南開科技大學圖書館 |

Language: 繁體中文

說明(常見問題)

南開科技大學

圖書館首頁

編目中圖書申請

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

Cultural contexts of continence care...

Lyons, Stacie Angela Salsbury.

Cultural contexts of continence care: A focused ethnography of two nursing homes.

紀錄類型:	書目-電子資源 : 單行本
正題名/作者:	Cultural contexts of continence care: A focused ethnography of two nursing homes./
作者:	Lyons, Stacie Angela Salsbury.
面頁冊數:	381 p.
附註:	Source: Dissertation Abstracts International, Volume: 69-02, Section: B, page: 0935.
Contained By:	Dissertation Abstracts International69-02B.
標題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3301726
ISBN:	9780549471271

Cultural contexts of continence care: A focused ethnography of two nursing homes.
Lyons, Stacie Angela Salsbury.

Cultural contexts of continence care: A focused ethnography of two nursing homes. - 381 p.

Source: Dissertation Abstracts International, Volume: 69-02, Section: B, page: 0935.

Thesis (Ph.D.)--The University of Iowa, 2007.

For the 1.6 million people living in nursing homes, incontinence is a prevalent condition that contributes to diminished quality of life, excess morbidity, and high costs. While nursing interventions effectively treat incontinence, most are not offered routinely. The conceptual framework structured continence care as a patterned symbolic process. The purpose of this focused ethnography was to investigate organizational and sociocultural aspects of continence care from the perspectives of long-term care stakeholders. Specific aims were to: (1) document continence care beliefs and behaviors; (2) depict how people may broaden or constrain continence care options through our explicit concerns, tacit beliefs, complicit behaviors, metaphoric language and symbolic interpretations; and (3) describe how cultural, social, and organizational patterns impact implementation, long-term sustainability, and future possibilities for continence care.

ISBN: 9780549471271Subjects--Topical Terms:

168436
Gerontology.

Cultural contexts of continence care: A focused ethnography of two nursing homes.
LDR:03728nmm 2200301 4500 001 1000005401
005 20091102114823.5
008 091102s2007 ||||||||||||||||| ||eng d
020 $a 9780549471271
035 $a (UMI)AAI3301726
035 $a AAI3301726
040 $a UMI $c UMI{me_controlnum}
100 1 $a Lyons, Stacie Angela Salsbury. $3 1000006761
245 1 0 $a Cultural contexts of continence care: A focused ethnography of two nursing homes.
300 $a 381 p.
500 $a Source: Dissertation Abstracts International, Volume: 69-02, Section: B, page: 0935.
500 $a Adviser: Toni Tripp-Reimer.
502 $a Thesis (Ph.D.)--The University of Iowa, 2007.
520 $a For the 1.6 million people living in nursing homes, incontinence is a prevalent condition that contributes to diminished quality of life, excess morbidity, and high costs. While nursing interventions effectively treat incontinence, most are not offered routinely. The conceptual framework structured continence care as a patterned symbolic process. The purpose of this focused ethnography was to investigate organizational and sociocultural aspects of continence care from the perspectives of long-term care stakeholders. Specific aims were to: (1) document continence care beliefs and behaviors; (2) depict how people may broaden or constrain continence care options through our explicit concerns, tacit beliefs, complicit behaviors, metaphoric language and symbolic interpretations; and (3) describe how cultural, social, and organizational patterns impact implementation, long-term sustainability, and future possibilities for continence care.
520 $a This qualitative study was conducted in two nursing homes located in one midwestern community. The facilities had comparable bed sizes (n &sim; 135), designated dementia units, and Medicare/Medicaid certification, while their organizational structures, profit/not-for-profit status, survey histories, and community reputations differed markedly. Participants included residents, families and interdisciplinary healthcare team members. Data were collected through ethnographic field methods, including participant observation and interviews. Data were managed with qualitative analysis software and interpreted through an immersion/crystallization process.
520 $a The organizational patterns in these facilities created situations in which residents did not have equal access to continence care. Organizational structures (e.g., policies, staffing, technology), professional obstacles (e.g., staff assumptions, blockades, concealments), financial rationing (e.g., reimbursement, payment status, personal finances), and restroom functionality (e.g., accessibility, occupancy, aesthetics) determined who could use which restrooms and under what circumstances. Three sociocultural patterns of continence care also were identified. First, staff language patterns differed between facilities and set the stage for continence care interventions. Speech acts were classified as potty mouth talk, closed lip talk, and verbal resistance. Next, staff members patterned continence care as a risky business whereby individual and group apprehensions about physical safety, biological contamination, and social contagion hindered incontinence interventions. Most importantly, the humans living in these nursing homes endured situations in which their resident rights to privacy, dignity, and self-determination sometimes were violated during continence care.
590 $a School code: 0096.
650 4 $a Gerontology. $3 168436
650 4 $a Health Sciences, Nursing. $3 1000006001
690 $a 0351
690 $a 0569
710 2 $a The University of Iowa. $3 1000005430
773 0 $t Dissertation Abstracts International $g 69-02B.
790 1 0 $a Tripp-Reimer, Toni, $e advisor
790 $a 0096
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3301726