Biomedical subjects

Cynthia S Teel

Publications and source records attributed to Cynthia S Teel.

4 recordsLinked to original sources

PubMed2006

Relational conversation as method for creating partnerships: pilot study.

AIM: This paper reports a pilot study testing the intervention, Self-Care TALK, whose aim was to describe communication skills used by an advanced practice nurse to create partnerships with caregivers. The communication process and examples of skills used in creating partnerships are described. BACKGROUND: Decades of exploring nurse-client relationships provide a knowledge base for describing a structure and process for building partnerships. Self-Care TALK functions as a vehicle for an education and support partnership. Self-Care TALK, a theory-derived intervention, is based on the Self-Care for Health Promotion in Aging model. Implementation of the intervention was evaluated in a pilot study in 2003, with older spouse caregivers of persons with early dementia. METHODS: Pilot testing of Self-Care TALK followed Lichstein's criteria of tracking three phases of intervention: delivery, receipt and enactment. Henson's communication elements for establishing partnership relationships provided a guide for advanced practice nurse communication. Self-Care TALK was delivered during six phone conversations with caregivers for a total of 36 phone conversations. All phone conversations were audiotape recorded. Field notes were taken during each conversation. Data analysis followed a qualitative descriptive process of comparative analysis in which communication skills were compared across conversations. Categories of skills were named based on communication elements that dominated the category. Communication skills were compared to literature addressing communication and nurse-client partnerships. FINDINGS: Communication examples described the structure for interaction (Self-Care TALK protocol), process of interaction (relational conversation) and caregiver identified outcomes (intentions to enact self-care). CONCLUSION: Conversations to create partnerships depended on one theme: language that supported relational conversation. Four communication skills illustrated the how of relational conversation: listening with intent, affirming emotions, creating relational images, and planning enactment.

Adaptation, Psychological↗

PubMed2002

Building a model of self-care for health promotion in aging.

PURPOSE: To synthesize knowledge about self-care in older community-dwelling people, identify essential dimensions of self-care related to health promotion and well-being in aging, and organize the findings into a literature-based, integrated model with applicability in practice, research, and education. ORGANIZING CONSTRUCT: Self-care and health promotion. Related concepts included self-concept, self-care ability, and self-care activity. METHODS: These terms were used to search Medline, CINAHL, and PsycINFO data bases. Theoretical and research articles from the last decade that related to self-care and health promotion in community-dwelling elders and that provided recommendations for education and practice were selected for inclusion in the analysis. FINDINGS: Self-care for health promotion in independent elders is multidimensional. Synthesis of literature findings resulted in development of the model of Self-care for Health Promotion in Aging, with five dimensions: internal and external environment, self-care ability, education, self-care activity, and outcomes. Examples of education plans that are developed in partnership with clients to promote better health and maximize quality of life are presented. CONCLUSIONS: Findings from current theoretical and empirical literature were synthesized to develop a model of self-care for health promotion in aging. Suggestions are made regarding application of the model in clinical practice and further theory building and hypothesis testing.

Aged↗

PubMedDate not supplied

Developing and testing a self-care intervention for older adults in caregiving roles.

BACKGROUND: Theory-based interventions incorporating a self-care perspective for health promotion and protection are needed for older adults. The Self-Care for Health Promotion in Aging (S-CHPA) model provided the basis for development of an intervention focused on promoting health among older adults who provide care for their spouses with dementia. OBJECTIVES: To describe the development of a theory-based intervention (Self-Care Talk) and to describe the process of evaluating the implementation of the intervention when it was pilot tested with older spouse caregivers of persons with dementia. METHODS: The S-CHPA model was used to guide development of Self-Care Talk, a series of telephone-based sessions between advanced practice nurses and older adults. Session content included practicing healthy habits, building self-esteem, focusing on the positive, avoiding role overload, communicating, and building meaning. Specific self-care strategies were explored in the context of an individual's experiences, relationships, and condition. Intervention implementation was evaluated using Lichstein's criteria of delivery, receipt, and enactment. RESULTS: Six spouse caregivers of persons with dementia participated in the pilot study. The education and support intervention was delivered as intended (delivery). Participants reported understanding session content (receipt), and planned to use the information (enactment). Participants also reported an increased awareness about self-care practices and offered specific examples of how they intended to practice better self-care. DISCUSSION: The theory-based Self-Care Talk intervention can be implemented as intended and is ready for use in future randomized clinical trials with older spouse caregivers of persons with dementia.

Aged↗

PubMedDate not supplied

Building and critiquing qualitative research websites: a cyberspace project to connect undergraduate nursing students in Canada and the United States.

This project had a dual purpose: 1) to facilitate student learning about qualitative research methods, and 2) to promote collegiality and professional development among senior nursing students in Canada and the United States through the use of distance technology. In each of three project years, students at St. Francis Xavier University (STFX) in Nova Scotia initiated the experience by working in small groups to develop websites about different methodological approaches in qualitative research. Site information included an overview of the selected approach, discussion of trustworthiness issues, citation of journal articles in which authors used the approach, additional references, and some personal information about the student developers. Also working in small groups, University of Kansas students identified and read related research articles, reviewed website information, and responded to the STFX groups about the usefulness of site information in increasing understanding of qualitative methods and using the information for evaluation of research. The experience promoted active use of qualitative research concepts and facilitated the development of skills in evaluating research article content and website content. Participation in the activity fostered positive perceptions about the value and use of research and helped students appreciate the similarities in courses, programs, and professional requirements and values among international peers.

Attitude of Health Personnel↗