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UNDERGRADUATE NURSING STUDENTS’ EXPERIENCES ENGAGING IN SERIOUS ILLNESS COMMUNICATION AND PERCEPTIONS OF SERIOUS ILLNESS CONVERSATION GUIDE TRAINING: A QUALITATIVE DESCRIPTIVE STUDY / UNDERGRADUATE NURSING STUDENTS’ EXPERIENCES ENGAGING IN SERIOUS ILLNESS COMMUNICATIONMorkunas, Rachel January 2020 (has links)
Background: While serious illness communication is an important aspect of nursing care, it is
recognized as an area of practice for which nursing students are not adequately prepared.
Communication tools such as the Serious Illness Conversation Guide (SICG) may help address
these gaps in knowledge and skill.
Aim: The aim of this study is to explore undergraduate nursing students’ experiences engaging in serious illness communication and their perceptions about participation in a SICG workshop that aimed to improve such communication.
Methods: A qualitative descriptive approach was used. One-on-one, semi-structured interviews were conducted with eight undergraduate nursing students at McMaster University who had attended SICG training. Critical incident technique was used to elicit participant accounts of engaging in serious illness communication at their professional practice placements. Data were analyzed using qualitative techniques. Participants were surveyed to assess perceptions of the SICG workshop.
Findings: Three themes related to undergraduate nursing students’ experiences engaging in
serious illness communication after receiving SICG training were: a) serious illness
communication is challenging to enact, b) finding moral and ethical ground, and c) fitting into
the culture of the professional practice setting. Three themes related to nursing students’
perceptions of the SICG workshop were: a) applicability of SICG training to practice, b)
strengths of SICG training, and c) limited opportunities to develop competence.
Conclusions: Nursing students are challenged by serious illness communication in their practice. Findings support the integration of educational resources aimed to better prepare them for critical communication knowledge and skills on entry-to-practice. / Thesis / Master of Science in Nursing (MSN)
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Occupational therapy in palliative and hospice care: a certificate programAlcorn-Borodach, Kara Lynn 27 August 2024 (has links)
As the population ages and individuals with serious illnesses continue to live longer, they are experiencing disruptions in habits and routines, roles, and rituals that provide meaning to their lives. Many individuals receiving palliative or hospice care and their family members are unable to maintain their quality of life (QOL) and well-being due to the negative impact of the serious illness. Individuals and their family caregivers experience difficulty in participating and engaging in activities of daily living (ADLs) (i.e., dressing, bathing, eating) and instrumental activities of daily living (IADLs) (i.e., making meals, working, finances). Individuals are unable to maintain their independence, return home due to environmental barriers, and receive support from family members due to a lack of training. Family caregivers are thrust into the role of caring for their loved ones without training. Currently, there is an increased need for more health professionals to work in palliative and hospice care. Occupational therapy is one profession that can fill this gap; however, there is a lack of education for occupational therapy practitioners (OTPs) at both the entry and post-professional levels.
Occupational Therapy in Palliative and Hospice Care: A Certificate Program contains key components of related professional certification programs in palliative care. Program content aligns with palliative care principles and specific evidence-based occupational knowledge so OTPs will become integral interprofessional palliative care team members. It aims to demonstrate occupational therapy's value in this setting and prepare OTPs to work successfully. Modules provide the foundational information needed to facilitate the use of the principles of palliative care, understand the clients, collaborate with members of the interprofessional team, and provide meaningful occupational interventions during this transition. This program addresses the gap and need for occupational engagement, health promotion, and occupational justice for these individuals and their family members at the end-of-life (EOL).
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Tid och existentiellt meningsskapande : Kvinnors berättelser om sitt liv med allvarlig sjukdom / Time and existential meaning-making : Women’s narratives about living with serious illnessClaeson, Lisbeth January 2010 (has links)
Being affected by a serious or life-threatening illness implies an existentially changed situation that is accompanied by a number of questions about the illness itself, consequences of the illness in an everyday context and implications for the future. The purpose of this dissertation is to examine people’s meaning-making when they are affected by a serious illness and to determine how the illness acquires meaning in the context of their lives. The dissertation thus deals with what can be referred to as existential meaning-making. A hermeneutical approach was adopted, drawing more specifically on Paul Ricoeur’s narrative theory that emphasises the importance of different dimensions of time and memory in the understanding of narratives. An empirical study was carried out of illness narratives collected in research interviews with six women who had been diagnosed with serious illnesses, such as cancer, stroke and heart attack. The analysis reveals that the discovery of the illness and the period following was characterized by chaos and a lack of time perspective, feelings of lack of freedom and thoughts about death, but also feelings of responsibility towards the family. Experiences of the health services were also important in accounts of this early period, particularly wishes for more empathic encounters with the professionals. In the women’s accounts of the long term living with the illness, death continues to emerge as a back drop to their everyday experiences of the illness, but gradually more as confronting the problem of death rather than giving up life. Over time, relationships to significant others and the importance of everyday life also constitute increasingly important themes. In their expectations for the future, the women account for some experiences that have been important in creating a sense of hope and heightened vitality, and thus a new ‘wholeness’, such as being close to nature as well as their religious or spiritual experiences. These results are discussed in terms of how memories of significant events or places play an important role in existential meaning-making, and also how reflections on these memories can be seen as a process of existential ‘learning’.
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Rizikové životní pojištění / Risk Life InsuranceStárková, Veronika January 2017 (has links)
The thesis focuses on the Risk Life Insurance of the Czech insurance market offering coverage just for serious health risks without any investment or savings component. Assessment of the Risk Life Insurance offer is based on the findings of the general and special insurance conditions as well as on the gained draft insurance contracts worked on the model setting. The aim of the thesis is the analysis of the main coverage which is in all cases the life insurance along with the offer of the complementary insurance for case of death, disability, cancer or severe diseases. The emphasis is on the scope of risks coverage and the insurance conditions which are considered to be an insurance event.
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