Download or read book Power and Autonomy in the Nursing Home written by Mary Lindsey Jacobs and published by . This book was released on 2014 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: As with all organizations, nursing homes have an internal hierarchy that guides decision-making practices and policies. Nursing assistants (NAs) are positioned at the bottom of the hierarchy. They are generally the last nursing home employees to be solicited for input regarding practices and the last to learn about mandated policies created by upper level management. Consequently, they have the most limited amount of power compared to other staff. The one group of people that is impacted by all levels of the hierarchy and generally positioned at the bottom of all power relations in long-term care is nursing home residents. Residents' daily life is directly influenced by nursing policies and practices, staff shortages, staff's ability to provide timely care, and staff's opinions about what type of care residents should receive. This dissertation is a compilation of three publishable manuscripts that describe the balance of power and hierarchy within the nursing home. Data were collected through observations and interviews with NAs in long-term care settings at one Veterans Affairs Medical Center (VAMC). All data were analyzed using grounded theory. Nursing homes are slowly shifting from a paternalistic medical model to a biopsychosocial model of care that promotes quality of life and autonomy. Unfortunately, the current conceptualizations of autonomy are not appropriate for long-term care settings. Without a cohesive framework for autonomy in long-term care, nursing home staff are apt to continue their approach to daily care consistent with a paternalistic, medical model of care. Therefore, the aim of the first paper is to present an applied conceptual framework for "everyday autonomy" in the nursing home. Additionally, a decisional framework is presented to assist NAs in determining what degree of resident autonomy to support. Within the framework of everyday autonomy, NAs are challenged to explore ways to support resident autonomy. The purpose of the second paper is to describe how NAs can support resident autonomy in long-term care. Through observations and interviews with NAs, ten autonomy-supportive approaches were identified. Suggestions for future research are presented. Several barriers to successful recruitment emerged during this study. The purposes of the final paper presented in this dissertation are to describe my recruitment process in detail, present challenges to recruitment, and reflect on the strengths and weaknesses of my recruitment strategies. Additionally, I summarize the characteristics of NAs in relation to power and hypothesize links between these characteristics and barriers to recruitment of the NA population. Finally, I propose possible strategies for effective recruitment of NAs for research in long-term care settings.
Download or read book Improving the Quality of Care in Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1986-02-01 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.
Download or read book The Erosion of Autonomy in Long term Care written by Charles W. Lidz and published by Oxford University Press, USA. This book was released on 1992 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: In few places in American society are adults so dependent on others as in nursing homes. Minimizing this dependency and promoting autonomy has become a major focus of policy and ethics in gerontology. Yet most of these discussions are divorced from the day-to-day reality of long-term care and are implicitly based on concepts of autonomy derived from acute medical care settings. Promoting autonomy in long-term care, however, is a complex task which requires close attention to everyday routines and a fundamental rethinking of the meaning of autonomy. This timely work is based on an observational study of two different types of settings which provide long-term care for the elderly. The authors offer detailed descriptions of the organizational patterns and routine practices that erode autonomy of the elderly. Their observations lead to a substantial rethinking of what the concept of autonomy means in long-term care. The book concludes with suggestions on how the autonomy of elderly individuals in long-term care institutions might be promoted.
Download or read book Long term Care for the Elderly in Europe written by Bent Greve and published by Routledge. This book was released on 2016-12-01 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Long-term care is an increasingly important issue in many contemporary welfare states around the globe given ageing populations. This ground-breaking book provides detailed case studies of 11 EU-member states’ welfare regimes within Europe to show how welfare states organize, structures and deliver long-term care and whether there is a social investment perspective in the delivery of long-term care. This perspective is important because the effect of demographic transitions is often used as an argument for the existence of economic pressure on welfare states and a need for either direct retrenchment or attempts to reduce welfare state spending. The book’s chapters will look specifically into how different welfare states have focussed on long-term care in recent years and what type of changes have taken place with regard to ageing populations and ambitions to curb increases in public sector spending in this area. They describe the development in long-term care for the elderly after the financial crisis and also discuss the boundaries between state and civil society in the different welfare states' approaches to the delivery of care.
Download or read book Enhancing Autonomy in Long term Care written by Lucia M. Gamroth and published by . This book was released on 1995 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume assesses the importance of autonomy to quality of life in long-term care facilities. First addressing conceptual issues, the editors then pose such questions as: What is autonomy and what does it mean in the context of physically and/or cognitively impaired elders? What is the effect of nursing home financing and federal regulations? How does the traditional medical model, which casts residents as "patients", affect autonomy? How does the physical environment make a difference? The contributors then go on to describe six successful models of care that provide a more meaningful quality of life through promoting autonomy. Contributors include Robert and Rosalie Kane, Keren Brown Wilson, and Bart Collopy.
Download or read book Aging Well written by Jean Galiana and published by Springer. This book was released on 2019-03-20 with total page 229 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults.
Download or read book Improving the Quality of Long Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Download or read book Autonomy and Long term Care written by George J. Agich and published by Oxford University Press, USA. This book was released on 1993 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: The realities and misconceptions of long-term care and the challenges it presents for the ethics of autonomy are analyzed in this perceptive work. While defending the concept of autonomy, the author argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long-term care. He explains that autonomy should be understood as a comprehensiveness that defines the overall course of a person's life rather than as a way of responding to an isolated situation. Agich distinguishes actual and ideal autonomy and argues that actual autonomy is better revealed in the everyday experiences of long-term care than in dramatic, conflict-ridden paradigm situations such as decisions to institutionalize, to initiate aggressive treatments, or to withhold or to withdraw life-sustaining treatments. Through a phenomenological analysis of long-term care, he develops an ethical framework for it by showing how autonomy is actually manifest in certain structural features of the social world of long-term care. Throughout this timely work, the rich sociological and anthropological literature on aging and long-term care is referenced and the practical ethical questions of promoting and enhancing the exercise of autonomy are addressed.
Download or read book Guidelines for Nurse Autonomy patient Welfare written by Meridean Maas and published by . This book was released on 1977 with total page 372 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
Download or read book Autonomy in Assisted Living written by Claudia E. Oakes and published by . This book was released on 2005 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Leadership and Management Skills for Long Term Care written by Deanna Gray-Miceli, PhD, GNP-BC, FGSA, FAANP, FNAP, FAAN and published by Springer Publishing Company. This book was released on 2008-04-18 with total page 269 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designated a Doody's Core Title! While the scope of long-term care settings has expanded from nursing homes and home care agencies to assisted living facilities and community-based health services, the training for nurses, managers and administrators, medical directors, and other professionals who work in these facilities is often fragmented. This book was developed to fill a widely-recognized gap in the management and leadership skills of RNs needed to improve the quality of long-term care. The book is based around learning modules in leadership and management competencies that were site-tested in three types of long-term care settings and revised based on the resulting feedback. Several of the nurse experts involved in the project contribute to this book. The leadership modules cover team building, communication, power and negotiation, change theory and process, management direction and design, and management that moves from conflict to collaboration. Two additional modules cover cultural competence and principles of teaching and learning related to adult education in the long-term care environment. Together, these skills will enhance the nurse's ability to build and interact with the geriatric care team, resolve conflict, negotiate for solutions, develop collaboration, and teach and mentor nurses and nursing assistants.
Download or read book Dependence and Autonomy in Old Age written by George Agich and published by Cambridge University Press. This book was released on 2003-08-07 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Respecting the autonomy of disabled people is an important ethical issue for providers of long-term care. In this influential book, George Agich abandons comfortable abstractions to reveal the concrete threats to personal autonomy in this setting, where ethical conflict, dilemma and tragedy are inescapable. He argues that liberal accounts of autonomy and individual rights are insufficient, and offers an account of autonomy that matches the realities of long-term care. The book therefore offers a framework for carers to develop an ethic of long-term care within the complex environment in which many dependent and aged people find themselves. Previously published as Autonomy and Long-term Care, this revised edition, in paperback for the first time, takes account of recent work and develops the author's views of what autonomy means in the real world. It will have wide appeal among bioethicists and health care professionals.
Download or read book Home Nursing in Europe written by Hannerieke van der Boom and published by Amsterdam University Press. This book was released on 2008 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increase in the number and life expectancy of elderly people is a general trend across Europe. Each country responds differently to the increased demands for elderly care, due to differences in their socio-cultural, political, and historical backgrounds. This book describes patterns of caregiving to frail, elderly people in Denmark, France, the Netherlands, and Germany. For each country, characteristic features of professional and informal elderly care are described, specifically focusing on home nursing. Differences in home nursing in these four countries are described from a broad sociological and cultural perspective. These are related to differences between health-care professions and health-care sectors, structures, and ways of financing of health-care systems, the role of the family in caregiving to elderly people, and norms and values regarding health and illness. This volume provides insight into country-specific patterns of provision of care for vulnerable elderly people.
Download or read book Culture Change in Long term Care written by Judah L. Ronch and published by Routledge. This book was released on 2003 with total page 468 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, selected for inclusion in Doody's Core Titles in the Health Sciences, 2005 edition (DCT), will inform you about the theoretical and practical applications of culture change within the institutional long-term care setting. It examines existing models of positive cultures, emphasizing philosophy, underpinning, and implementation. You'll gain a greater understanding of theoretical frameworks for organizational change, of the changes that can occur in all members of the long-term care community, and of culture change in the context of broad organizational experience and cultural competence.
Download or read book Maintaining the Autonomy of Residents in a Skilled Nursing Facility written by Judith Butler Hilburger and published by . This book was released on 1987 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Code of Ethics for Nurses with Interpretive Statements written by American Nurses Association and published by Nursesbooks.org. This book was released on 2001 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.
