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Caring
Terms modified by Caring Selected AbstractsSPANISH NEPHROLOGY NURSES' VIEWS AND ATTITUDES TOWARDS CARING FOR DYING PATIENTSJOURNAL OF RENAL CARE, Issue 1 2010Tai Mooi Ho RN SUMMARY Patients with advanced chronic kidney disease are increasingly elderly with increasing numbers of co-morbidites. Some may not be suitable for dialysis, some will choose to withdraw from treatment after a period of time and some will reach the end of their lives while still on dialysis. Studies have shown nurses' attitudes towards caring for dying patients affect the quality of care. A descriptive study was conducted to explore Spanish nurses' views and attitudes in this context and to assess any relationship between demographic variables and attitudes. Two measurement tools were used: a demographic survey and the Frommelt Attitude Toward Care of the Dying Scale,Form B. Two hundred and two completed questionnaires were returned. Although respondents demonstrated positive attitudes in this domain, 88.9% viewed end-of-life (EOL) care as an emotionally demanding task, 95.3% manifested that addressing death issue require special skills and 92.6% reported that education on EOL care is necessary. This paper suggests strategies which could ease the burden in this area of care. [source] The Evolution of Zoos from Menageries to Centers of Conservation and CaringCURATOR THE MUSEUM JOURNAL, Issue 3 2004George B. Rabb First page of article [source] The Business of Caring: Women's Self-Employment and the Marketization of CareGENDER, WORK & ORGANISATION, Issue 4 2010Nickela Anderson Our goal in this article is to contribute to a differentiated analysis of paid caring work by considering whether and how women's experiences of such work is shaped by their employment status (for example, self-employed versus employee) and the nature of care provided (direct or indirect). Self-employed care workers have not been widely studied compared with other types of care workers, such as employees providing domestic or childcare in private firms or private homes. Yet their experiences may be quite distinct. Existing research suggests that self-employed workers earn less than employees and are often excluded from employment protection. Nonetheless, they often report greater autonomy and job satisfaction in their day-to-day work. Understanding more about the experiences of self-employed caregivers is thus important for enriching existing theory, research and policy on the marketization of care. Addressing this gap, our article explores the working conditions, pay and levels of satisfaction of care workers who are self-employed. We draw on interviews from a small-scale study of Canadian women engaged in providing direct care (for example, childcare) and indirect care (for example, cleaning). [source] Children Caring for Parents with HIV and AIDS: Global Issues and Policy ResponsesHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 5 2010Margaret Rogers Dr No abstract is available for this article. [source] Rethinking Care Theory: The Practice of Caring and the Obligation to CareHYPATIA, Issue 3 2005Daniel Engster Care theorists have made significant gains over the past twenty-five years in establishing caring as a viable moral and political concept. Nonetheless, the concept of caring remains underdeveloped as a basis for a moral and political philosophy, and there is no fully developed account of our moral obligation to care. This article advances thinking about caring by developing a definition of caring and a theory of obligation to care sufficient to ground a general moral and political philosophy. [source] The Selfish Pig's Guide to Caring.INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 9 2004Hugh Marriott. No abstract is available for this article. [source] Assessing Emergency Preparedness of Families Caring for Young Children With Diabetes and Other Chronic IllnessesJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2006Lynda G. Stallwood PURPOSE.,To help children with chronic illnesses and their caregivers assess emergency preparedness. CONCLUSIONS.,Little work has been done to ascertain patient adherence levels to these recommendations. Additionally, little is known about the seeking patterns of healthcare providers and/or changes in interventions based on certain elements of emergency preparedness, such as the presence of medical alert identification and an emergency kit. PRACTICE IMPLICATIONS.,,Healthcare providers must discover their patients' level of emergency preparedness and facilitate the acquisition and implementation of elements of emergency preparedness that meet their patients' needs. [source] Caring for abused women: impact on nurses' professional and personal life experiencesJOURNAL OF ADVANCED NURSING, Issue 8 2009Hadass Goldblatt Abstract Title.,Caring for abused women: impact on nurses' professional and personal lifeexperiences. Aim., This article is a report of a study of the impact of caring for abused women on nurses' professional and personal life experiences. Background., Encountering abused women can have emotional, cognitive and behavioural influences on nurses, known as vicarious traumatization. They may feel incompetent to deal with such an overwhelming problem and may avoid screening survivors of abuse. Thus, nurses treating these survivors need to be aware of their attitudes, emotions and differential responses during these interactions. Method., A phenomenological study was carried out in 2005 in Israel. The data were collected using in-depth, interviews with 22 female Israeli nurses in hospitals and community healthcare clinics. Findings., Data analysis revealed one main theme, ,Struggling on work and home fronts', based on two subthemes: ,Encounter with domestic violence: a challenge to nurses' professional role perception' and ,Between work and home'. Nurses experience perplexity regarding abused women and their professional care. Encounters with these women challenge nurses' personal and professional attitudes, as well as influencing their personal lives (intimate relationships, parenthood and gender attitudes). These encounters induce empathy and compassion, but also anger and criticism towards abused women, creating emotional labour for the nurses. Conclusion., The dissonance between personal values, attitudes and emotions and the desirable professional intervention procedures might impede nurses' performance in caring for abused women. Implementing training programmes for screening and intervening with abused women might reduce the emotional labour required, enhance nurses' responses to domestic violence, and enable personal growth. [source] Nursing students' perceptions of the importance of caring behaviorsJOURNAL OF ADVANCED NURSING, Issue 4 2008Zahra Khademian Abstract Title.,Nursing students' perceptions of the importance of caring behaviours Aim., This paper is a report of a study to determine the nursing students' perceptions of the importance of caring behaviours. Background., Caring has been considered as the essence of nursing. It is believed that caring enhances patients' health and well-being and facilitates health promotion. Nursing education has an important role in educating the nurses with adequate caring abilities. Method., Ninety nursing students (response rate 75%) responded to a questionnaire consisting of 55 caring behaviours adapted from items on Caring Assessment Questionnaire (Care-Q). Behaviours were ranked on a 5-point Likert-type scale. The caring behaviours were categorized in seven subscales: ,accessibles', ,monitors and follows through', ,explains and facilitates', ,comforts', ,anticipates', ,trusting relationship' and ,spiritual care'. Data were collected in Iran in 2003. Findings., The students perceived ,monitors and follows through' (mean = 4·33, SD = 0·60) as the most and ,trusting relationship' (mean = 3·70, SD = 0·62) as the least important subscales. ,To give patient's treatments and medications on time' and ,to do voluntarily little things,' were the most and least important caring behaviours, respectively. ,Explains and facilitates' statistically and significantly correlated with age (r = 0·31, P = 0·003) and programme year (r = 0·28, P = 0·025). Gender had no statistically significant influence on students' perceptions of caring behaviours. Conclusion., Further research is needed, using longitudinal designs, to explore nursing students' perceptions of caring behaviours in different cultures, as well as evaluation studies of innovations in curriculum and teaching methods to improve learning in relation to cultural competence and caring concepts. [source] Older caregivers' coping strategies and sense of coherence in relation to quality of lifeJOURNAL OF ADVANCED NURSING, Issue 6 2007Anna Kristensson Ekwall Abstract Aim., This paper reports a study to investigate coping strategies and sense of coherence in relation to gender, the extent of care, caregiving activities and health-related quality of life in a population-based sample of caregivers aged 75 and over. Background., Caring for another person can be stressful both emotionally, and caregiver burden may affect quality of life in a negative way for the carer. Caregivers' experience of burden may depend on for example, the behaviour of the person cared for, their own health and their sense of coherence. Older people take a great part of caregiving responsibility and thus understanding of their strain and coping is required. Methods., A postal survey was carried out in 2001 with 171 informal caregivers, aged 75 or older. The response rate was 47%. The questionnaire included the Short-Form 12, Carer's Assessment of Managing Index, and Sense of Coherence instrument. Results., Almost 70% of caregivers provided help every day. Higher health-related quality of life was predicted by using self-sustaining coping strategies and by high sense of coherence. Poor economic situation and demanding social and practical support predicted low scores. Conclusion., These findings could help identify those at risk of low quality of life due to caregiving, dysfunctional coping or lack of information about care. Early intervention, including education about alternative coping strategies and practical information, might allow caregivers better possibilities to continue caring with less negative effects on their lives. [source] When Home Care Ends,Changes in the Physical Health of Informal Caregivers Caring for Dementia Patients: A Longitudinal StudyJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 5 2002Elmar Gräsel MD OBJECTIVES: To verify the change in health variables and parameters of health service utilization in a group of active caregivers for older persons with dementia in comparison with former caregivers who had ceased to provide home care for at least 6 months (death of the patient or institutionalized care). DESIGN: A prospective longitudinal study with 1-year follow-up. Active and former caregiver groups originated from a sample of active caregivers at baseline. SETTING: Participants were recruited mainly via advertisements placed in two magazines with large, nationwide circulation. The questionnaires were sent on request. PARTICIPANTS: Seven hundred twenty primary caregivers of dementia patients living in the community. All patients had a medical diagnosis of dementia and had a score of 20 or greater on the mental-mnestic disturbances factor of the Sandoz Clinical Assessment,Geriatric scale. Their care needs covered at least one of four activities of daily living (personal hygiene, eating, toilet use/excretion, mobility). After 12 months, 681 caregivers were reinterviewed. MEASUREMENTS: The physical complaints were assessed with the 24-item Giessen Symptom List (subscales: aching limbs, stomach complaints, heart complaints, physical exhaustion). Other key variables were the number of illnesses, number of somatic and psychotropic medications, and number of physician visits. RESULTS: Although the somatic symptoms of the active caregivers (n = 427) remained stable at a high level, they decreased significantly (24%) in the group of former caregivers (n = 121). Simultaneously, the number of visits former caregivers made to physicians almost doubled. The reason why home care was terminated (death or institutionalization) did not influence health variables or health service utilization. CONCLUSION: The physical health of former caregivers improves in the long term once they cease to provide home care. The fact that former caregivers go to the doctor much more frequently is to be interpreted as an indication that they take the time to attend to their own physical and medical needs. [source] Parents of Adults with Intellectual Disabilities: Quality of Life and Experiences of CaringJOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES, Issue 2 2000Sarah Walden This study examined a UK sample of parents caring for their adult offspring with intellectual disabilities, and the factors contributing to their quality of life and experiences of caregiving. Structured interviews were conducted with 62 parents of adults with intellectual disabilities. On several indices of quality of life, parents did not seem to be functioning as well as caregiving parents in the US, or as well as adults in the general US population. The offspring's level of challenging behaviour and physical dependency and the parent's satisfaction with informal support were associated with parental quality of life. The salience that parents placed on their post-parental life style was also associated with quality of life, with ,captive' parents faring more poorly than ,captivated' parents. [source] Accelerated Fabrication: A Catalytic Agent within a Community of CaringJOURNAL OF ARCHITECTURAL EDUCATION, Issue 4 2005HECTOR LASALA Accelerated Fabrication is an ongoing project in the Building Institute, a design-build program at the University of Louisiana at Lafayette, in which team members designed a master plan for a homeless shelter, then immediately fast-tracked the deployment of several modest but instrumental fabrications on site. As a deliberate tactic, acceleration generated project momentum and stimulated an improvisational design process. [source] The Bond and Burden of CaringJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 1 2006Linda Finke RN [source] Caring for patients of Islamic denomination: critical care nurses' experiences in Saudi ArabiaJOURNAL OF CLINICAL NURSING, Issue 12 2006ITU cert., Phil Halligan MSc Aim., To describe the critical care nurses' experiences in caring for patients of Muslim denomination in Saudi Arabia. Background., Caring is known to be the essence of nursing but many health-care settings have become more culturally diverse. Caring has been examined mainly in the context of Western cultures. Muslims form one of the largest ethnic minority communities in Britain but to date, empirical studies relating to caring from an Islamic perspective is not well documented. Research conducted within the home of Islam would provide essential truths about the reality of caring for Muslim patients. Design., Phenomenological descriptive. Methods., Six critical care nurses were interviewed from a hospital in Saudi Arabia. The narratives were analysed using Colaizzi's framework. Results., The meaning of the nurses' experiences emerged as three themes: family and kinship ties, cultural and religious influences and nurse,patient relationship. The results indicated the importance of the role of the family and religion in providing care. In the process of caring, the participants felt stressed and frustrated and they all experienced emotional labour. Communicating with the patients and the families was a constant battle and this acted as a further stressor in meeting the needs of their patients. Conclusions., The concept of the family and the importance and meaning of religion and culture were central in the provision of caring. The beliefs and practices of patients who follow Islam, as perceived by expatriate nurses, may have an effect on the patient's health care in ways that are not apparent to many health-care professionals and policy makers internationally. Relevance to clinical practice., Readers should be prompted to reflect on their clinical practice and to understand the impact of religious and cultural differences in their encounters with patients of Islam denomination. Policy and all actions, decisions and judgments should be culturally derived. [source] Clinical caring , the diary of a nurseJOURNAL OF CLINICAL NURSING, Issue 8 2005Carola Skott RN Aims and objectives., The aim of this study was to explore the content of individual acts of nursing care and to discuss how these context-specific acts relate to the concept of caring. Design and methods., The point of departure was a diary kept by a nurse on an oncology ward over a period of six months. Hermeneutic interpretation, including content analysis of verb phrases, was carried out to inspire reflection and discussion rather than to generalize. Results., The verbs that occurred in the diary text represented three categories of acts: physical care, speech and reflection. Conclusions and discussion., The diary text expresses the carer's acts as situated in a specific space and time through her presence, communication and reflection. The absence of bodies in this text points to the discourse of nursing as subjected to dualism and to the medical rules of knowledge. Caring emerges as experience-near action that through history is connected to situated knowledges, actual discourse and universal human condition. Relevance to clinical practice., This study demonstrated that caring acts are situated and conditioned and that they should therefore be researched in relation to the carers' acts and thoughts. This confirms the need for cooperation between researchers and clinical nurses in the quest of deepening our understanding of caring. [source] Chronic and Terminal Illness: New Perspectives on Caring and CarersJOURNAL OF CLINICAL NURSING, Issue 6 2002Brenda Roe [source] Psychiatric and Mental Health Nursing , The Craft of Caring, Second EditionJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 6 2010SUE BARKER rmn bsc msc pg dip (prof. dev.) No abstract is available for this article. [source] The Politics of Caring for the Poor: Anglican Responses in 1890s TasmaniaJOURNAL OF RELIGIOUS HISTORY, Issue 3 2007ROBERT S. M. WITHYCOMBE Relieving poverty amongst skilled but unemployed workers during the Tasmanian economic collapse in the 1890s challenged both a conservative government's policy of avoiding public debt by initiating minimal relief and the limited financial and human resources of voluntary philanthropic agencies, the Anglican Church amongst them, whom the Tasmanian governments expected to carry the burden of delivering relief to those deemed to deserve it. With labour organisations too weak to lead, and amidst the silence of church leaders, it fell to individuals like the Reverend Archibald Turnbull to articulate a Christian socialist critique of government policies and values and to advocate the desperate plight of the poor. In this context, this study examines how contemporary government and Anglican Church leaders responded to Turnbull's political and pastoral initiatives in Hobart in 1893,96. [source] On Recognition, Caring, and DementiaMEDICAL ANTHROPOLOGY QUARTERLY, Issue 4 2008Janelle S. Taylor The onset of dementia raises troubling questions. Does the person with dementia still recognize you? If someone cannot recognize you, can they still care about you? This essay takes such questions as the entry point for a broader inquiry into recognition, its linkages to care, and how claims to social and political "recognition" are linked to, or premised on, the demonstrated capacity to "recognize" people and things. In the words and actions of her severely impaired mother, the author finds guidance toward a better, more compassionate question to ask about dementia: how can we best strive to "keep the cares together"? [source] The Presence of Love in Ethical CaringNURSING FORUM, Issue 1 2006Maria Arman RNM Caring as a virtue and an act of ethics is from both a natural and a professional point of view inseparably related to love as a universal/ontological value. Love is shown, like suffering and death, to be a concept of universal or metacharacter. From current nursing/caring science as well as from ethical and philosophical perspectives, this paper explores how love can be visible in caring through virtue and that the art of caring creates its evidence. The ethical and existential practicing of love, particularly unselfish love, allows a caregiver to come distinctly closer to the essence of his or her own personality and to live in a more authentic manner. Obstacles and alienation in caregivers that induce a holding back of one's own natural impulses to give the suffering patient tender, dignified care are examined. Economy, paradigm, and caring culture are cited, but ultimately it is a question concerning every caregiver's decision and responsibility to come forward to serve those the caregiver is actually there to represent, the suffering patient. This does not always require new knowledge, rather, liberation of the inner life and authenticity in caregivers. Love, if viewed only as a phenomenon without connection to a universal or ontological philosophy, risks being a problematic concept for caring science. If, on the other hand, it is viewed as the ontological basis for caring and ethical acts, then we can look for and practice phenomenological expressions for love that can enhance the patient's understanding of life as well as giving relief from suffering. [source] Do Performance Appraisals of Registered Nurses Reflect a Relationship Between Hospital Size and Caring?NURSING FORUM, Issue 1 2004Elizabeth M. Carson EdD PROBLEM Patients and family members expect nurses to demonstrate caring during their contact with patients. If caring is so important, it should be measured on the performance appraisals of registered nurses. METHODS Watson's carative factors. A review of performance appraisals, for evidence of Watson's carative factors, for medical-surgical nurse positions from 87 hospitals in one Midwestern state. FINDINGS Facility size did not seem to be associated with the appearance of Watson's carative factors. Size of facility was only significant between small hospitals and Watson's carative factor two, sustaining faith and hope. CONCLUSIONS Although caring is important to the profession of nursing, it is not measured as a part of nursing performance appraisals. [source] Reflection and moral maturity in a nurse's caring practice: a critical perspectiveNURSING PHILOSOPHY, Issue 3 2010Jane Sumner PhD Abstract The likelihood of nurse reflection is examined from the theoretical perspectives of Habermas' Theory of Communicative Action and Moral Action and Sumner's Moral Construct of Caring in Nursing as Communicative Action, through a critical social theory lens. The argument is made that until the nurse reaches the developmental level of post-conventional moral maturity and/or Benner's Stage 5: expert, he or she is not capable of being inwardly directed reflective on self. The three developmental levels of moral maturity and Benner's stages are presented with discussion on whether or not there can be self-reflection because of an innate vulnerability that leads to self-protective behaviours. It is only when the confidence from mastery of practice has been achieved can the nurse be comfortable with reflection that enables him or her to become enlightened, emancipated, and empowered. The influences and constraints of the knowledge power between nurse and patient are acknowledged. The power hierarchy of the institution is recognized as constraining. [source] Progress, epistemology and human health and welfare: what nurses need to know and whyNURSING PHILOSOPHY, Issue 3 2005Clinton E. Betts RN BSc BScN MEd Abstract, Human Progress is often understood to be a rather natural and obvious truth of human existence. That this is not necessarily so, is indicative of the pervasive social, psychological, and educational inculcation that sustains its ubiquitous acceptance. Moreover, the uncritical and ill-informed understanding of Progress as an unquestioned expression of human beneficence has serious consequences for those concerned with the health and welfare of people. It is argued in this paper that, much of what we might consider deleterious in the socio-political milieu that now confronts us is, to a significant extent, a matter of progressive ideological epistemology and its ensuing manner of human institutionalization. Part one contends that the current socio-political structure of the current postmodern affairs is in reality that of a pervasive postmodern economic ideology. Part two provides a brief overview of the historical and philosophical development of Progress as an idea, including some of the profound effects wrought by it on human affairs in the contemporary world. Finally, Part three presents a discussion of the influential effects of the philosophy of Progress on the epistemology of human health and welfare intervention, specifically that of nursing and its claim to a holistic ethic of Caring. [source] Notes on Cultures of Violence, Cultures of Caring and Peace, and the Fulfillment of Basic Human NeedsPOLITICAL PSYCHOLOGY, Issue 1 2003Ervin Staub Some conditions in the lives of children, adults, and groups can be construed as fulfilling universal human psychological needs. The constructive fulfillment of these basic needs promotes caring and positive, helpful relations; their frustration creates an inclination toward hostility and aggression. The article describes diverse influences that can lead to violence between individuals, groups, and societies, as well as ways to halt and prevent genocide, mass killing, and other intergroup violence, including terrorism, in part by fostering culture changes that promote harmony and peace. Ideally such culture change would involve healing from past wounds, the creation of positive (rather than destructive) ideologies, supportive communities, reconciliation and the creation of a shared collective memory, education that promotes peace, and the development of inclusive caring in children. The article also refers to work in Rwanda that aims to foster healing and reconciliation, in part by helping people understand the roots of violence and its implication for prevention. Societies and families that help to fulfill basic needs promote goodness as well as optimal human functioning,the continued growth and development of individuals. [source] Knowing Versus Caring: The Role of Affect and Cognition in Political PerceptionsPOLITICAL PSYCHOLOGY, Issue 1 2001Kathleen A. Dolan This paper examines the importance of political knowledge in shaping accurate perceptions of the political world,specifically, how levels of general political knowledge influence the accuracy of specific political judgments, how those judgments might also be shaped by "wishful thinking," and how political knowledge attenuates the impact of wishful thinking on political judgments. Predictions of who would win the U.S. presidential election in 1984, 1988, 1992, and 1996, as surveyed in the National Election Studies conducted in those years, were used as a measure of the accuracy of political perceptions. Analysis of these data reveals that both political knowledge and wishful thinking are important determinants of the accuracy of people's perceptions; in addition, the impact of wishful thinking on perceptions is attenuated by political knowledge. [source] Just Caring, Caring JusticeBUSINESS AND SOCIETY REVIEW, Issue 2 2000John W. Dienhart First page of article [source] Cancer and bioethics: Caring and consensusCANCER, Issue S7 2008Arthur L. Caplan PhD Abstract The most important area in which cancer care and bioethics intersect is in the care of the dying. It is in the shift toward according more control to patients, more choice in the setting in which death will come, and in the willingness to take palliative care and comfort care seriously that bioethics has most usefully interacted with cancer care in the past and is likely to continue to do so in the future. Cancer 2008;113(7 suppl):1801,6. © 2008 American Cancer Society. [source] Safer Caring: A Training ProgrammeCHILD & FAMILY SOCIAL WORK, Issue 3 2008Peter Denenberg No abstract is available for this article. [source] Young people's views of children's rights and advocacy services: a case for ,caring' advocacy?CHILD ABUSE REVIEW, Issue 3 2007Vivienne Barnes Abstract This paper looks at some preliminary findings from research with young people in foster and residential care in the UK who have received advocacy services from a range of local authority and voluntary agencies. The study also includes the views of professionals, from both children's rights and social services. The initial findings highlight the importance to young people of their relationship with rights professionals. They speak about the value to them of care and respect, aspects not always seen as fundamental to rights work. Caring, in its various guises is seen by young people as a vital component of their relationship with children's rights workers. They also see this as important within advocacy work itself since caring about the outcome is often key. A pure individual rights focus with an emphasis on challenge and ,being heard' may not take account of the complexity of their situation and may pose difficult dilemmas for young people, especially in dealings with their carers. This ,caring' advocacy is not the paternalistic approach of a professional who ,knows what's best for you' but is a model based on a strong awareness of ways that young people are excluded and oppressed. It is also about placing a positive value on their contribution as citizens and links to a view of society that gives importance to an ethic of inter-relationship and care as well as an ethic of individual rights. Copyright © 2007 John Wiley & Sons, Ltd. [source] |