Nurses ’ Experiences of Reminiscing with HIV patients and End of Life Care
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Nurses’ Experiences of Reminiscing with HIV patients and End of Life Care Juliette M Shellman, Ph.D., APHN-BC, Betty Morgan, PhD, Marisa Shuman, BSN, RN, Kelly Ramos, RN, Jenna Connolly Department of Nursing At University of Massachusetts Lowell • Recollection of past experiences Recollection of past experiences • Informal process, unstructured, interpersonal • Unstructured process of life review •Informal therapy that may increase EOL patient life satisfaction and decrease depression • Approaching Death: Improving Care at the End of Life (IOM report, 2009) •Specific Aims To explore Nurses’ experiences when reminiscing with HIV patients at End of Life To describe benefits and challenges of facilitating reminiscence with HIV patients and End Of Life Immersion/Crystallization Technique What is Immersion/Crystallization Technique? An analytical style coined by Miller & Crabtree 1992 A fluid process that begins with a conceptualization of the research project, to data collection, to dissemination. Requires the researcher to reflect on experiences and be aware of emotions. Awareness of patterns and connections METHODS Implications for Intervention Development What are the benefits or challenges that nurses experience when reminiscing with HIV patients at end of life? Design: Qualitative Study Setting: Urban Hospitals and Community Centers Sample: Advanced Practice Nurses Methodology: Face to face interviews •Graduate students trained to conduct interviews PRELIMINARY FINDINGS (N=4) Background What is Reminiscence? Photography by Serena assisted living ACKNOWLEDGEMENTS • Develop a framework to facilitate the use of reminiscence therapy with HIV patients and EOL •Examine outcomes when using structured life review or reminiscence •Use findings to develop educational programs 2010 UMass Seed Funding Program to Advance Research and Scholarship Future Directions Connections Seeing the Person Data Analysis Implementing early teaching practices Introduce reminiscence classes into undergraduate nursing programs Job training for new graduates
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Nurses ’ Experiences of Reminiscing with HIV patients and End of Life Care Juliette M Shellman, Ph.D., APHN-BC, Betty Morgan, PhD, Marisa Shuman, BSN, RN, Kelly Ramos, RN, Jenna Connolly Department of Nursing At University of Massachusetts Lowell. - PowerPoint PPT Presentation
Transcript of Nurses ’ Experiences of Reminiscing with HIV patients and End of Life Care
Nurses’ Experiences of Reminiscing with HIV patients and End of Life CareJuliette M Shellman, Ph.D., APHN-BC, Betty Morgan, PhD, Marisa Shuman, BSN, RN, Kelly Ramos, RN, Jenna Connolly
Department of Nursing At University of Massachusetts Lowell
• Recollection of past experiencesRecollection of past experiences
• Informal process, unstructured, interpersonal
• Unstructured process of life review
•Informal therapy that may increase EOL patient life satisfaction and decrease depression
• Approaching Death: Improving Care at the End of Life (IOM report, 2009)
•Specific Aims To explore Nurses’ experiences when
reminiscing with HIV patients at End of Life
To describe benefits and challenges of facilitating reminiscence with HIV patients and End Of Life
Immersion/Crystallization Technique
What is Immersion/Crystallization Technique?An analytical style coined by Miller & Crabtree 1992 A fluid process that begins with a conceptualization of the research project, to data collection, to dissemination.Requires the researcher to reflect on experiences and be aware of emotions. Awareness of patterns and connections
METHODS
Implications for Intervention Development
What are the benefits or challenges that nurses experience when reminiscing with HIV patients at
end of life?
Design: Qualitative StudySetting: Urban Hospitals and Community CentersSample: Advanced Practice NursesMethodology: Face to face interviews•Graduate students trained to conduct interviews
PRELIMINARY FINDINGS (N=4)Background
What is Reminiscence?
Photography by Serena assisted living
ACKNOWLEDGEMENTS
• Develop a framework to facilitate the use of reminiscence therapy with HIV patients and EOL•Examine outcomes when using structured life review or reminiscence•Use findings to develop educational programs
2010 UMass Seed Funding Program to Advance Research and Scholarship
Future Directions
Connections
Seeing the Person
Data Analysis
Implementing early teaching practices Introduce reminiscence classes into undergraduate nursing programs Job training for new graduates
