Dignity is an important concept which lies at the heart of nursing. Despite the statements made by various international bodies, as a concept it remains complex and under researched. This is because it needs to be understood from the patient's point of view and experience. This empirical study explores the concept in terms of the actual circumstances of patients in hospital. Through a large number of semi-structured interviews it reveals the relationship between 'normal' ideas of self-respect and self-esteem, and those experienced during the trauma of being ill and helpless, and the ways in which patients adjust to these circumstances. Through the realisation of the importance of 'necessary submission' to the power of others, the evidence creates a concept of 'perceptual adjustment level' through which we can understand the importance of matching patient needs to nursing care. This has crucial relevance to nursing.
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http://dx.doi.org/10.1016/j.ijnurstu.2004.02.008 | DOI Listing |
J Neuroeng Rehabil
January 2025
Secteur des Sciences de la Santé, Institut de Recherche Expérimentale et Clinique, Neuro Musculo Skeletal Lab (NMSK), UCLouvain, Avenue Mounier 53, 1200, Brussels, Belgium.
Background: Intensive rehabilitation through challenging and individualized tasks are recommended to enhance upper limb recovery after stroke. Robot-assisted therapy (RAT) and serious games could be used to enhance functional recovery by providing simultaneous motor and cognitive rehabilitation.
Objective: The aim of this study is to clinically validate the dynamic difficulty adjustment (DDA) mechanism of ROBiGAME, a robot serious game designed for simultaneous rehabilitation of motor impairments and hemispatial neglect.
Gait Posture
January 2025
School of Psychology, David Keir Building, Queen's University Belfast, Belfast, UK. Electronic address:
Background: Postural instability is common in people with Parkinson's Disease (PwPD), increasing their risk of injurious falls. Evidence suggests a sensory reweighting deficit in PwPD, along with compensatory muscle co-contraction in response to postural challenges. During balance tasks requiring sensory reweighting, older adults exhibit elevated postural sway and muscle co-contraction, as well as longer perceptual delays, compared to young adults.
View Article and Find Full Text PDFPLoS Biol
January 2025
Carney Institute for Brain Science, Department of Cognitive & Psychological Sciences, Brown University, Providence, Rhode Island, United States of America.
The basal ganglia (BG) play a key role in decision-making, preventing impulsive actions in some contexts while facilitating fast adaptations in others. The specific contributions of different BG structures to this nuanced behavior remain unclear, particularly under varying situations of noisy and conflicting information that necessitate ongoing adjustments in the balance between speed and accuracy. Theoretical accounts suggest that dynamic regulation of the amount of evidence required to commit to a decision (a dynamic "decision boundary") may be necessary to meet these competing demands.
View Article and Find Full Text PDFJ Exp Psychol Hum Percept Perform
January 2025
School of Psychology, University of Sussex.
Human listeners have a remarkable capacity to adapt to severe distortions of the speech signal. Previous work indicates that perceptual learning of degraded speech reflects changes to sublexical representations, though the precise format of these representations has not yet been established. Inspired by the neurophysiology of auditory cortex, we hypothesized that perceptual learning involves changes to perceptual representations that are tuned to acoustic modulations of the speech signal.
View Article and Find Full Text PDFJ Acoust Soc Am
January 2025
Dyson School of Design Engineering, Imperial College London, SW7 2DB London, United Kingdom.
To date, there is strong evidence indicating that humans with normal hearing can adapt to non-individual head-related transfer functions (HRTFs). However, less attention has been given to studying the generalization of this adaptation to untrained conditions. This study investigated how adaptation to one set of HRTFs can generalize to another set of HRTFs.
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