Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2001. / Omsl.: "Kungsholmsprojektet" Härtill 5 uppsatser.

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Lee Tze-fan, Diana. / "April 2000." / Thesis (Ph.D.)--Chinese University of Hong Kong, 2000. / Includes bibliographical references (p. 243-266). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese.

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This research tests and refines a middle range theoretical model about unitary developmental patterns in aging adults and dying adults. The primary aim was to explore the relationships among four unitary patterns of Health (power, personal death awareness, perceived symptoms in transition, and well-being) and three unitary patterns of Spirituality (self-transcendence, spiritual perspective, and meaning and purpose in life and death). A secondary aim was to explore the personal meanings of death for participants. A descriptive, cross-sectional design was used to answer the research questions. The sample was composed of 35 aging adults and 35 dying adults. Descriptive statistics were used to examine relationships among demographic and study variables. Relationships among variables were explored using bivariate and canonical correlational analysis. Content analysis was used to describe the meaning of death paragraphs. Analysis of variance and covariance was used to describe differences between the groups. Dying adults had greater death awareness than aging adults. There were no differences between the two groups for the other three patterns of Health. There were no differences in self-transcendence or meaning and purpose in life and death. Differences in spiritual perspective were gender-related, aging men having less spiritual perspective than aging women, dying men, or dying women. Different patterns of relationships were identified for each group. Greater purpose and self-transcendence were positively associated with greater well-being, more positive and fewer negative symptoms in transition, and more power for aging adults. For dying adults, less purpose, self-transcendence, and spiritual perspective were associated with less well-being, less positive and more negative symptoms, less power and more death awareness. Moderate or high scores were obtained on instruments measuring power, well-being, self-transcendence, spiritual perspective, and purpose in life. Both groups attributed positive evaluations, acceptance, and self-transcendence to meanings of death. This research enhances understanding of the potential for personal transformation and ongoing development in persons facing death. It also provides direction for nursing care in terms of fostering a sense of purpose in life, promoting spiritual expression, and assisting identification of patterns of power, symptoms in transition, and death awareness.

Even though a plethora of research is devoted to explicating caregivers' experiences, comparatively there is a dearth of information about care recipients. The purpose of this study was to further theoretical and empirical understanding of care recipients' experiences within care relationships. Specifically, this study was concerned with identifying the strategies elders use to seek care and how the processes and characteristics of individual, interpersonal, and structural levels interact to affect elders' care seeking. A synthesized symbolic interactionist and life span developmental framework informed the research. Multiple qualitative field work methods (semi-structured interviews, participant observation, focus group) were utilized to collect information about care recipients who were representative of the variety of care relationships within a life care retirement community. The care seeking process emerged as a sequence of activities engaged in as elders elicited care from others and negotiated care with others. Of most conceptual interest, however, was elders' dependency work: The work elders engaged in as they not only sought care for a specific need but also situated each care occasion within past experiences of care and future possibilities for care. Dependency work was agency in action, serving to define the everyday lives of elders involved in care relationships. The findings of this study suggest the need for viewing care recipients as agents, actively being with others in their delicate dance of dependency.