Alle Publikationen
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2016
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(2016): Quality of Life for Diverse Older Adults in Assisted Living: The Centrality of Control. In: Journal of gerontological social work 59 (7-8), S. 512-536. DOI: 10.1080/01634372.2016.1254699
DOI: http://www.ncbi.nlm.nih.gov/pubmed/27824306 Abstract: This pilot project asked: How do ethnically diverse older adult residents of assisted living (AL) facilities in British Columbia (BC) experience quality of life? And, what role, if any, do organizational and physical environmental features play in influencing how quality of life is experienced? The study was conducted at three AL sites in BC: two ethnoculturally targeted and one nontargeted. Environmental audits at each site captured descriptive data on policies, fees, rules, staffing, meals, and activities, and the built environment of the AL building and neighborhood. Using a framework that understands the quality of life of older adults to be contingent on their capability to pursue 5 conceptual attributes-attachment, role, enjoyment, security, and control-we conducted 3 focus groups with residents (1 per site) and 6 interviews with staff (2 per site). Attributes were linked to the environmental features captured in the audits. All dimensions of the environment, especially organizational, influence tenants' capability to attain the attributes of quality of life, most importantly control. Although many tenants accept the trade-off between increased safety and diminished control that accompanies a move into AL, more could be done to minimize that loss. Social workers can advocate for the necessary multi-sectoral changes.
Keywords: 80 and over, Aged, Assistenz, Assisting Living Facilities, Attitude of Health Personnel, British Columbia, Community Networks, Female, Focus Groups, Gerontologie, Humans, Male, Personal Autonomy, Personal Satisfaction, Pilot Projects, PSYCHOLOGY, Quality of Life, Safety Management, standards 2008
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(2008): Value of wireless personal digital assistants for practice: perceptions of advanced practice nurses. In: Journal of clinical nursing 17 (16), S. 2146-2154. DOI: 10.1111/j.1365-2702.2008.02351.x
DOI: http://www.ncbi.nlm.nih.gov/pubmed/18705736 Abstract: AIMS AND OBJECTIVES The aims were to explore advanced practice nurses' perceptions on wireless Personal Digital Assistant technologies, to establish the type and range of tools that would be useful to support their practice and to identify any requirements and limitations that may impact the implementation of wireless Personal Digital Assistants in practice. BACKGROUND The wireless Personal Digital Assistant is becoming established as a hand-held computing tool for healthcare professionals. The reflections of advanced practice nurses' about the value of wireless Personal Digital Assistants and its potential to contribute to improved patient care has not been investigated. DESIGN A qualitative interpretivist design was used to explore advanced practice nurses' perceptions on the value of wireless Personal Digital Assistant technologies to support their practice. METHODS The data were collected using survey questionnaires and individual and focus group interviews with nurse practitioners, clinical nurse specialists and information technology managers based in British Columbia, Canada. An open-coding content analysis was performed using qualitative data analysis software. RESULTS Wireless Personal Digital Assistant's use supports the principles of pervasivity and is a technology rapidly being adopted by advanced practice nurses. Some nurses indicated a reluctance to integrate wireless Personal Digital Assistant technologies into their practices because of the cost and the short technological life cycle of these devices. Many of the barriers which precluded the use of wireless networks within facilities are being removed. Nurses demonstrated a complex understanding of wireless Personal Digital Assistant technologies and gave good rationales for its integration in their practice. CONCLUSIONS Nurses identified improved client care as the major benefit of this technology in practice and the type and range of tools they identified included clinical reference tools such as drug and diagnostic/laboratory reference applications and wireless communications. RELEVANCE TO CLINICAL PRACTICE Nurses in this study support integrating wireless mobile computing technologies into their practice to improve client care.
Keywords: Assistenz, Attitude of Health Personnel, Attitude to Computers, British Columbia, computer literacy, Computers, Handheld, Data Collection, Decision Support Systems, Clinical, Drug Information Services, Focus Groups, Health Knowledge, Attitudes, Practice, Humans, Medical Records Systems, Computerized, Mensch-Roboter-Interaktion, Motivation, Nurse Clinicians/education/organization & administration/psychology, Nurse Practitioners/education/organization & administration/psychology, Nurse's Role/psychology, Nursing Methodology Research, Qualitative research, Quality of Health Care, Surveys and Questionnaires, Technology Assessment, Biomedical, Time Management, Workload
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