RESUMO
Providing quality care to the dying has become a primary concern in the United States. Eighty percent of deaths still occur in the hospital even though nurses report they do not think that good deaths are routinely possible within a hospital setting due to lack of appropriate education on end-of-life care. The aim of this pilot study was to test the best method for changing acute nurse's perceptions about end-of-life care. A 3-group experimental design tested the efficacy of a nurse-led hospice collaborative. Hypotheses were: (1) nurses who receive classroom instruction will have greater change in perceptions than the control group and (2) nurses who receive a combination of classroom and hospice experiences will demonstrate greater changes than the classroom or control group. No significant differences were found among the 3 groups. However, the intervention group showed increased guilt about not having enough time to spend with the dying.
Assuntos
Atitude do Pessoal de Saúde , Educação Continuada em Enfermagem/organização & administração , Cuidados Paliativos na Terminalidade da Vida , Recursos Humanos de Enfermagem Hospitalar , Adulto , Análise de Variância , Atitude Frente a Morte , Competência Clínica , Currículo , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Cuidados Paliativos na Terminalidade da Vida/organização & administração , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Educacionais , Modelos de Enfermagem , Avaliação das Necessidades , Pesquisa em Educação em Enfermagem , Pesquisa Metodológica em Enfermagem , Recursos Humanos de Enfermagem Hospitalar/educação , Recursos Humanos de Enfermagem Hospitalar/psicologia , Projetos Piloto , Avaliação de Programas e Projetos de Saúde , Estatísticas não Paramétricas , Inquéritos e QuestionáriosRESUMO
Laughter, the physical response to perceived humor, has demonstrated positive effects on physical and psychological well-being. Studies that focus on effects of humor on health and well-being of older adults are scarce. No studies were found that examine what older adults find humorous. The purpose of this descriptive study was to explore the humor stimulus in a population of older adults. One hundred thirty (130) hospital auxiliary personnel aged 50 and older were asked the question What makes you laugh? Content analysis of responses revealed nine themes in two major categories, which were (a) people or animals and (b) situations or events. Children represented the largest category of people (30%), and telling jokes represented the largest category of situations or events (51%). Humor can be used by nurses as an effective therapeutic tool when caring for older adults if appropriate sources of humor are identified and applied.