Social Work Commons^™

A Virtue-Care Approach To Spiritually Sensitive Social Work., Ann M. Callahan

EKU Faculty and Staff Scholarship

Sensitivity to the importance of spirituality in social work practice has grown over the past thirty years (Kvarfordt, Sheridan, and Taylor, 2017; Oxhandler & Pargament, 2014). Research suggests that social workers often consider spirituality as an expression of cultural diversity, if not inherent to being human (Barker, 2007; Kvarfordt et al., 2017; Lun & Wai, 2015). Depending on how spirituality is defined or experienced, spirituality can be a source of strength or exacerbate suffering, particularly when a client is in crisis (Callahan, 2017). Social workers must be prepared to engage in spiritually sensitive social work (Cunningham & de Saussure, 2019; …

Relational Spirituality: An Opportunity For Social Work In Long-Term Care, Ann M. Callahan

EKU Faculty and Staff Scholarship

Aim

Sandage and Shults (2007) suggest that “all spirituality can be viewed as relational” (p. 263). Likewise, according to Heyse-Moore (1996), “we exist to relate to each other and if we do not our spirit dries up within us like a desert” (p. 307). Spirituality reflects our “innate human yearning for meaning through intra-, inter-, and transpersonal connectedness” (Belcher & Griffiths, 2005, p. 272). If spirituality is the experience of meaningful relationships, then it is important to understand what relationships are meaningful to clients. These relationships are particularly important in long-term care.

Background

Long-term care involves a network of relationships …

A Phenomenological Study Of Anticipated Intimacy And Sexual Expression Needs Of Aging Male And Female Baby Boomers., Charles Shawn Oak

Electronic Theses and Dissertations

The purpose of this study was to understand the phenomenon of how heterosexual Baby Boomers define and understand intimacy, sexual expression, along expectations and desires relating to their respective expressions across the lifespan through their individual experiences and reflections. A set of guiding questions were used in a hermeneutic phenomenological qualitative research design. Data was gathered from thirteen subjects (n=13) using the Rappaport Time Line (RTL) that was used to develop individualized semi-structured interviews and follow-up interviews that were professionally transcribed. These were coded to identify emergent themes. Results of the study provided insight into the phenomenon of how heterosexual …

Experiences Of Personhood In Dementia Within Long-Term Care Settings: A Meta-Ethnography, Rebekah E. Taylor

Master of Social Work Clinical Research Papers

To date, few studies have explored the subjective experience of identity and personhood in individuals with dementia, particularly among those living in long-term care facilities. As the population in the United States continues to age and dementia becomes more prevalent, the need to understand the experiences of persons with dementia will only increase. This paper used Noblit and Hare’s (1988) meta-ethnography to synthesize existing qualitative research on the experience of personhood in dementia in long-term care. Seven studies representing a variety of professional disciplines, qualitative methodologies, and geographic locales were included. A first level of synthesis identified four major themes …

Best Practices For Implementing The Green House® Model At The Tomah Veterans Administration, Jesana Denter-Eckelberg

All Graduate Theses, Dissertations, and Other Capstone Projects

The Veterans Administration (VA) located in Tomah, WI is in the process of a cultural transformation to create an environment that is welcoming, aesthetically pleasing, and accommodating to those with special needs. One effort in this transformation is the inclusion of a new concept, The Green House® model, which is a welcomed change to the large facility that has been traditionally known as an institutional setting for treating Veterans with chronic psychiatric conditions. The purpose of this Capstone Project was to conduct a literature review examining best practices in organizational culture and structure, employee management practices, and patient care models …

Older Adults In Long-Term Care: Fostering Hope Amidst Loss, Sarah J. Olsen

Master of Social Work Clinical Research Papers

There are an increasing number of older adults who are facing major life transitions and significant losses as they age. Finding a sense of hope among the losses and changes these older adults face is one way they can maintain a quality of life or as some researchers have termed it – successfully age. Social workers are often the front line workers with these older adults and therefore can play an integral role in fostering a sense of hope. The purpose of this qualitative study was to understand social workers’ perspectives on their role in fostering a sense of hope …

Adapting To Change: "Provider Perspectives On The Transition To Long Term Care", Paige Elise Sorenson

Master of Social Work Clinical Research Papers

This study investigated the transition from independent living to long-term care settings from the perspective of social workers currently in the field. This study was carried out using qualitative interviews with semi-structured questions. The sample was made up of five participants. The primary purpose of this study was to gain a better understanding of the transitional process from independent living to long-term care from the perspective of social workers who are professionally-involved in this process. The secondary purpose of this study was to understand the dynamic issues faced by long-term care social workers and to better understand how their unique …

The Long-Term Costs Of Caring: How Caring For An Aging Parent Impacts Wealth Trajectories Of Caregivers, Jennifer Crane Greenfield

All Theses and Dissertations (ETDs)

Long-term care in the U.S. is a growing concern as our aging population exerts pressure on formal and informal care systems. Public expenditures on formal care are increasing rapidly, even as reliance on informal caregivers expands. Recent policy innovations are shifting Medicaid and Medicare funding toward home- and community-based services: HCBS) as an alternative to nursing home care. This may help reduce overall LTC care costs to states and the federal government, but it also shifts more responsibility to families and informal care networks. Not only can caregiving have negative impacts on the physical and mental health of caregivers, but …

A Comparison Of Nursing Homes In Rural And Urban Communities In Indiana, Michelle Emery Blake Mssw, Ph.D., Erin M. Fordyce, Hanns G. Pieper

Contemporary Rural Social Work Journal

The growing number of elderly persons in U.S. society—the “Graying of America”—increases the urgency of making available the resources needed to ensure optimum quality of life for all seniors. When families are no longer able to meet their loved one’s needs, it becomes necessary to consider the possibility of long-term care. Often, families face this decision without the information they need in order to make an informed choice. The researchers utilized a four-tiered categorization to compare nursing homes in most rural, rural, urban and most urban counties in Indiana. The Medicare website (http://www.medicare.gov/) addresses issues of staffing, number of Medicare/Medicaid …

Exploring “Home” At An Assisted Living Facility: Looking Through Residents’ Lenses With Photovoice, Terri Lewinson, Vanessa Robinson-Dooley, Kathryn W. Grant

SW Publications

An increasing number of older adults are moving into assisted living facilities when living independently becomes difficult. These facilities afford older adults a home-like environment with opportunities for social activity and a minimal level of professional care, although relocation can negatively impact well-being. Because it is important to study home environments of aging adults, 10 residents of an assisted living facility were engaged in Photovoice to explore perceptions of the facility as home. Through photographic expression, residents identified environment enhancements for home at an assisted living facility. Findings of this study have implications for program planning at long-term care facilities.

Disruptive Technologies In Systems Of Care: An Exploratory Study Of Social Work With Older Adults In Long-Term Care Facilities, Rebecca Lynn Paskind

Electronic Theses and Dissertations

The purpose of this exploratory research was to explore the application of knowledge about disruptive technologies to the long term care setting using the Eden Alternative^TM as an example. The research questions were: What themes of structuration emerge when a long-term care facility implements a disruptive social technology? What is the nature of the disruption between and among workers, long-term care facility culture, and professionals when a new social technology is introduced? How does social work practice with older adults change when a social technology such as Eden is introduced in a long-term care setting? Is Barley's (1984, 1986) …

Llmhs Elderly Services Outreach Program: Lincoln, Lyon & Murray Human Services, Jamie Olson

All Graduate Theses, Dissertations, and Other Capstone Projects

Right now there is a lack of professional and community knowledge regarding the services LLMHS provides to those over age 65. Thus, there are elderly who are in need of help who are not getting connected to a county long term care social worker. The elderly may need help to simply get connected to resources, have questions answered, correct misconceptions about long term care, get recommendations, or assistance paying for home and community based services. There are also many providers and professionals with questions about what LLMHS does and does not do as well as what the assistance programs can …

Prevention Of Elder Mistreatment In Nursing Homes: Competencies For Direct-Care Staff, Dana Dehart, Jennifer Webb, Carol Cornman

Faculty and Staff Publications

Existing training on elder mistreatment in nursing homes focuses on detection and reporting of abuse, with little training specifically targeted toward prevention of mistreatment before it occurs. We used qualitative interviews with nursing home staff, policymakers, and related professionals to identify training needs. Based on participant accounts, we drafted a number of competencies essential for caregiver training to prevent mistreatment in nursing homes. Competencies include those dealing with: definitions and policies; risks for mistreatment; communication and respect; and development of a cooperative working environment. Competencies are discussed along with illustrative examples, and implications for practice and policy are addressed.