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The Journal of Applied Gerontology最新文献

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Editorial: Journal of Applied Gerontology Initiatives 社论:应用老年学倡议杂志
The Journal of Applied Gerontology Pub Date : 2006-06-01 DOI: 10.1177/0733464806287360
Jim Mitchell
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引用次数: 0
Nursing Homes and Suffering: Part of the Problem or Part of the Solution? 疗养院与痛苦:问题的一部分还是解决方案的一部分?
The Journal of Applied Gerontology Pub Date : 2006-06-01 DOI: 10.1177/0733464806288561
Sarah Forbes-Thompson, C. Gessert
{"title":"Nursing Homes and Suffering: Part of the Problem or Part of the Solution?","authors":"Sarah Forbes-Thompson, C. Gessert","doi":"10.1177/0733464806288561","DOIUrl":"https://doi.org/10.1177/0733464806288561","url":null,"abstract":"The quality of residents’ life is now widely recognized as a principle measure of the quality of care provided by nursing homes. This article is focused on the profound psychosocial and existential suffering that was experienced by many of the nursing home residents who were part of a larger study that examined end-of-life experiences in nursing homes. Data were collected using a case study approach, incorporating observations, interviews, and document review. Qualitative content analysis was used to analyze data. The narratives of two residents are used as exemplars. Through these narratives, specific examples of physical, psychosocial, and existential suffering are revealed. Suffering as an essential aspect of the human condition is explored within the context of nursing homes as systems of care for older adults. Attention to suffering is integral to quality of life, yet few nursing homes have integrated the diagnosis and relief of suffering into their routine work.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125687927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 39
Attitudes of Functionally Independent Residents Toward Residents Who Were Disabled in Old Age Homes: The Role of Separation Versus Integration 功能独立居民对残障长者的态度:分离与融合的作用
The Journal of Applied Gerontology Pub Date : 2006-06-01 DOI: 10.1177/0733464806288565
Esther Iecovich, Orly Lev-Ran
{"title":"Attitudes of Functionally Independent Residents Toward Residents Who Were Disabled in Old Age Homes: The Role of Separation Versus Integration","authors":"Esther Iecovich, Orly Lev-Ran","doi":"10.1177/0733464806288565","DOIUrl":"https://doi.org/10.1177/0733464806288565","url":null,"abstract":"The issue of attitudes of elderly people toward their peers, particularly in residential settings, has been the subject of few investigations. This study examines the extent to which residents who are functionally independent express positive and negative attitudes toward residents who live in the nursing wards of the same facilities and investigates the factors that best explain the differences in their attitudes, in particular the effect of type of the facility. The study was conducted in two facilities, one characterized by integration between the residents who are functionally independent and the residents who are disabled, and the second by separation. In each facility a sample of 70 residents who are functionally independent was selected and interviewed face-to-face, using a structured questionnaire. The findings showed that, with regard to positive attitudes, no significant differences were found between the residents of the two types of facilities; however, those who lived in the integrated facility expressed more negative attitudes toward the residents who were disabled than their peers in a separated facility. The variables that best explained interindividual variability in attitudes toward the residents who were disabled were the type of facility, the preference of the respondent for the type of facility in which to live, economic status, and gender.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131306040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Evaluation of Health Promotion Programs for Older Adults: An Introduction 老年人健康促进计划的评估:导论
The Journal of Applied Gerontology Pub Date : 2006-06-01 DOI: 10.1177/0733464806288562
L. Bryant, M. Altpeter, N. Whitelaw
{"title":"Evaluation of Health Promotion Programs for Older Adults: An Introduction","authors":"L. Bryant, M. Altpeter, N. Whitelaw","doi":"10.1177/0733464806288562","DOIUrl":"https://doi.org/10.1177/0733464806288562","url":null,"abstract":"This article provides an overview of the evaluation of evidence-based health promotion programs for older adults and introduces an upcoming series of related articles in the Journal of Applied Gerontology. With an aging population, a growing demand for health promotion and chronic disease self-management programs, and limited resources, evaluators must provide leadership to identify positive outcomes for adult older clients, inform program planning, and provide accountability to funders. The article addresses the following topics: the need for assessing the effectiveness of programs; research-based foundations for evaluation, specifically the RE-AIM model; the role of the evaluator; and guiding principles for evaluation and theoretical models that drive measurement. It concludes with the description of a process for conducting program evaluation based on the Center for Disease Control's framework for program evaluation, which actively engages program and community stakeholders in tailoring evaluation to the unique needs, characteristics, and barriers present in a community.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116103035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 37
Internet Resources and Searching for a Residential Care Setting: What Information Is Available for Consumers? 互联网资源与寻找住宿护理机构:消费者可获得哪些信息?
The Journal of Applied Gerontology Pub Date : 2006-06-01 DOI: 10.1177/0733464806287361
N. Castle, K. Sonon
{"title":"Internet Resources and Searching for a Residential Care Setting: What Information Is Available for Consumers?","authors":"N. Castle, K. Sonon","doi":"10.1177/0733464806287361","DOIUrl":"https://doi.org/10.1177/0733464806287361","url":null,"abstract":"By making information about long-term-care facilities readily available, consumers in need of services are able to compare facilities and select one that is best for the elder. However, it is unclear how much information is available for residential care settings. In this investigation, an Internet search was performed to determine what information is available in each state. It was found that most states had a number of descriptive indicators. The way in which the information was displayed varied substantially among states, and very little quality-of-care information was available. Although the authors found a variety of useful information, they offer some suggestions to standardize the way in which the information could be presented, thus allowing a direct comparison between residential care settings to be made more easily.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116759567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Meeting the Needs in Continuing Care of Facility-Based Residents Diagnosed With Dementia: Comparison of Ratings by Families, Direct Care Staff, and Other Staff 满足住院痴呆症患者的持续护理需求:家属、直接护理人员和其他工作人员评分的比较
The Journal of Applied Gerontology Pub Date : 2006-04-01 DOI: 10.1177/0733464805284565
D. Milke, C. Beck, Stefani Danes
{"title":"Meeting the Needs in Continuing Care of Facility-Based Residents Diagnosed With Dementia: Comparison of Ratings by Families, Direct Care Staff, and Other Staff","authors":"D. Milke, C. Beck, Stefani Danes","doi":"10.1177/0733464805284565","DOIUrl":"https://doi.org/10.1177/0733464805284565","url":null,"abstract":"Effective facility-based continuing care of persons diagnosed with dementia requires trust and cooperation between the professional caregivers and the families of the residents. Miscommunications may affect many aspects of staff-family relationships. The knowledge and expectations of these groups, however, are typically quite different. The purpose of this study was to compare families, direct caregivers, and other staff and volunteers on their perception of the degree to which residents’ needs were being met. Although these groups agreed that the majority of needs were being met adequately, the groups did differ. Specifically, compared to families and other staff and volunteers, the direct caregivers were more critical of bedside care, their own professional training, and the work of others. Families, in contrast, were more critical of their loved ones’ limited opportunities for freedom of choice. The findings have value for the care of persons with dementia residing in care facilities.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121902506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
The Perception of Depression in Long-Term-Care Residents: A Qualitative Study Using Residential Journaling 长期照护者抑郁知觉:一项使用住院日志的质性研究
The Journal of Applied Gerontology Pub Date : 2006-04-01 DOI: 10.1177/0733464806286708
H. Pope, K. Watkins, A. Evans, P. Hess
{"title":"The Perception of Depression in Long-Term-Care Residents: A Qualitative Study Using Residential Journaling","authors":"H. Pope, K. Watkins, A. Evans, P. Hess","doi":"10.1177/0733464806286708","DOIUrl":"https://doi.org/10.1177/0733464806286708","url":null,"abstract":"Twenty-four residents in six assisted living facilities and one retirement community across three counties in South Carolina participated in a study to gain an understanding of older adults’ perception of depression in long-term-care (LTC) settings. Participants completed the Geriatric Depression Scale, Meaning Survey (MS), a journal, and a follow-up interview. Spiritual meaning regarding physical and mental health was self-reported from the MS. Five questions were included in the journals regarding emotional, physical, and social health. Results indicate that journaling may be an appropriate investigative tool for researchers, and LTC facilities’ efforts should be channeled to increase the availability and quality of mental health services to residents. Regular residential depression screenings, as well as the standardization of mental health care services within LTC facilities, should be an integral part of LTC.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122241015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Nursing Home Administrators’ Attribution of Antifacility Bias to Ombudsman Programs 养老院管理者对反设施偏见的归因与申诉专员计划
The Journal of Applied Gerontology Pub Date : 2006-04-01 DOI: 10.1177/0733464805285250
P. Keith
{"title":"Nursing Home Administrators’ Attribution of Antifacility Bias to Ombudsman Programs","authors":"P. Keith","doi":"10.1177/0733464805285250","DOIUrl":"https://doi.org/10.1177/0733464805285250","url":null,"abstract":"The federally mandated ombudsman program is a part of a deterrence approach to improving nursing home care. The author investigated whether nursing home administrators’(NHAs) views of volunteer resident advocates’ work would predict attributions of antifacility bias to ombudsman programs. Both quantitative and qualitative data were analyzed from questionnaires completed by 199 NHAs. Perceptions of volunteers as aggressive and as hindrances, the belief that issues would be resolved without the program, and little contact with volunteers predicted an antifacility bias. There were four types of administrators who articulated needed improvements in ombudsman programs: positive activists, adversarials, collaborators, and educators. Strained relationships between NHAs and those who monitor them may increase facility and agency turnover and diminish the efforts of both. Research on person-environment fit for facility and ombudsman positions should be useful for those who train, license, certify, or hire these personnel.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"2 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128144868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Ageism: A Threat to “Aging Well” in the 21st Century 年龄歧视:21世纪对“健康老龄化”的威胁
The Journal of Applied Gerontology Pub Date : 2006-04-01 DOI: 10.1177/0733464805285745
J. Angus, P. Reeve
{"title":"Ageism: A Threat to “Aging Well” in the 21st Century","authors":"J. Angus, P. Reeve","doi":"10.1177/0733464805285745","DOIUrl":"https://doi.org/10.1177/0733464805285745","url":null,"abstract":"At the beginning of the 21st century, the new mantra—“successful” and “resourceful” aging—is used interchangeably and intoned often unreflectively by a society eager to find ways to reduce aged-related losses. Yet despite numerous empirical studies and public health promotion strategies directed at ways of aging well, negative images of aging have an enduring vitality. This article examine sageism in a range of political, social, and cultural manifestos that have a productive role in encoding tacit assumptions and stereotypes about older people’s lives. Particular attention is given to the pervasive use of the concept of “dependency,” a stereotypic and productive ageist mechanism that continues to infiltrate what are arguably more inclusive strategies directed toward a global model of aging well. The authors explore some potential strategies to combat stereotypes and warn that aging well initiatives based on individualism and “self-responsibility” risk reproducing existing power relations that continue to inform ageist stereotypes.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125604666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 292
Sense of Community and Being a Volunteer Among the Young-Old 年轻人的社区意识和做志愿者
The Journal of Applied Gerontology Pub Date : 2006-04-01 DOI: 10.1177/0733464806286710
M. Okun, J. Michel
{"title":"Sense of Community and Being a Volunteer Among the Young-Old","authors":"M. Okun, J. Michel","doi":"10.1177/0733464806286710","DOIUrl":"https://doi.org/10.1177/0733464806286710","url":null,"abstract":"This study tests the hypothesis derived from Omoto and Snyder’s context-and-process model that sense of community is an independent predictor of volunteering among young-old adults. A secondary analysis was carried out on data from the U.S. Survey of Midlife Development using respondents 60-74 years old (N = 653). Controlling for demographic factors and human, social, and cultural capital variables, a logistic regression model indicated that as sense of community increased, the likelihood of volunteering increased. Among the control variables, working 40 or more hr per week (relative to not working) and being divorced, separated, or widowed (relative to being married) were associated with lower rates of volunteering. The likelihood of volunteering increased as education, organizational ties, church attendance, and generative concern increased. Efforts to retain young-old adult volunteers should emphasize how the organization’s activities reflect humanitarian values, provide opportunities to show a concern for the community, and benefit community members.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"153 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123598260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 136
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