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81.
AbstractThe culture change movement has pushed for reform for more than two decades to align policy, the long-term care industry, and resident preferences with regard to care. Evidence from research indicates that culture change has the potential to improve quality in nursing homes. There is no one-size-fits-all way to implement culture change; however, there are key elements and associated concepts and models. A common thread is that they run counter to the medical model, typically found in nursing homes, where care is provided in a hospital-like setting according to the schedules and routines of physicians and staff with little resident input. This qualitative study looks for evidence of culture change in a traditional model of care compared to a newer culture change model, by describing the differences in practices associated with the medical model, person-centered care, and person-directed care between the two settings. Our results indicate that there is evidence of person-directed care in one model of culture change—the Green House home—but not in the traditional nursing home. Future studies should examine other culture change models to compare the differences in the utilization of person-directed care. This information will help to clarify the definitions and concepts of culture change, along with developing best practices for future culture change models. 相似文献
82.
Robert J. Griffore PhD Gia E. Barboza PhD Teresa Mastin PhD James Oehmke PhD Lawrence B. Schiamberg PhD Lori Ann Post PhD 《Journal of elder abuse & neglect》2013,25(2):105-114
The objective of this article is to describe abuse and neglect of adults age 65 and older in Michigan nursing homes, as reported by members of their families. Using list-assisted random-digit dialing, data on abuse and neglect for a 12-month period were collected from individuals who had a relative age 65 or older in a Michigan nursing home. Of the nursing home residents represented in this analysis, the majority were female, Caucasian, and widowed. Neglect and caretaking mistreatment were the most frequent types of abuse reported. Comparison of these data with data from the National Ombudsman Reporting System suggests that family members constitute a sensitive source of data on abuse in nursing homes. 相似文献
83.
Connie Page PhD Tom Conner PhD Artem Prokhorov PhD Yu Fang PhD Lori Post PhD 《Journal of elder abuse & neglect》2013,25(3):239-252
This study compares abuse rates for elders age 60 and older in three care settings: nursing home, paid home care, and assisted living. The results are based on a 2005 random-digit dial survey of relatives of, or those responsible for, a person in long-term care. Nursing homes have the highest rates of all types of abuse, although paid home care has a relatively high rate of verbal abuse and assisted living has an unexpected high rate of neglect. Even when adjusting for health conditions, care setting is a significant factor in both caretaking and neglect abuses. Moving from paid home care to nursing homes is shown to more than triple the odds of neglect. Furthermore, when computing abuse rates by care setting for persons with specified health conditions, nursing homes no longer have the highest abuse rates. 相似文献
84.
Rick N. Francis Steven Harrast James Mattingly Lori Olsen 《Business and Society Review》2013,118(2):193-222
Accounting conservatism and corporate social responsibility have received much attention in the recent literature. The current study draws upon Watts, who recognizes that one role of conservatism is to reduce the likelihood of excess wealth transfers to its stakeholder groups and Post et al., who assert that a key aspect of positive corporate social performance is the (equitable) distribution of corporate wealth. Accordingly, this study empirically investigates and finds a positive relation between conservatism and strong social performance. 相似文献
85.
The authors analyzed twelve videotapes made by HIV-infected women for their children. Using grounded theory methods the concept of eternal mothering provides a framework to study the interactive aspects of mothering, and the significance of impending maternal death from a stigmatizing illness. In creating these videotape legacies, the mothers drew on personal experiences of gender, class, race, ethnicity, family configurations, and other social conditions. There is tension between women's self-presentation in an attempt to control the impressions they make on their children, and their decision to disclose stigmatizing secrets with the potential consequential loss of maternal authority and children's loyalty, as well as inherited shame by association. 相似文献
86.
Carrie Gibbons Joy Creese Mun Tran Kevin Brazil Lori Chambers Bruce Weaver 《Journal of women & aging》2014,26(1):3-21
Caring for someone with dementia can be demanding, particularly for spouses living with the care recipient. The main goal of this study was to clarify differences in the experience of caregivers who were husbands and wives with respect to burden, health, healthy behaviors, presence of difficult care recipient behaviors, social supports, and the quality of the premorbid relationship. The results of this study support research demonstrating a difference between the caregiving experiences of women and men. It is becoming increasingly apparent that female gender is a marker that places them at increased risk of high burden and less support. 相似文献
87.
Michael Mackert Amanda Mabry Katharine Hubbard Ivana Grahovac Lori Holleran Steiker 《Journal of social work practice in the addictions》2014,14(3):273-285
For college students recovering from substance addiction, the path to sobriety is fraught with challenges. Many campuses offer recovery support resources, but students indicate stigma associated with recovery prevents them from using these services. This problem could be ameliorated through communication campaigns addressing misperceptions of substance abuse and recovery. The purpose of this study was to understand how students’ perceptions of addiction and recovery vary based on their experience and background. A quantitative survey was employed to examine stigma beliefs among 2 subpopulations of college students at a large Southwestern university. Findings indicate students with exposure to issues surrounding substance abuse and recovery held fewer stigmatized beliefs, emphasizing the importance of identifying and researching a target audience before developing a health promotion campaign. 相似文献
88.
The purposes of this study were to determine current opinions of strength exercise among older adults and whether knowledge of recommended protocols differs between strength-exercise participants and nonparticipants. One hundred twenty-nine older adults (77.5 +/- 8.6 years) responded to questions about their opinions, experiences, and knowledge of strength-exercise recommendations. Some misconceptions were identified in the sample, with 48.4% of participants responding "no" to "strength training increases muscle mass," 45% responding "no" to "increasing weight is more important than number of repetitions for building strength," and 37% responding that walking is more effective than lifting weights at building muscle strength. The number of correct responses was related to the number of years in school (semipartial r(2)= .046). More education is needed about the benefits and recommendations to ensure proper use of current strength-exercise protocols among older adults. 相似文献
89.
As thin therapists, who work with eating-disordered patients, we have found that our bodies have an appreciable impact on the treatment. In this article, we discuss issues of transference–countertransference, disclosure, the use of the therapist’s self including the body, and the vicissitudes of the treatment. Patients use the therapist’s thin body in various ways: as evidence to support a number of distorted beliefs and assumptions; as a target of envy; as a container for projections and fantasies. We illustrate through case examples, the importance of including the therapist’s body in the therapeutic dialogue, so that it can be used as a tool, rather than a barrier to recovery. 相似文献
90.