shortages of nurses seem to arise. This creates the need to assess and address the motivation and attitudes of nurses toward geriatric care. The intent of this qualitative study is to surface the essence or the “lebenswelt” that describe the motivation and attitudes of a selected group of Filipino nurses toward geriatric care. A total of six registered nurses who had experienced taking care of elderly patients voluntarily participated as respondents of this study. A two-part instrument developed by the researchers was made to elicit necessary data and information. The first part comprised of the robotfoto intended to establish the baseline characteristics of nurses under study. The second part consisted of a semistructured individual in-depth interview using “aide memoire” to probe into the motivation and attitudes of the nurse respondents. Field texts were phenomenologically reduced via repertory grid. Two distinct and interesting themes, namely Geriatric Service Motivation Typology and the Yin-Yang of Geriatric Attitudes emerged. The first theme includes the Single Loop and Double Loop type of motivation The former involves a transactional and unidirectional process, while the latter constitutes a two-way relational and transformational process. The second theme consists of a harmonious combination of the two sides of the nurses' attitudes toward geriatric care. Through this study, the human side of nursing is seen and captured, thus increasing the awareness and knowledge of nurses, improving provision of optimum geriatric care, and inspiring nurses to pursue geriatric nursing with a yearning to serve the elderly with and from the heart.  相似文献   

11.
A study of nursing home staff found that nurses generally are not knowledgeable about psychiatric symptoms and do not seek out psychiatric intervention for their patients who need it. Even when nurses are knowledgeable about psychiatric symptoms and have had special training in mental health care it is found that they nonetheless rarely seek psychiatric intervention for their patients. The problem to be redressed lies not merely in increased education alone. It also resides in the organizational character of health care delivery in nursing homes, which makes adequate nursing response to mental illnesses impossible.  相似文献   

12.
The majority of teacher preparation programs do not address neuroscience in their curricula. This is curious, as learning occurs in the brain in context and teachers fundamentally foster and facilitate learning. On the one hand, merging neuroscience knowledge into teacher training programs is fraught with challenges, such as reconciling how scientific evidence is viewed and used in education, overcoming neuromyths, acknowledging the lack of direct connection between laboratory findings and classroom practices, and coordinating across different levels of analysis in neuroscience and educational practice. On the other hand, there are marked benefits to such a merger, such as deepening pedagogical content knowledge from multiple perspectives; understanding neuroplasticity and its educational implications; recognizing the power of the environment to affect neurobiology, learning, and development; and contributing to engaged, reflective practice and informed inquiry in teaching. Particularly in terms of learning equity for students and the development of a learning education culture in teacher education programs, the benefits of including neuroscience knowledge in teacher training would seem to outweigh the challenges.  相似文献   

13.
This article puts forward the “congruence” hypothesis which states that the effectiveness of training is dependent upon the correspondence between trainee's pre-existing cognitions (especially beliefs) and the knowledge that training is intended to convey. The hypothesis implies that a diagnosis of teacher knowledge should be a component of training programs. Two cognitive-oriented models of training (a concept-based model and an experience-based model) that differ in the degree to which they diagnose teachers' pre-existing cognitions are tested with respect to their impact on knowledge acquisition. The results supported the congruence hypothesis. Teachers' beliefs were found to filter the knowledge acquisition process: The greater the correspondence between teachers' beliefs and what was presented in training, the more likely learning was to take place. On the other hand, taking beliefs into account by diagnosing beliefs to facilitate greater congruence was not found to be an effective strategy. Apparently, other interventional techniques will have to be considered if teachers' beliefs are to be integrated with professional knowledge.  相似文献   

14.
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   

15.
To meet the current critical need for qualified nurses, many colleges have initiated online programs, primarily aimed towards registered nurse (RN) to BS students. Despite the growing number of online nursing programs, there is little research on instructor views of online learning. This study used interviews to investigate nursing instructor experiences in online learning. Results revealed instructor concerns with identifying the most effective assessment methods to judge students' ability to apply their lessons in real-world settings. Online nursing exhibits unique challenges, such as providing nursing students with online authentic learning experiences that relate to real-world nursing situations, which comprise both high-stake medical and interpersonal elements. Results also indicated that providing support and ensuring that the faculty have sufficient time to develop effective courses, with adequate assessment for the students, is necessary to ensure the quality of online nursing education.  相似文献   

16.
OBJECTIVE: The objectives were to determine the experiences of Taiwanese nurses with a new child abuse reporting law and to assess attitudinal correlates of nurses' intention to report. METHOD: A stratified quota sampling technique was used to select registered nurses working in pediatric, psychiatric and emergency care units in Taiwan. A total of 1400 (return rate 88%) questionnaires from 1617 nurses were used. The questionnaire includes demographic information, attitudes toward and knowledge of child abuse and reporting laws, and eight vignettes of child abuse. RESULTS:Most nurses (86%) said they had never reported a child abuse case; 21% said they had failed to report a suspected case of child abuse. Most (80%) had never had any child abuse education. About 75% felt their nursing education and in-service training was inadequate or absent. Most had an inadequate knowledge of the reporting law (mean score: 60% correct). Nurses only answered 17-43% of the law-related questions correctly. The majority accepted the professional responsibility to report. There were some differences among pediatric, psychiatric and emergency care nurses. In general, these Taiwanese nurses had negative attitudes toward corporal punishment and toward parents who abuse their children. The study also identified a variety of attitudes related to intention to report relevant to the Theory of Planned Behavior. CONCLUSIONS:Nurses accept responsibility for reporting but they believe their professional preparation for reporting is inadequate. There is a strong need for in-service and pre-service education about child abuse among nurses in Taiwan.  相似文献   

17.
《Educational gerontology》2013,39(5):381-391
As we enter the 21st century, increasing numbers of older adults will reside, either temporarily or permanently, in nursing homes. Training in nursing home care must become an integral part of the curriculum for internal and family medicine residency programs. The changing demographics of the Lebanese population have created an imperative for medical schools to increase their emphasis on the education and training of residents in the care of the elderly. A four-week block rotation was started for residents in the family medicine department in Hotel Dieu (The French Medical School). The rotation is taking place at the comprehensive Geriatric Program at Ain Wazein Community Hospital. The goal of the rotation is to provide formal training in nursing home care to family practice residents as a component of the geriatrics curriculum. The organization and the curriculum content of the rotation are presented. The initial evaluation of the rotation by the residents showed that the residents became more comfortable with elderly issues by the end of the rotation. Residents responded on a scale of one to six regarding four constructs. The rotation was positively evaluated by residents and staff. Consequently, the rotation has been incorporated into the curriculum of family medicine residents in Hotel Dieu.  相似文献   

18.
ABSTRACT

Nursing Assistants (NAs) are the largest workforce in nursing homes, but often lack adequate preparation for their role. The Living Classroom (LC) is an integrated learning approach, whereby a NA program is delivered in a nursing home (NH) in collaboration with a community college. This paper describes the implementation and evaluation of the LC. Mixed methods were used to gather data from 48 NA students, 5 faculty, and 42 NH staff over 30 weeks. Students, faculty, and nursing home staff described the LC as a positive learning experience. Students’ gerontological knowledge increased over time (p = .0012). Students reported very positive relationships with program mentors and NH residents. The LC provides a unique approach to prepare NAs to work in nursing homes. This model could expand to other educational programs with a gerontology focus.  相似文献   

19.
In this study, 241 young and middle‐aged adult college students completed the Aging Sexuality Knowledge and Attitude Scale, and provided information about their demographic and grandparental relationship qualities. Findings showed that greater age was associated with increased knowledge of elderly sexuality. Both the presence of contact and greater than average perceptions of closeness with at least one grandparent were predictive of more permissive attitudes toward elderly sexuality. Among the total sample, greater knowledge was related to more permissive attitudes toward elderly sexuality. However, the presence of contact with at least one grandparent moderated this relationship; young adults without grandparental contact presented a nonsignificant knowledge /attitude relationship. These findings suggest that future studies of younger age cohorts’ attitudes toward elderly sexuality should assess grandparental contact and relationship characteristics, as well as general demographic information such as chronological age. Health‐care educators also may need to reconsider the commonly held assumption that greater knowledge of elderly sexuality is associated exclusively with more permissive attitudes.  相似文献   

20.
While the nurse–patient relationship plays a vital role in enhancing a client’s well-being, in this study, it was observed that most nurses only communicate with their clients when dealing with administrative or functional activities. Although previous studies had been conducted involving the nature of nurse–patient interaction, none has yet investigated the potential of conjoint or trade-off analysis in understanding elderly patients’ preferences in home care and community settings. This study contributes to the gap in such knowledge about the nurse–patient relationship. A total of 238 Filipino elderly patients were recruited from home health care and community settings to participate in the research. A set of 36 choice bundles with 4 holdouts were extracted from a pool 144 orthogonal array. In this quantitative study, respondents were asked to sort and rank each card based on its importance and utility value. All data gathered were analyzed using SPSS version 20. Notably, the analysis found that the most important factor for elderly clients in home health care is non-verbal communication followed by verbal, gender and type of care provider while for elderly clients in community settings, gender is the most important consideration in nurse–patient interaction and this was followed by non-verbal cues, care provider and verbal cues. Findings of the study provide valuable inputs that could inform guidelines in implementing nurse professional development programs specifically in matters that relate to the effective communication between the nurse and patient in all health-care settings.  相似文献   

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