ABSTRACT
To remain viable, academic institutions preparing the future workforce need to be attentive and responsive to changes in the social environment. This is particularly true when considering the preparation of a health care workforce for the field of geriatrics. An Interdisciplinary Geriatric Education Center is an innovative, deliberate, institutional strategy to prepare and deliver an effective healthcare workforce for the future geriatric population. The model and processes for the implementation of such a center are presented.
Subject(s)
Allied Health Personnel/education , Geriatrics , Health Services for the Aged/organization & administration , Interdisciplinary Communication , Aged , Clinical Competence , Communication , Health Knowledge, Attitudes, Practice , Health Promotion/organization & administration , HumansABSTRACT
Home safety is a major concern for persons with a progressive dementia, such as Alzheimer's disease, because much direct care is provided in the home setting. This study used the Home Safety/Injury Model as a frame work to describe the domain of caregiver competence, one of the model's key constructs. Interview data from the perspectives of 17 informants yielded a total of 68 clinical situations that allowed exploration of the scope and dimensions of caregiver competence to prevent accidents in the home. The factors most influential for effective caregiver prevention of home injury were family support, an acceptance and ability to make role changes, teaching and role modeling from professionals, and long-standing values and family traditions. No single factor was sufficient to achieve effective caregiving for making the home safer, but the strength of one or two factors could compensate for the absence of others.
Subject(s)
Accidents, Home/prevention & control , Caregivers , Dementia , Health Knowledge, Attitudes, Practice , Aged , Female , Health Education , Humans , Male , Social SupportABSTRACT
This article describes a Home Safety/Injury Model derived from Social Cognitive Theory. The model's three components are safety platform, the person with dementia, and risky behaviors. The person with dementia is in the center, located on the safety platform composed of the physical environment and caregiver competence. The interaction between the underlying dementia and indicators of frailty can lead to the person with dementia performing risky behaviors that can overcome the safety platform's resources and lead to an accident or injury, and result in negative consequences. Through education and research, the model guides proactive actions to prevent risky behaviors of individuals with dementia by promoting safer home environments and increased caregiver competence.
Subject(s)
Alzheimer Disease/nursing , Health Promotion/methods , Home Nursing/methods , Aged , Alzheimer Disease/psychology , Behavior , Environment , Humans , Interior Design and Furnishings , SafetyABSTRACT
The purpose of this article is to describe the development of a model of moral distress in military nursing. The model evolved through an analysis of the moral distress and military nursing literature, and the analysis of interview data obtained from US Army Nurse Corps officers (n = 13). Stories of moral distress (n = 10) given by the interview participants identified the process of the moral distress experience among military nurses and the dimensions of the military nursing moral distress phenomenon. Models of both the process of military nursing moral distress and the phenomenon itself are proposed. Recommendations are made for the use of the military nursing moral distress models in future research studies and in interventions to ameliorate the experience of moral distress in crisis military deployments.
