Nurse perspectives on the psychosocial care of patients with urinary incontinence in home hospice: A qualitative study

2021 ◽  
pp. 026921632110433
Author(s):  
David Russell ◽  
Michelina D Stoddard ◽  
Natalie Morgan ◽  
Margaret V McDonald ◽  
Ritchell Dignam ◽  
...  

Background: Urinary incontinence is prevalent among patients receiving home hospice and presents multiple care management challenges for nurses and family caregivers. Aim: This study sought to understand how urinary incontinence influences the psychosocial care of patients receiving home hospice and the strategies that nurses employ to maximize patient and family comfort. Design: Qualitative descriptive study using semi-structured interviews. Setting/participants: Nurses employed at a large not-for-profit hospice agency in New York City. Results: Analyses of 32 interviews revealed three primary themes. First, nurses considered urinary incontinence to be associated with multiple psychosocial issues including embarrassment for patients and caregiver burden. Second, nurses described urinary incontinence as a threat to patient dignity and took steps to preserve their continence function. Third, nurses assisted patients and their families to cope with urinary incontinence through normalization, reframing incontinence as part of the disease process, mobilizing caregiving assistance, and encouraging use of continence supplies such as diapers and liners. Conclusion: Urinary incontinence influences the psychosocial care of patients receiving home hospice and nurses employ strategies to maximize patient and family comfort. Additional research is needed to examine the psychosocial benefits of facilitated discussions with patients and family members about incontinence, provision of caregiving support, and distribution of comprehensive incontinence supplies to patients with fewer resources.

Author(s):  
Joseph R. Fitzgerald

The final chapter briefly touches on Richardson’s second divorce but focuses on her difficulties finding and keeping employment. After holding a series of jobs in various corporate and not-for-profit agencies, Richardson eventually earned a permanent civil service position with the City of New York, where she worked until the twenty-first century. In one way or another, all her jobs involved some kind of social justice. Over the last five decades, Richardson has paid close attention to social change movements, including Occupy Wall Street and Black Lives Matter, and this chapter discusses her thoughts about them, particularly her view that young people have the capability and vision to lead the nation to greater freedom, just as young people did in the 1960s. She advises them to replicate the group-centered and member-driven model student activists employed in the early 1960s and to avoid becoming ideological.


1990 ◽  
Vol 84 (3) ◽  
pp. 126-126
Author(s):  
A. Gidget Hopf

In New York State, an effective and cooperative relationship exists between the Council of Agency Administrators— comprising 17 not-for-profit agencies—and the Commission for the Blind and Visually Handicapped. This paper examines the role of each organization and hopes for future collaborative plans, including calls from the agencies for a combined state Office of Rehabilitation Services.


2006 ◽  
Vol 24 (1) ◽  
pp. 7-19 ◽  
Author(s):  
Martin Livette

PurposeVarious studies have shown that nearly three‐quarters of older people living within retirement housing are female single persons, leading some researchers to argue that sheltered housing is essentially a gender or health‐related issue, which can be explained demographically. Possible differences in the buyer behaviour of men and women or single people and married couples are ignored. If differences exist, the approaches adopted by not‐for‐profit agencies to improve the decision‐making process may need to differentiate between the sexes and marital states. The purpose of this paper, therefore, is to comment on the differences in the process and contrast some of the results of the research.Design/methodology/approachA sample of about 200 respondents was selected from all purchasers of retirement housing in the West Midlands region of England. Semi‐structured interviews were undertaken with 20 respondents.FindingsThe findings demonstrate that differences exist of less than one‐fifth of the decision‐making factors explored in the study.Originality/valueDifferences can limit the number of suitable options for the purchaser. Therefore, not‐ for‐profit agencies, when providing information and offering advice about housing alternatives, need to appreciate differences between the sexes and marital states in terms of the provision of stairs, the garden, loneliness and problems or difficulties associated with bereavement; the number of builders contacted and schemes known; and the awareness and consideration stages of the decision‐making process relating to a number of housing alternatives.


2018 ◽  
Vol 36 (2) ◽  
pp. 143-162 ◽  
Author(s):  
Robin A Harper

Governments write us into being by compelling the public to fill in tiny boxes on forms revealing our most private information. These personal details become matters of public record. What if students thought about how writing in public administration shapes us? In the spring of 2015, my Public Administration class joined with New York City Historic Houses Trust and its LatimerNOW project a not-for-profit organization affiliated with the New York City Parks department whose goal is to reimagine the use of historic house museums, Louis Latimer House and Writing On It All (a participatory art not-for-profit exploring space and identity through writing) to learn public administration through participation in a public participatory art project. The immediate goal was for the students to use public administration theory to design, implement, participate and evaluate a one-day project. The hope was to offer a chance to practice on a real project in a safe space so that they could later use the skills once they were employed in public administration (and the stakes were higher). I engaged reflective practice to get them to move from theory to practical application, forcing them to defend and make explicit their administrative choices, thus offering a common vocabulary for critical conversations about the process and the results. In this article, I describe the experience and critically evaluate how reflective practice can add to the teaching and learning of public administration.


2021 ◽  
Vol 11 (9) ◽  
pp. 480
Author(s):  
Tehmina Hammad

This article examines the support received by young people with hearing impairment from parent enablers of education in Pakistan. In this ethically designed research, the society’s learning pathways of strong and weak knowledge and education centralised the voice of young people with hearing impairment as a methodology to evaluate society’s influence on parent enablers support, including from for-profit and not-for-profit education. The semi-structured interviews were conducted with 20 young people with hearing impairment, 10 each from for-profit and not-for-profit education. The case-by-case analysis of young peoples’ voice showed that in strong pathway, the binding together of family support in education with society formed young peoples’ equal but different identity that shaped an imbalance in gender and social choice of impairment over poverty with restricted translation of for-profit education in employment outside the family. In weak pathway, the family support in education disconnected from society formed young peoples’ same but unequal identity that shaped conflict in gender and social choice of poverty over impairment with limited conversion of not-for-profit education in local employment. In conclusion, alignment of society and parent enablers of education with reference to gender is required for young peoples’ entry in outside and local employment for sustainable development in Pakistan.


2016 ◽  
Vol 57 (2) ◽  
pp. 253-263
Author(s):  
Christine Mok

“Where are all the Asian actors in mainstream New York theatre?” What began as a plaintive status update on Facebook launched a full-scale investigation by Asian American actors that culminated in a report titled “Ethnic Representation on New York City Stages” and the formation in the fall of 2011 of an advocacy group, the Asian American Performers Action Coalition (AAPAC). AAPAC's findings were disheartening. In the preceding five years, Asian Americans had received only 3 percent of all available roles in not-for-profit theatre and only 1.5 percent of all available roles on Broadway. The percentage of roles filled by African American and Latino actors, in contrast, had increased since 2009. According to the report, “Asian Americans were the only minority group to see their numbers go down from levels set five years ago.” The data AAPAC compiled were both surprising in their concreteness and unsurprising in their bleakness. The Facebook query sparked an active digital conversation that touched a collective sense of discord just below the surface for many Asian American theatre artists, especially actors. Ralph Peña, artistic director of Ma-Yi Theatre Company, invited key Facebook commenters to hold a more formal conversation about access, embodiment, and Asian American representation. This group, many of whom were artists in midcareer, trained at top conservatories, and fostered in New York City's vibrant Asian American theatre community, became the Steering Committee of AAPAC. The members of the Steering Committee channeled their frustration and anger into archive fever by researching and documenting ethnic representation on Broadway and in sixteen of the largest not-for-profit theatres in New York City over a five-year period. In front of an audience of three hundred, members of AAPAC presented their findings at a roundtable at Fordham University on 13 February 2012 that included prominent artistic directors, agents, directors, casting directors, and producers and was moderated by David Henry Hwang. With the report in hand, AAPAC members roused the New York theatre community with a series of town hall–style meetings and urged theatrical production gatekeepers to do, if not better, then, something.


2012 ◽  
Vol 12 (3) ◽  
pp. 317-334 ◽  
Author(s):  
Suresh Renukappa ◽  
Charles Egbu ◽  
Akintola Akintoye ◽  
Jack Goulding

PurposeIn the early part of the twenty‐first century, the term sustainability has become a buzzword. Although featuring strongly in the popular media, trade, professional and academic journals, the very concept of sustainability is elusive for businesses. There is, however, a little empirical research on the perceptions of the UK industrial sectors on the concept of sustainability – which is the core raison d'être of this paper. The purpose of this paper is to capture the general perceptions of the UK industrial sectors on the concept of sustainability.Design/methodology/approachThe aim of this paper is to capture the general perceptions of the UK industrial sectors on the concept of sustainability using a qualitative approach. Four industry sectors: energy and utility, transportation, construction and not‐for‐profit organisations (NPOs) were considered based on the environmental, social and economic impact on the UK society. Semi‐structured interviews were used to collect industry perception which was then analysed using content analysis for inference and conclusion.FindingsThe data analysis revealed that the perceptions of the UK industrial sectors on the concept of sustainability vary significantly across the four industry sectors. Four core categories were identified: environmental, economic, corporate social responsibility and triple bottom line dimension.Practical implicationsThe paper concludes that the concept of sustainability is multifaceted and diverse. Although the importance of sustainability is broadly acknowledged across the four industry sectors, there is a significant lack of a common and operationalised understanding on the concept of sustainability. Therefore, it is recommended that there is an urgent need to develop and deploy an industry‐wide awareness‐raising programme on the concept of sustainability.Originality/valueThe paper provides a richer insight into the understanding and awareness of the meaning of sustainability at a conceptual level.


2005 ◽  
Vol 2 (2) ◽  
pp. 122-143

This article is excerpted, with the permission of the editors and the publishers, from an edited book published by Peter Lang Publishing in conjunction with Eyebeam ( www.eyebeam.org ), a not-for-profit new media arts organization in New York City. It reproduces one of the book's four organizing ‘modules’ – Games as Exchange – which focuses on new kinds of social interaction made possible by digital gaming. The book grew out of an ideas exchange among participants involved in an online forum and live symposium discussing and debating game design and culture. The module reproduced in this article involves 15 of the 50 core contributors to the book as a whole, whose ideas were coordinated thematically and edited by Amy Scholder and Eric Zimmerman. The module is prefaced by Eric Zimmerman's Introduction to the book as a whole.


2021 ◽  
Author(s):  
◽  
Peter Marwa Ezra

<p>The existing and growing body of volunteer tourism literature has broadly addressed a myriad of topics but with a major focus on volunteer tourists. Limited knowledge is available on how these volunteer tourists are perceived by the host communities. The current literature defines volunteer tourists based on the perspective from where the majority of volunteer sending organizations and volunteer tourists come from – the primarily Western, developed country perspective. This study argues that this Western-dominated and developed country conceptualization of volunteer tourism and volunteer tourists must be addressed. In response the study examines the perceptions and conceptualisations of ‘volunteer tourists’ from the perspective of a host community in a developing country, Tanzania. To capture a multitude of host community perspectives on volunteer tourists, a qualitative case study approach was adopted which focused on a village near Arusha on the Northern Tourist Circuit (NTC) of Tanzania. Forty five semi-structured interviews were conducted with different community stakeholders, including private sector and public sector employees, people working for the not-for-profit sector and local people without affiliation to any of these three sectors. Importantly, these interviews were conducted by a Tanzanian researcher in Swahili and/or English. This research reveals that various stakeholders within the host community have different meanings and understandings of volunteer tourists based on their expectations and experiences. For example, the local people and those working for the not-for-profit sector perceived volunteer tourists as donors and sponsors, while those working in the public sector perceive volunteer tourists as international workers and/or NGO employees; and the private sector respondents perceived volunteer tourists as niche tourists. The study also reveals that the host community attributes that influence their perceptions are based on economic, socio-cultural, environmental and legal and/or regulatory framework factors; this includes, for example, racial ethnicity and poverty. Moreover, this research found that the host community’s perceptions of volunteer tourists are shaped by the issues of trust and mistrust that transpire in the course of their interaction. The study highlights the need to consider the financial element of volunteer tourism as a positive aspect and stresses the involvement of host community in the operation and management of volunteer tourist organizations.</p>


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