Walsh Sandra, G. Stephanie, F. Monica, O. Maria, Parchment Yvonne
{"title":"An Art Intervention to Promote Comfort with Veterans in Long Term Care: From Not Significant (Ns) To Significance","authors":"Walsh Sandra, G. Stephanie, F. Monica, O. Maria, Parchment Yvonne","doi":"10.32648/2577-9516/3/1/2","DOIUrl":"https://doi.org/10.32648/2577-9516/3/1/2","url":null,"abstract":"Objectives: The study objective was to promote hospitalized veterans’ comfort through an art intervention (AI). Kolcaba’s comfort theory guided the study.\u0000\u0000Sample and setting: Researchers recruited residents from a Community Living Center (CLC) at Miami Veterans Administration Healthcare System (MVAHS). Nurse researchers and recreational therapists collaborated to deliver the AI.\u0000\u0000Methods and variables: A quasi-experimental pre-post-test design tested the AI on veteran comfort, depression, and social connectedness.\u0000\u0000Results: Over six-months, staff identified 81 residents as appropriate to recruit for the study. Fifty-one males and 10 females (ages 26-95) agreed (75% response rate). Due to data collection challenges, residents’ cognition, time constraints, disabilities, and respondent burden, only 18 sets of usable pre-post data were available for analysis (ns results).\u0000\u0000Implications for nursing: The AI was “significant” to many other participants (n = 160) who were unable or unwilling to complete the research instruments. The most popular AI activity, the monoprint, has been “adopted” by recreational therapists and suggested to enhance communication with oncology patients. Kolcaba’s comfort theory will continue to be promoted during art activities on CLC I and II with extension of art activities to the bedside of CLC III Hospice residents.\u0000\u0000Keywords: Veterans, Art, Intervention, Comfort, Long Term Care","PeriodicalId":92571,"journal":{"name":"POJ nursing practice & research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43343427","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}
{"title":"The Ethics of Teaching in the Clinical Arena","authors":"A. Jennings","doi":"10.32648/2577-9516/3/1/1","DOIUrl":"https://doi.org/10.32648/2577-9516/3/1/1","url":null,"abstract":"Clinical practicum forms an important component in undergraduate nursing education and involves clinical nurse educators who are primarily involved in teaching student nurses. Twelve clinical nurse educators participated in this grounded theory study, and these participants taught in a number of undergraduate nursing programs in a large metropolitan city in Ontario, Canada. The results from this study revealed four important concepts that underpinned their teaching and, in this article, the author explains one foundational concept: The ethics found in the pedagogical practices of clinical nurse educators. This result provides a deeper and broader understanding of the ethical issues that clinical nurse educators encounter in their teaching practice, how these considerations contribute to student learning and some of the challenges that they encounter in the clinical arena.","PeriodicalId":92571,"journal":{"name":"POJ nursing practice & research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45592871","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}
{"title":"Analyzing Goals of Care in Advanced Cancer Patients and Their Family Caregivers: Evidence-based Research.","authors":"Sara L Douglas, Amy R Lipson, Barbara J Daly","doi":"10.32648/2577-9516/2/1/003","DOIUrl":"https://doi.org/10.32648/2577-9516/2/1/003","url":null,"abstract":"<p><strong>Objective: </strong>The study objective was to determine concordance between patients and family caregivers' preferences for quality or length of life over time.</p><p><strong>Background: </strong>Patients with advanced cancer are confronted with difficult decisions throughout their course of treatment and at end of life (EOL). These decisions can be influenced by their family caregivers' preferences for the patient's cancer treatment.</p><p><strong>Methods: </strong>Using a longitudinal, descriptive study design from an on-going study, data were collected on an adult sample of patients with advanced stage GI or lung cancers and their family caregivers (n=237). Using a one item visual analog scale (0-100 with higher number indicating a preference for length of life over quality of life), patients and family caregivers were asked \"regarding your/your loved one's care, what is most important to you right now?\" Data were collected every 3 months until 15 months or patient's death.</p><p><strong>Results: </strong>At enrollment, the preference scores between patients (48.5) and family caregivers (42.6) were closely aligned. At the last assessment prior to death, these scores diverged with the caregivers favoring goals associated with quality of life over length of life (p=.02).</p><p><strong>Discussion: </strong>Patients and family caregivers have differing preferences and these goals of care can change over time. Attention to these differences could be used to guide conversations between patients and family caregivers regarding preferences at EOL.</p>","PeriodicalId":92571,"journal":{"name":"POJ nursing practice & research","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36708307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}