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Full-Text Articles in Medicine and Health Sciences

Examining The Meaning And Experience Of Self-Determination And Its Impact On Quality Of Life For Individuals With Cognitive Disabilities, Carol Marie Sundberg Aug 2004

Examining The Meaning And Experience Of Self-Determination And Its Impact On Quality Of Life For Individuals With Cognitive Disabilities, Carol Marie Sundberg

Dissertations

There is a national agenda for advancing self-determination for persons with disabilities. Broadly defined, self-determination means having control over ones own life. The purpose of this research was to gain a better understanding of self-determination and its effect on the quality of life of persons with cognitive disabilities. A qualitative, phenomenological approach was selected. Ten individuals from a community mental health system in southwest Michigan participated in the study. Participants had a developmental disability and were dependent on others for their care. The research combined qualitative interviews with behavioral observations and proxy interviewing, and included the audiotaping of those interviews. …


The Relationship Among The Types, Frequency And Resolution Of Moral Conflicts Perceived By Nurses In West Virginia And Their Educational Preparation, Educational Needs, And Selected Demographics, Nancy K. Dunn Jan 2004

The Relationship Among The Types, Frequency And Resolution Of Moral Conflicts Perceived By Nurses In West Virginia And Their Educational Preparation, Educational Needs, And Selected Demographics, Nancy K. Dunn

Theses, Dissertations and Capstones

Technological changes, interpersonal relationships, and scarce resources have created a complex environment for health professionals. Nurses, as the largest group of health care providers, are confronted with moral issues when dealing with managed care policies, end-of-life care and workplace or institutional issues. Moral issues are expressed as moral distress, which has been linked to decreased satisfaction, termination of employment and leaving the profession of nursing altogether. Moral distress, therefore, decreases the number of nurses and contributes to the critical nursing shortage. The purpose of this study was to examine the relationships, if any, among the types, frequency and resolution of …