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This study documented the history of the development and practice of the kinlein associate. Consumer dissatisfaction with health care, nursing unrest, and increased demand for long-term care-givers were the antecedents for a paradigm shift to "caring with" persons based upon the theory of esca developed by M. Lucille Kinlein. Interested people wanted to learn how to offer care from this perspective, and informal classes were held in several locations across the nation. The study focused on identifying the teaching methods used by the founder, Miss Kinlein. The methodology was deemed important in an attempt to assure that future kinlein associate teachers reflect the original educational processes and style when Miss Kinlein is no longer teaching. Her methods were considered important for kinlein associate teachers to prepare kinlein associates for practice. To determine Miss Kinlein's teaching methodology, qualitative research was conducted by observing her teaching, face to face interviews with students and kinleiners interested in teaching, and material gathered from the founder, Institute of Esca/Practice of Kinlein, and the Detente Homer, Alaska. Modeling, coaching, and directed inquiry were the primary methods used by Miss Kinlein and Mrs. Raymond, kinleiner of reference at the Homer Detente, in teaching kinlein associates. It was important to ground their teaching in educational theory and the contemporary interest in constructivism philosophy. Principles were extracted from several articles regarding constructivist philosophy/theory and were aligned with principles from the theory of esca used by Miss Kinlein. The parallels between the theory of esca and constructivism were striking. The study concluded by recommending Miss Kinlein and her student teachers examine the constructivism philosophy relative to the kinlein philosophy and theory of esca. The result of this examination may open kinleiner interest to explore similar, new ideas and serve as a spark for an intellectual/philosophical interchange among professional kinleiners and educators. Specific recommendations were given regarding immediate attention to kinlein associate curriculum, videotaping Miss Kinlein teaching various levels of courses, and developing a course on assisting students in moving in esca in learning. / Graduation date: 1998

Graduation date: 1994

The purpose of the present study was to examine the effect of environmental density on the behavior (Disruptive and Nondisruptive) of elderly residents with dementia living on a special care unit. A building project that led to relocation of residents from high density units to units that varied in density (low vs. high) provided a natural context for this study. Disruptive and Nondisruptive behavior are composite variables that together include the full range of behavioral responses. Both are composed of several subvariables. Data were collected using direct behavioral observation using the Environment-Behavior Interaction Code (Stewart & Hiscock, 1992b) and a hand-held computer. The first objective of the study was to examine behavior patterns in relation to density and privacy. This objective was addressed with a quasi-experimental design (Study 1), in which three hypotheses were tested. It was predicted that residents who moved from a high density unit to a low density unit would exhibit a greater reduction in rate of Disruptive behavior (Hypothesis 1) and a greater increase in rate of Nondisruptive behavior (Hypothesis 2), compared to residents in a constant high density condition. It was also predicted that use of Private Time (time spent alone in one's bedroom) would be greater on the low density unit, where residents had private rooms (Hypothesis 3). Results of Study 1 provided support for Hypotheses 1 and 2, in relation to comparisons with the External Comparison Group only. Within subjects analyses provided additional support for Hypothesis 1 (Disruptive behavior). Hypothesis 3 (Private Time) was also supported. The second objective of the study was to explore the perceptions of family and staff caregivers with regard to the effect of the environment on resident behavior. This study was addressed with a qualitative design (Study 2) using the grounded theory method. Participants in Study 2 described the needs of residents with dementia in relation to the physical and social environment, and the outcomes that occurred when these needs were met or not met. (Abstract shortened by UMI.)

Thesis (M.S.W.) - Carleton University, 2009. / Includes bibliographical references (p.99-104). Also available in electronic format on the Internet.

Thesis (M.Sc.)--Memorial University of Newfoundland, 2002. / Restricted until October 2003. Bibliography: leaves 127-136.

Long term care placement consists of determining an individual's need for care and services and of allocating appropriate resources. In Quebec, this laborious process includes a standardized application form. / This study examined the work burden incurred and its cost to the system: Social workers in nine Montreal anglophone hospitals as well as in receiving resources were surveyed; the principal researcher of the 'Classification by types of program in extended care and service facilities' project was interviewed; the committee processing these forms was observed; Canadian hospitals were surveyed for comparison with Quebec. / The findings show that the application form requires unnecessary and repetitive information-gathering which consumes excessive time to complete (5.2 hours) and incites non-adherence to guidelines. The implications for streamlining this form without loss of benefit to the patient and at a considerable saving of social work time are discussed in relation to social work practice and research.

Graduation date: 1999

Typescript. / Thesis (D. P. H.)--University of Hawaii at Manoa, 1987. / Bibliography: leaves 374-392. / xix, 392 leaves, bound ill. 29 cm

Thesis (M.H.A.)--University of Michigan, 1972.