RESUMO
We report the first phase in a research program aimed at evaluating the effectiveness of bereavement counselling as a health promotion strategy. The Lindemann Model of grief management is used as an effectiveness measure of bereavement counselling via the Heimler Scale of Social Functioning. Thirty key persons of cancer patients cared for on a palliative care unit were involved in a longitudinal randomized experiment. Analysis of the data suggests further work is required regarding the timing of bereavement intervention. The traditional idea of bereavement intervention beginning after the death of the patient is challenged. In addition, the data suggest further tool development specific to a bereaved population. Strengthening community health services for the survivors of the terminally ill is supported.
Assuntos
Luto , Aconselhamento , Família , Serviços de Assistência Domiciliar/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Manitoba , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Assistência TerminalRESUMO
Technology is increasing. "The most stable characteristic of the present health care system, is change, characterized by expansion and experimentation . . ." To date, nursing has taken a reactive role, adapting out of necessity rather than taking an active part in initiating or promoting specific change. Consequently the health care system has had and continues to have a greater impact on nursing than nursing on the health care system. Two hypothetical frameworks, humanistic and technological, are presented with which to approach the problem of increasing technology. The values and implications of each are examined within the context of the nursing profession.
