2.50
Hdl Handle:
http://hdl.handle.net/10755/151750
Type:
Presentation
Title:
Preliminary analysis of a model of independence for frail elders
Abstract:
Preliminary analysis of a model of independence for frail elders
Conference Sponsor:Sigma Theta Tau International
Conference Year:1992
Conference Date:August 6 - 8, 1992
Author:Bowsher, Juanita, PhD
P.I. Institution Name:Medical College of Georgia
School of Nursing
Title:Assistant Professor
The purpose of this preliminary analysis of the proposed model of

independence was to determine direct and indirect relationships

among the model's primary variables: perceived situational control,

behavioral competence, and psychological well-being. The problem is

that nursing home care is dependence oriented. The literature

suggests that nursing home staffs reinforce dependence by

supportive behaviors, but offer no response to independent

behaviors of residents. If more independence can be achieved, it is

projected that residents will lead more personally satisfying and

socially productive lives within nursing homes.



A sample of 134 cognitively intact nursing home elders from 13

nursing homes in four counties of one southeastern state was used.

These elders rated their health from poor to excellent. Subconcepts

of behavioral competence were measured by the Philadelphia

Geriatric Center Multilevel Assessment Instrument. Reinforcement

value and expectancy of control, components of perceived

situational control, were measured by the Desired Control Measure.

A composite scale of the Life Satisfaction Index A and the Affect

Balance Scale was used to measure psychological well-being.

Findings from the path analysis suggested that subconcepts of

behavioral competence have a positive correlation with

psychological well-being, but that this relationship is moderated

by expectancy of control and reinforcement value. Together, all of

these variables contributed to 35 percent of the variance of

positive affect, a component of psychological well-being.



Preliminary analysis of the basic variables in the model suggests

that behavioral competence alone will not increase psychological

well-being. However, behavioral competence influenced by the

expectancy that the specific behavior will elicit a valued

reinforcement will increase psychological well-being. Given that

the core variables responded as expected, future research should

test the full model of independence, which includes such variable

as the objective environment, life events, generalized expectancy

of control, social support, and demographic variables. Symmetrical

relationships among the core variables of this model should also be

investigated, especially relationships between behavioral

competence and psychological well-being.



Repository Posting Date:
26-Oct-2011
Date of Publication:
6-Aug-1992
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePreliminary analysis of a model of independence for frail eldersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151750-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Preliminary analysis of a model of independence for frail elders</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1992</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">August 6 - 8, 1992</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bowsher, Juanita, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Medical College of Georgia<br/>School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this preliminary analysis of the proposed model of<br/><br/>independence was to determine direct and indirect relationships<br/><br/>among the model's primary variables: perceived situational control,<br/><br/>behavioral competence, and psychological well-being. The problem is<br/><br/>that nursing home care is dependence oriented. The literature<br/><br/>suggests that nursing home staffs reinforce dependence by<br/><br/>supportive behaviors, but offer no response to independent<br/><br/>behaviors of residents. If more independence can be achieved, it is<br/><br/>projected that residents will lead more personally satisfying and<br/><br/>socially productive lives within nursing homes.<br/><br/><br/><br/>A sample of 134 cognitively intact nursing home elders from 13<br/><br/>nursing homes in four counties of one southeastern state was used.<br/><br/>These elders rated their health from poor to excellent. Subconcepts<br/><br/>of behavioral competence were measured by the Philadelphia<br/><br/>Geriatric Center Multilevel Assessment Instrument. Reinforcement<br/><br/>value and expectancy of control, components of perceived<br/><br/>situational control, were measured by the Desired Control Measure.<br/><br/>A composite scale of the Life Satisfaction Index A and the Affect<br/><br/>Balance Scale was used to measure psychological well-being.<br/><br/>Findings from the path analysis suggested that subconcepts of<br/><br/>behavioral competence have a positive correlation with<br/><br/>psychological well-being, but that this relationship is moderated<br/><br/>by expectancy of control and reinforcement value. Together, all of<br/><br/>these variables contributed to 35 percent of the variance of<br/><br/>positive affect, a component of psychological well-being.<br/><br/><br/><br/>Preliminary analysis of the basic variables in the model suggests<br/><br/>that behavioral competence alone will not increase psychological<br/><br/>well-being. However, behavioral competence influenced by the<br/><br/>expectancy that the specific behavior will elicit a valued<br/><br/>reinforcement will increase psychological well-being. Given that<br/><br/>the core variables responded as expected, future research should<br/><br/>test the full model of independence, which includes such variable<br/><br/>as the objective environment, life events, generalized expectancy<br/><br/>of control, social support, and demographic variables. Symmetrical<br/><br/>relationships among the core variables of this model should also be<br/><br/>investigated, especially relationships between behavioral<br/><br/>competence and psychological well-being.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T11:12:30Z-
dc.date.issued1992-08-06en_GB
dc.date.accessioned2011-10-26T11:12:30Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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