Hope: a key concept in the psychology of nursing.
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Communication↗
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Results for “Helping Behavior”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
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Helping patients to master correct inhaler techniques: nursing role.
The use of inhalers is widespread for asthma and conditions such as chronic obstructive pulmonary disease and yet many people have difficulties in mastering correct inhaler technique. Elderly people and children have specific problems with inhaler use and require both targeted and appropriate help in order to improve their inhaler technique and minimize waste of inhaled medication and therefore lack of therapeutic effect. Nurses need to be able to not only demonstrate correct inhaler technique themselves, but also identify what is going wrong and be knowledgeable concerning the various options available. Frequent assessment of inhaler technique needs to become a regular feature of health promotion for all patients using these devices.
Adult↗
Psychological considerations in gastrointestinal nursing.
Body image changes and psychological adaptation are often associated with patients who have gastrointestinal disease due to the potential alteration to physical appearance through the very nature of the disease process or treatment. This article describes some of the psychological issues highlighted by patients with gastrointestinal disease, including loss of bowel control, withdrawal and concealment. It highlights altered image difficulties and adaptation through the patients' journey and treatment with illustrations from patients' narratives. In doing so, it explores the nurse's role and stresses the necessity for nurses to seek training to become skillful in counselling this group of patients towards exploring and identifying their individual psychological problems.
Activities of Daily Living↗
Believing the patient with chronic pain: a review of the literature.
The aim of this article is to review the literature on studies on the effect of having health professionals treat a patient's pain experience as credible and to propose considerations for nursing practice. A systematic literature search was performed via Cinahl, Medline, British Nursing Index, Cochrane and PsychINFO from 1970-2003 using the key words 'chronic pain', 'attitude', 'confirmation', 'listening to' and 'belief'. Study findings were reviewed in relation to the effect of 'being believed'. There are no studies that look exclusively at the effects of having a health professional believe a patient's reported pain experience; however, within the literature there are several references to the need to examine this phenomenon. Future research in this area is needed to provide direction for clinical practice for nurses in this aspect of chronic pain management.
Acute Disease↗
Protective coping: a grounded theory of educative interactions in palliative care nursing.
The development of a workable caring partnership in palliative care between the nurse, patient and informal carer is contingent upon the nurse's use of effective interactions that will not only inform, but also help individuals to work towards common beneficial goals. This article summarizes a research project undertaken in Western Australia, which examined the symbolic nature and characteristics of educative interactions. Their therapeutic value was interpreted in order to construct a theory, which in turn, explained their function. Protective coping, which deals with overcoming or minimizing stressors to the individual, has been identified as a basic social interactional process that is fundamental to the optimization of patients' well being during terminal illness care. An understanding of the knowledge-power relationship in palliative care is crucial if subsequent educative outcomes are to be positively influenced.
Adaptation, Psychological↗
Decision support: helping patients and families to find a balance at the end of life.
Terminally ill patients and their families face many decisions at the end of life that can sometimes be overwhelming. Nurses play a key role in providing decision support so that patients and their families can make timely decisions about their health care that reflect their individual needs and circumstances. The Ottawa Decision Support Framework can help nurses to assess patients' decision-making needs, provide tailored decision support and evaluate the effect of their interventions. The theoretical underpinnings of the model and its implications for palliative care clinical practice are discussed.
Adaptation, Psychological↗
Grief in North America, a death-denying society.
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Adaptation, Psychological↗
Handling unexpected distress on the telephone: the development of interdisciplinary training.
St Nicholas's Hospice recognized that its non-clinical staff needed support and guidance regarding the management of particularly difficult telephone conversations. It is understandable that patients and family members who are experiencing extreme uncertainty, fear and worry might express anger and despair, however, non-clinical staff were troubled by having to handle such raw emotions on the telephone. Despite palliative care excelling at counselling skills and training in breaking bad news, no material or courses exist to help these staff handle unanticipated distress on the telephone. A training session was established and, unexpectedly, many clinical staff enrolled. Although a formal in-depth evaluation did not take place, participant feedback suggested it was equally beneficial to non-clinical and clinical staff. A key element of the apparent success was the interprofessional, interagency, interpersonal sharing and exchange of ideas.
Attitude of Health Personnel↗
Palliative care management of a child with juvenile onset Huntington's disease.
This is a case report of the palliative care management of a 13-year-old girl who died of juvenile onset Huntington's disease in a children's hospice in the southeast of England. It outlines her disease progression and describes the care that she received. In particular, the medications and other measures used to control her symptoms during her last 10 days are discussed. The article also explores some of the ethical difficulties of caring for children dying from degenerative disorders. Although juvenile onset Huntington's disease is an extremely rare condition, the issues around terminal care management are very similar to those for any neuro-degenerative disorder, whether in an adult or child. A number of children's hospices have opened in the last 10-15 years in the UK. They accept children with a wide range of life-limiting conditions and have become experts in offering respite care and symptom control to these children and their families. They are chosen increasingly as the place of death for such children.
Adolescent↗
The palliative care nurse's role in supporting the adolescent child of a dying patient.
The aim of this article was to critically evaluate the author's role as a hospital-based palliative care nurse in supporting the adolescent child of a dying parent. The approach taken and the resources that were available have been reflected upon. The article explores whether it was possible to adapt the theory of bereavement support for those working with adults within the constraints of a busy acute hospital. It was found that although there were limitations to the amount of support the author could give within her role, there remains a window of opportunity for all healthcare professionals within this field to support parents in preparing their children for bereavement.
Adaptation, Psychological↗
The health care social worker's role in facilitating grief work: an empirical study.
In this research, 155 people who had recently experienced the loss of someone they cared about rated the extent to which different social work activities would or would not have been helpful to them at the time of their loss. Discussion of the data focuses on how social workers in a health setting can assist individuals who are grieving.
Adolescent↗
Elderly hospitalized patients' perceptions of the interaction with the social worker during discharge planning.
Twenty-four elderly hospitalized patients and their social workers were interviewed regarding their perceptions of the discharge planning process. One-half of the clients did not know how they were referred to social work and sixty percent did not know what to expect from the contact with the worker. Workers and clients agreed on the existence of environmental problems and interventions to address these problems, but were less likely to agree on the existence of intra- and interpersonal problems and interventions. At the termination of the contact, approximately forty percent of the clients were still confused about the social work role. However, in spite of these misunderstandings, clients cooperated fully with their workers, neither challenging them or asking for additional information. It is concluded that the patients in this study assumed the "good patient" role in interacting with their social workers. Implications for practicing and research are discussed.
Aged↗
Mothers' experience with household roles and social support during the first postpartum year.
This prospective, longitudinal study was conducted to investigate the changes in the division of household labor, and in the emotional and practical support received by new mothers during the first postpartum year. Questionnaires were completed by 436 married, recently employed mothers at 1, 3, 6, 9, and 12 months after they had delivered their first child. Results showed that women assumed primary responsibility for the majority of household tasks studied, and that they perceived declines over time in their husbands' participation in household chores, their husbands' and others' expressions of caring, and in the frequency with which friends and relatives "helped out" during the year. Women who had had cesarean sections (versus those with vaginal deliveries) and who returned to work (versus those who stayed home) believed their husbands participated more in traditionally feminine household chores. Women's satisfaction with their husbands' contribution to household activities was significantly related to their own mental health, delivery type (cesarean section), job status (being at home vs. back at work), and family income; and to their husbands' occupation, expressions of caring, and participation in child care and certain household chores (house cleaning, grocery shopping, cooking, washing clothes and dishes, household repairs, car maintenance, and garbage removal). Overall, these findings showed diminishing levels of emotional and practical support for women at a time when the need for support was likely greater: following the birth of their first child.
Adult↗
Through gendered lens:explaining Chinese caregivers' task performance and care reward.
The Chinese cultural norm of xiao, or filial piety, has long been held responsible for the practice of familial caregiving for older parents. Yet few explore the gendered nature of such a cultural practice in the current changing economic dynamics. Using data collected in 1997-1999 from 110 Chinese caregivers who were caring for physically dependent elder parents, this researcher explores the influence of changing economic conditions and Chinese cultural values in caregiver task performance and reward. Findings suggest that Chinese caregiving is highly gendered: Women are more likely to be unemployed and provide more personal care than men; sons are not more likely than daughters to provide financial assistance for parents. Chinese cultural values are playing an important role sanctioning caregiver task performance. Caregivers who believed in patrilocal norms provided more financial assistance; caregivers who reported higher social pressure provided more personal care. While the caregivers' report of social pressure is positively related to the caregivers' performance in personal care tasks, it is negatively related to caregiver reward. The author further explores the gendered implications for the changing economy and culture in China.
Adult↗
Meaning of housework and other unpaid responsibilities among older women.
This study explores the meaning and conditions of housework and other unpaid responsibilities for older women. Taped, in-person interviews were conducted with 53 ethnically and economically diverse women, 55-84 years old. The interview guide contained open-ended questions regarding the process of taking on housework and other unpaid responsibilities and the centrality to personal identity. Participants reported shifts in perceptions of housework as work, decreased importance of housework with age, the attitude of care recipients affecting the experience and meaning of unpaid responsibilities, and the impact of historical racist events on viewing unpaid responsibilities as opportunity.
Aged↗
The bystander issue: who will help in cardiac arrest?
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Community Participation↗
The helping process in couples during recovery from heart attack: a single case study.
This single case study aimed to illustrate help-intended communication in couples, in particular how a husband and wife attempted to help each other with adjusting to the husband's recent myocardial infarction. The study employed a semi-structured communication task to gather samples of the couple's helping interactions: the couple had two conversations in which they alternated helper and discloser roles. Quantitative and qualitative data were obtained from the couple and from expert raters (observers) about their perspectives of the conversations. The observers' ratings and verbal response mode patterns indicated that the conversations were characterized by low levels of empathy and exploration of feelings and relatively high levels of helper disclosure and advice; overall, the observers found the conversations to be somewhat unhelpful. In contrast, the couple rated the conversations more positively; the 'helpful events' they identified consisted of their partner disclosing a new piece of information and giving advice. The results were discussed in terms of the unique features of helping in close relationships.
Communication↗
Why the spontaneous images created by the hands during talk can help make TV advertisements more effective.
The design of effective communications depends upon an adequate model of the communication process. The traditional model is that speech conveys semantic information and bodily movement conveys information about emotion and interpersonal attitudes. But McNeill (2000) argues that this model is fundamentally wrong and that some bodily movements, namely spontaneous hand movements generated during talk (iconic gestures), are integral to semantic communication. But can we increase the effectiveness of communication using this new theory? Focusing on advertising we found that advertisements in which the message was split between speech and iconic gesture (possible on TV) were significantly more effective than advertisements in which meaning resided purely in speech or language (radio/newspaper). We also found that the significant differences in communicative effectiveness were maintained across five consecutive trials. We compared the communicative power of professionally made TV advertisements in which a spoken message was accompanied either by iconic gestures or by pictorial images, and found the iconic gestures to be more effective. We hypothesized that iconic gestures are so effective because they illustrate and isolate just the core semantic properties of a product. This research suggests that TV advertisements can be made more effective by incorporating iconic gestures with exactly the right temporal and semantic properties.
Advertising↗