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Quality of life in nursing homes: involving elders in policy making for their own care and life satisfaction
- Authors:
- McKINLEY Kathryn, ADLER Geri
- Journal article citation:
- Social Policy Journal, 4(3/4), 2005, pp.37-51.
- Publisher:
- Haworth Press
- Place of publication:
- Binghamton, New York
In this American study the authors researched elders' perceptions of quality of life in nursing homes using focus groups. Analysis revealed four major themes important to residents: generativity, spiritual well-being, homelike environment, and privacy. Themes were used to analyze the disparity between the American Nursing Home Reform Act's goal of dual emphasis on quality of care and quality of life outcomes, and the dominance of quality of care in the treatment of frail elders living in nursing homes. The authors argue that policies and procedures must be developed that promote decisional control in everyday matters of an older person's life. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Self-determination and residents who smoke: a dilemma for the nursing home social worker
- Authors:
- ADLER Geri, et al
- Journal article citation:
- Journal of Social Work in Long-Term Care, 1(4), 2002, pp.19-30.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
A sample of nursing home social workers in the USA were surveyed regarding facility smoking policy and its compatibility with their professional values and ethics. Almost all respondents agreed that nursing homes are the resident's home and that residents have the right to make decisions that may not be in their best interest. At smoke free facilities, significantly more social workers believed that residents should not have the right to make their own decisions regarding smoking.
Smoking in nursing homes: conflicts and challenges
- Authors:
- ADLER Geri, et al
- Journal article citation:
- Social Work in Health Care, 25(4), 1997, pp.67-81.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Nursing home social workers in the USA were surveyed to determine nursing home smoking policies and the effect these policies may have on resident and staff interaction. Data analyses suggest that in the past five years there has been a trend toward facilities becoming smoke-free. Facilities that permit smoking face greater conflicts between residents and staff. Social workers are expected to be resident advocates as well as mediators in such areas of conflict. This difficult position is further complicated by the social workers' personal views regarding smoking and "guest" standing in medical settings.