2.50
Hdl Handle:
http://hdl.handle.net/10755/158942
Type:
Presentation
Title:
Family Caregiver Consideration to Institutionalize People with Dementia
Abstract:
Family Caregiver Consideration to Institutionalize People with Dementia
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Chiu, Yi-Chen, PhD
P.I. Institution Name:Chang-Gung University
Title:School of Nursing
Contact Address:259 Wen-Hwa 1st Rd., Kwei-Shan, Taoyuan, Taiwan, 330, ROC
Contact Telephone:011-886-3-3265223
Co-Authors:Y. Chiu, H. Huang, Y. Shyu, Institute of Nursing, Chang-Gung University, Taoyuan, TAIWAN; S. Chen, Department of Nursing, Catholic Mercy Hospital, HsingChu, TAIWAN; P. Penny, School of Nursing, University of Michigan, Ann Arbor, MI; C. Li, Department and
The purpose of this study was to explore the related factors of family caregivers whether or not to be the decision makers would impact the consideration to institutionalize individuals with dementia using a secondary data analysis. The original data set was derived from Shyu's research project entitled Workplace bullying has negative ramifications in the nursing workplace. The purpose of this descriptive cross-sectional study is to: 1. Describe the prevalence of workplace bullying among staff working on two hospital units. 2. Determine if there are differing experiences of workplace bullying by unit of employment, job title, gender, race and years of experience. 3. Examine the relationship between workplace bullying, job satisfaction and job stress. Hutchinson's model (2008) of Bullying in the Nursing Workplace is the theoretical model guiding this research(Hutchinson et. al, 2008). Data were collected from RNs, LPNs, PCAs and UCAs from two nursing units using a 41 item survey which included demographics, the Negative Acts Questionnaire (NAQ), and items related to job satisfaction. Descriptive and non-parametric statistics were used. Using a checklist of bullying behaviors (NAQ), 21% of subjects met the criteria for having been bullied, although in contrast when given the definition of bullying, only 7% of subjects indicated that they had been bullied. No differences were found in the experience of bullying by length of employment, job title, gender, or race. One unit experienced a significantly higher bully score. There was a significant negative correlation between bullying and job satisfaction. Thirty-six percent of subjects witnessed co-workers being bullied. Witnesses reported lower job satisfaction and higher stress. The bullying score for our subjects was higher than reported in a large sample of US workers (Lutgen-Sandvik et. al., 2007). We conclude that workplace bullying may be a greater problem in the nursing work environment than other occupations. Moreover, those who witness bullying may become secondary targets. We suggest that bullying may be a function of the dynamics of the unit team and organizational tolerance rather than demographic differences among employees. Failure of staff to recognize they are experiencing bullying may be a function of normalization of bullying within work teams. Organizational policies aimed at eliminating bullying are insufficient. The elimination of bullying must occur through interventions designed at understanding organizational antecedents, the normalization process and teamwork dynamics. "The decision process and willingness-to-pay of family caregivers of patients with dementia for long-term care services: community-based service utilization and institutionalization" (2004). Two hundred and fifteen dyads of elderly persons with dementia and their family caregivers were recruited by purposeful sampling. The findings of logistic regression analyses revealed that the patients' IADL function (OR=0.646,95%, CI=0.47-0.87), the quality of relationship between patients and their caregiver(OR=4.437,95% CI=1.36-14.4) and the receiving of subsidy(OR=3.529,95% CI=1.50-8.25)were the significant predictors of the likelihood of considering institutionalization for the people with dementia when the caregivers were the primary decision-makers. The logistic regression model correctly predicted 78.1% of the variance of likelihood to consider institutionalization. Being a primary decision-maker and family caregiver was an important predictor on the likelihood of considering institutionalization. The results of this study can help nurses to understand the related factors of family caregiver who consider to institutionalize people with dementia. It may provide guidance to develop nursing interventions in assisting, and delaying institutionalization of people with dementia.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFamily Caregiver Consideration to Institutionalize People with Dementiaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158942-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Family Caregiver Consideration to Institutionalize People with Dementia</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chiu, Yi-Chen, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Chang-Gung University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">School of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">259 Wen-Hwa 1st Rd., Kwei-Shan, Taoyuan, Taiwan, 330, ROC</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">011-886-3-3265223</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">chiuyuhong@yahoo.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Y. Chiu, H. Huang, Y. Shyu, Institute of Nursing, Chang-Gung University, Taoyuan, TAIWAN; S. Chen, Department of Nursing, Catholic Mercy Hospital, HsingChu, TAIWAN; P. Penny, School of Nursing, University of Michigan, Ann Arbor, MI; C. Li, Department and </td></tr><tr><td colspan="2" class="item-abstract">The purpose of this study was to explore the related factors of family caregivers whether or not to be the decision makers would impact the consideration to institutionalize individuals with dementia using a secondary data analysis. The original data set was derived from Shyu's research project entitled Workplace bullying has negative ramifications in the nursing workplace. The purpose of this descriptive cross-sectional study is to: 1. Describe the prevalence of workplace bullying among staff working on two hospital units. 2. Determine if there are differing experiences of workplace bullying by unit of employment, job title, gender, race and years of experience. 3. Examine the relationship between workplace bullying, job satisfaction and job stress. Hutchinson's model (2008) of Bullying in the Nursing Workplace is the theoretical model guiding this research(Hutchinson et. al, 2008). Data were collected from RNs, LPNs, PCAs and UCAs from two nursing units using a 41 item survey which included demographics, the Negative Acts Questionnaire (NAQ), and items related to job satisfaction. Descriptive and non-parametric statistics were used. Using a checklist of bullying behaviors (NAQ), 21% of subjects met the criteria for having been bullied, although in contrast when given the definition of bullying, only 7% of subjects indicated that they had been bullied. No differences were found in the experience of bullying by length of employment, job title, gender, or race. One unit experienced a significantly higher bully score. There was a significant negative correlation between bullying and job satisfaction. Thirty-six percent of subjects witnessed co-workers being bullied. Witnesses reported lower job satisfaction and higher stress. The bullying score for our subjects was higher than reported in a large sample of US workers (Lutgen-Sandvik et. al., 2007). We conclude that workplace bullying may be a greater problem in the nursing work environment than other occupations. Moreover, those who witness bullying may become secondary targets. We suggest that bullying may be a function of the dynamics of the unit team and organizational tolerance rather than demographic differences among employees. Failure of staff to recognize they are experiencing bullying may be a function of normalization of bullying within work teams. Organizational policies aimed at eliminating bullying are insufficient. The elimination of bullying must occur through interventions designed at understanding organizational antecedents, the normalization process and teamwork dynamics. &quot;The decision process and willingness-to-pay of family caregivers of patients with dementia for long-term care services: community-based service utilization and institutionalization&quot; (2004). Two hundred and fifteen dyads of elderly persons with dementia and their family caregivers were recruited by purposeful sampling. The findings of logistic regression analyses revealed that the patients' IADL function (OR=0.646,95%, CI=0.47-0.87), the quality of relationship between patients and their caregiver(OR=4.437,95% CI=1.36-14.4) and the receiving of subsidy(OR=3.529,95% CI=1.50-8.25)were the significant predictors of the likelihood of considering institutionalization for the people with dementia when the caregivers were the primary decision-makers. The logistic regression model correctly predicted 78.1% of the variance of likelihood to consider institutionalization. Being a primary decision-maker and family caregiver was an important predictor on the likelihood of considering institutionalization. The results of this study can help nurses to understand the related factors of family caregiver who consider to institutionalize people with dementia. It may provide guidance to develop nursing interventions in assisting, and delaying institutionalization of people with dementia.</td></tr></table>en_GB
dc.date.available2011-10-26T21:32:54Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:32:54Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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