scholarly journals Moral distress and the Australian aged care worker: A mixed methods study

2017 ◽  
Author(s):  
Adam Burston
Keyword(s):  
Mixed Methods ◽  
Moral Distress ◽  
Aged Care ◽  
Mixed Methods Study ◽  
Care Worker

Moral Distress and the Australian Aged Care Worker

2014 ◽  
Author(s):  
Robert Eley ◽  
Adam Burston ◽  
Anthony Tuckett ◽  
Deborah Parker
Keyword(s):  
Moral Distress ◽  
Aged Care ◽  
Care Worker

Drivers of Moral Distress in Surgical Intensive Care Providers: A Mixed Methods Study

2020 ◽  
Vol 231 (4) ◽  
pp. e234-e235
Author(s):  
Josh Bleicher ◽  
Aubrey Place ◽  
Sarah Schoenhals ◽  
Carolyn Luppens ◽  
Laura A. Lambert ◽  
...  
Keyword(s):  
Intensive Care ◽  
Mixed Methods ◽  
Moral Distress ◽  
Mixed Methods Study ◽  
Care Providers ◽  
Surgical Intensive Care

Drivers of Moral Distress in Surgical Intensive Care Providers: A Mixed Methods Study

2021 ◽  
Vol 266 ◽  
pp. 292-299
Author(s):  
Josh Bleicher ◽  
Aubrey Place ◽  
Sarah Schoenhals ◽  
Carolyn L. Luppens ◽  
Joanna Grudziak ◽  
...  
Keyword(s):  
Intensive Care ◽  
Mixed Methods ◽  
Moral Distress ◽  
Mixed Methods Study ◽  
Care Providers ◽  
Surgical Intensive Care

Identifying Features that Enhance Older Adults’ Acceptance of Robots: A Mixed Methods Study

Gerontology ◽  
2019 ◽  
Vol 65 (4) ◽  
pp. 441-450 ◽  
Author(s):  
Li Chu ◽  
Hung-Wen Chen ◽  
Pei-Yi Cheng ◽  
Pokuan Ho ◽  
I-Tan Weng ◽  
...  
Keyword(s):  
Older Adults ◽  
Mixed Methods ◽  
Structured Interview ◽  
Aged Care ◽  
Community Dwelling ◽  
Perceived Usefulness ◽  
Mixed Methods Study ◽  
Use Of Technology ◽  
Service Oriented ◽  
Meaningful Relationships

Background: With global aging, robots are considered a promising solution for handling the shortage of aged care and companionships. However, these technologies would serve little purpose if their intended users do not accept them. While the socioemotional selectivity theory predicts that older adults would accept robots that offer emotionally meaningful relationships, selective optimization with compensation model predicts that older adults would accept robots that compensate for their functional losses. Objective: The present study aims to understand older adults’ expectations for robots and to compare older adults’ acceptance ratings for 2 existing robots: one of them is a more human-like and more service-oriented robot and the other one is a more animal-like and more companion-oriented robot. Methods: A mixed methods study was conducted with 33 healthy, community-dwelling Taiwanese older adults (age range: 59–82 years). Participants first completed a semi-structured interview regarding their ideal robot. After receiving information about the 2 existing robots, they then completed the Unified Theory of Acceptance and Use of Technology questionnaires to report their pre-implementation acceptance of the 2 robots. Results: Interviews were transcribed for conventional content analysis with satisfactory inter-rater reliability. From the interview data, a collection of older adults’ ideal robot characteristics emerged with highlights of humanlike qualities. From the questionnaire data, respondents showed a higher level of acceptance toward the more service-oriented robot than the more companion-oriented robot in terms of attitude, perceived adaptiveness, and perceived usefulness. From the mixed methods analyses, the finding that older adults had a higher level of positive attitude towards the more service-oriented robot than the more companion-oriented robot was predicted by higher expectation or preference for robots with more service-related functions. Conclusion: This study identified older adults’ preference toward more functional and humanlike robots. Our findings provide practical suggestions for future robot designs that target the older population.

scholarly journals Using Virtual Reality to Improve Apathy in Residential Aged Care: Mixed Methods Study (Preprint)

2019 ◽  
Author(s):  
Dimitrios Saredakis ◽  
Hannah AD Keage ◽  
Megan Corlis ◽  
Tobias Loetscher
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Mixed Methods ◽  
Side Effects ◽  
Neurological Disorders ◽  
Verbal Fluency ◽  
Aged Care ◽  
Mixed Methods Study ◽  
Residential Aged Care ◽  
Reminiscence Therapy

BACKGROUND Apathy is a common symptom in neurological disorders, including dementia, and is associated with a faster rate of cognitive decline, reduced quality of life, and high caregiver burden. There is a lack of effective pharmacological treatments for apathy, and nonpharmacological interventions are a preferred first-line approach to treatment. Virtual reality (VR) using head-mounted displays (HMDs) is being successfully used in exposure- and distraction-based therapies; however, there is limited research on using HMDs for symptoms of neurological disorders. OBJECTIVE This feasibility study aimed to assess whether VR using HMDs could be used to deliver tailored reminiscence therapy and examine the willingness to participate, response rates to measures, time taken to create tailored content, and technical problems. In addition, this study aimed to explore the immediate effects between verbal fluency and apathy after exposure to VR. METHODS A mixed methods study was conducted in a sample of older adults residing in aged care, and 17 participants were recruited. Apathy was measured using the Apathy Evaluation Scale (AES), and verbal fluency was used as a proxy measure of improvements in apathy and debriefing interviews to assess feedback from participants. Side effects that can occur from using HMDs were also measured. RESULTS We recruited participants from a high socioeconomic status setting with a high education level, and the participation rate was 85% (17/20); most responses to measures were positive. Access to a wide range of freely available content and the absence of technical difficulties made the delivery of a VR reminiscence intervention highly feasible. Participants had improved semantic scores (<i>t</i><sub>14</sub>=−3.27; <i>P</i>=.006) but not phonemic fluency scores (<i>t</i><sub>14</sub>=0.55; <i>P</i>=.59) immediately after the intervention. Those with higher levels of apathy demonstrated the greatest cognitive improvements after a VR reminiscence experience, which was indicated by a strong positive relationship between the AES and semantic verbal fluency change scores postminus pre-VR (<i>r</i>=0.719; 95% CI 0.327 to 0.900; <i>P</i>=.003). All participants enjoyed the experience despite 35% (6/17) of participants experiencing temporary side effects. CONCLUSIONS This study provides initial evidence that it is feasible to use VR with HMDs for therapy to treat symptoms of apathy in older adults in residential aged care. However, there is a need to closely monitor the side effects of HMD use in older adults. Further research is needed using an active control group to compare the use of VR with traditional forms of reminiscence therapy.

Dying at home in rural residential aged care: A mixed-methods study in the Snowy Monaro region, Australia

2018 ◽  
Vol 26 (5) ◽  
pp. 705-713 ◽  
Author(s):  
Suzanne Rainsford ◽  
Christine B. Phillips ◽  
Nicholas J. Glasgow ◽  
Roderick D. MacLeod ◽  
Robert B. Wiles
Keyword(s):  
Mixed Methods ◽  
Aged Care ◽  
Mixed Methods Study ◽  
Residential Aged Care ◽  
Dying At Home ◽  
At Home

scholarly journals Aged care residents’ prioritization of care: A mixed‐methods study

2021 ◽  
Author(s):  
Kristiana Ludlow ◽  
Kate Churruca ◽  
Virginia Mumford ◽  
Louise A. Ellis ◽  
Jeffrey Braithwaite
Keyword(s):  
Mixed Methods ◽  
Aged Care ◽  
Mixed Methods Study

scholarly journals Advancement of the German version of the moral distress scale for acute care nurses-A mixed methods study

Nursing Open ◽  
2017 ◽  
Vol 4 (4) ◽  
pp. 251-266 ◽  
Author(s):  
Michael Kleinknecht-Dolf ◽  
Elisabeth Spichiger ◽  
Marianne Müller ◽  
Sabine Bartholomeyczik ◽  
Rebecca Spirig
Keyword(s):  
Mixed Methods ◽  
Acute Care ◽  
Moral Distress ◽  
Mixed Methods Study ◽  
German Version ◽  
Acute Care Nurses ◽  
Distress Scale

scholarly journals Using Virtual Reality to Improve Apathy in Residential Aged Care: Mixed Methods Study

10.2196/17632 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e17632 ◽  
Author(s):  
Dimitrios Saredakis ◽  
Hannah AD Keage ◽  
Megan Corlis ◽  
Tobias Loetscher
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Mixed Methods ◽  
Side Effects ◽  
Neurological Disorders ◽  
Verbal Fluency ◽  
Aged Care ◽  
Mixed Methods Study ◽  
Residential Aged Care ◽  
Reminiscence Therapy

Background Apathy is a common symptom in neurological disorders, including dementia, and is associated with a faster rate of cognitive decline, reduced quality of life, and high caregiver burden. There is a lack of effective pharmacological treatments for apathy, and nonpharmacological interventions are a preferred first-line approach to treatment. Virtual reality (VR) using head-mounted displays (HMDs) is being successfully used in exposure- and distraction-based therapies; however, there is limited research on using HMDs for symptoms of neurological disorders. Objective This feasibility study aimed to assess whether VR using HMDs could be used to deliver tailored reminiscence therapy and examine the willingness to participate, response rates to measures, time taken to create tailored content, and technical problems. In addition, this study aimed to explore the immediate effects between verbal fluency and apathy after exposure to VR. Methods A mixed methods study was conducted in a sample of older adults residing in aged care, and 17 participants were recruited. Apathy was measured using the Apathy Evaluation Scale (AES), and verbal fluency was used as a proxy measure of improvements in apathy and debriefing interviews to assess feedback from participants. Side effects that can occur from using HMDs were also measured. Results We recruited participants from a high socioeconomic status setting with a high education level, and the participation rate was 85% (17/20); most responses to measures were positive. Access to a wide range of freely available content and the absence of technical difficulties made the delivery of a VR reminiscence intervention highly feasible. Participants had improved semantic scores (t14=−3.27; P=.006) but not phonemic fluency scores (t14=0.55; P=.59) immediately after the intervention. Those with higher levels of apathy demonstrated the greatest cognitive improvements after a VR reminiscence experience, which was indicated by a strong positive relationship between the AES and semantic verbal fluency change scores postminus pre-VR (r=0.719; 95% CI 0.327 to 0.900; P=.003). All participants enjoyed the experience despite 35% (6/17) of participants experiencing temporary side effects. Conclusions This study provides initial evidence that it is feasible to use VR with HMDs for therapy to treat symptoms of apathy in older adults in residential aged care. However, there is a need to closely monitor the side effects of HMD use in older adults. Further research is needed using an active control group to compare the use of VR with traditional forms of reminiscence therapy.

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