Biomedical subjects

E Yurkovich

Publications and source records attributed to E Yurkovich.

5 recordsLinked to original sources

PubMed1999

Maintaining health: proactive client-oriented community day treatment centres for the chronic mentally ill.

This grounded theory study compared the definition of health by clients of two rural mental health day treatment centres, Big Sky Centre and Montana Centre. Based on an original grounded theory study of seven chronic mentally ill/disabled clients in Big Sky Centre (Yurkovich et al. 1997), the core variable, 'preventing loss of control' and related properties, were validated with nine residents of Montana Centre. While establishing a 'fit' with previous research findings, differences emerged between these two centres. These differences related to the staffs' philosophical approaches in providing treatment to the chronic mentally ill. Big Sky Centre care providers empowered their clients to learn new behaviours from their peers and assume new roles such as newcomer, member and leader. They also encouraged a prosocial attitude, and created a sense of belonging through valued involvement in their treatment. Montana Centre clients were not empowered to try out new behaviours in the treatment environment, or seek social support networks among their peers at the centre, which would foster a sense of belonging. The result was that clients from Montana Centre relied on the formal healthcare system more often than clients from the Big Sky Centre. The competing forces in healthcare today--family members, mental health providers, and insurance or managed care providers--make it easy to lose sight of or fail to gain the client's perspective about their health status and maintenance, particularly as it concerns day treatment centres. The importance of the day treatment centre as a therapeutic community which requires educational processes, innovative nursing practice, and client-centred interventions will be discussed.

Adult↗

PubMed1998

Shift report: a time for learning.

Shift report provides an opportunity for professional communication that supports role socialization and development of a cohesive group process in the health care system. In this learning project, nursing students were able to practice professional behaviors, prioritize information, and reduce material to the boundaries of a work setting without relinquishing the holistic approach to the client. Critical thinking, direct application, self-analysis, peer critiques, and problem-solving processes were used by the student groups which will assist in their role transition to professional nursing practice.

Communication↗

PubMed1990

Patient and nurse roles in the therapeutic community.

A therapeutic community consists of an interdisciplinary team working collaboratively with the patient to maximize the patient's potential health. This process requires nursing facilitation of the patient's movement towards and assumption of behaviors inherent in the roles of newcomer, member, and leader. The nurse contributes to the therapeutic milieu in many ways: as a change agent of human behavior, as a manipulator of the dynamic environment, as a confronter of discrepancies, as a role model of interpersonal skills, and as an identified leader with diversified functional skills. The nurse enhances her utilization of the therapeutic community by knowledge of roles enacted by staff, patients, and self.

Hospitals, Psychiatric↗

PubMedDate not supplied

Loss of control and the chronic mentally ill in a rural day-treatment center.

PROBLEM: What do chronically mentally ill clients consider to be the core variable in maintaining health, and how do they go about doing this? METHODS: A grounded theory design with analysis of interviews of seven chronically mentally ill clients in a rural day-treatment center. FINDINGS: The core variable in maintaining health according to chronic mentally ill clients is preventing loss of control. A process was discovered that clients used to do this. CONCLUSIONS: Chronic mentally ill clients prevent loss of control by using informal relationships to adapt behaviors, attitudes, and feelings within a supportive environment. If this fails, they turn to formal sources of control such as therapists, case workers, or other mental health providers.

Adaptation, Psychological↗

PubMedDate not supplied

Strategies for maintaining optimal wellness in the chronic mentally ill.

TOPIC: Ways the chronic mentally ill avoid loss of control and the importance of both the therapeutic environment and the nurse-patient relationship in helping them do this. PURPOSE: To examine the strategies people with chronic mental illness use to prevent loss of control and maintain health, and ways nurses can help with this process. SOURCE: Findings from a previously published study of seven chronically mentally ill clients in a rural day-treatment center. CONCLUSIONS: Four properties related to the core variable of "preventing loss of control" are relationships, feelings, good attitude, and functional activity. These properties must be examined within the context of the therapeutic environment as well as the nurse-patient relationship.

Adaptation, Psychological↗