Christina Geister

Publications (5)2.58 Total impact

• Article: [Nursing home as family].

  Christina Geister
  Pflege 04/2011; 24(2):81-3. · 0.18 Impact Factor
• Article: [Patient involvement: the physician's view--a qualitative survey].

  Katrin Rockenbauch, Christina Geister, Claudia Appel
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  ABSTRACT: Patient involvement (PI) and shared decision making (SDM) have increasingly come into the focus of (inter-)national research. SDM, however, is not a standard component of standard care so far. Therefore it is of importance to take into consideration all parties concerned. This article points out the barriers physicians see; one group has not been interrogated on this topic often. 25 physicians at a clinical centre were interviewed about decision-making processes within their environment, their concerns as well as their ideas towards PI. The consultations were realized with the help of a guideline-oriented questionnaire. The outcome was then interpreted by means of the thematic content analysis. A system of categories was constructed containing 28 categories on the micro-, meso-, and macro-level. From a physician's perspective, changes are necessary on all levels to achieve patient involvement and SDM. Essential points of approach for this are: sufficient time and personnel, sufficient communicative abilities in physicians, and a solid physician-patient relationship as well as changes in healthcare politics. To consistently improve patient involvement and SDM, physicians' concerns must be taken seriously. Here SDM can only be properly applied by taking into account the meso- and macro-level. Furthermore, it would be helpful to clear up the conceptually vague aspects of SDM, which would also help to communicate the concept more clearly.
  PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie 06/2009; 60(5):156-63. · 1.02 Impact Factor
• Article: [Which factors determine how family members experience the obsessive-compulsive disorder of a close relative?].

  Johanna Trosbach, Christina Geister
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  ABSTRACT: Obsessive-compulsive disorders represent a challenge with their effects on the everyday life for family members. The main emphasis of previous research was on the recording of the burden and deficits of this group. The qualitative study on hand aims to describe living with an OCD-patient from the viewpoint of the relatives. It could be shown that the perception of the disorder is formed by the experiences of life. On an experience continuum two poles could be pointed out: on the one hand an orientation in the direction of control and on the other hand the acceptance of unchangeability. In turn these basic orientations form the view on the illness and are connected to special burdens and risks but also resources. The perception of the illness can change over time or due to situative reasons. Subjective relieving changes of the perspectives and possible influences and supports of professional helpers are of special interest for therapists.
  PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie 04/2009; 60(3-4):132-41. · 1.02 Impact Factor
• Article: [The feeling of responsibility as core motivation for care giving--why daughters care for their mothers].

  Christina Geister
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  ABSTRACT: The willingness of daughters to care for their mothers in Germany is still very high. Time and again daughters cite as reasons a certain self-evidence and a moral duty as core and relatively unspecific motives. A reconstructing case study which had as primary goal the analysis of the transition from daughter to caregiving daughter (Geister, 2004) offered the possibility to research the motives of these women more precisely. This paper, which focuses on only one aspect of the study, shows the correlation between the feeling of responsibility and the motivation to caregiving, utilizing the example of two women. The data was obtained by biographical narrative interviews with twelve caregiving daughters. Evaluation was done in accordance with the method of biographical case reconstruction by Gabriele Rosenthal (1987; 1995). The results of the two case reconstructions led to the conclusion that the motivation of these women to care for their mothers was embedded in their life history. These findings also apply to the other ten interviewed women. During the course of their lives a feeling of responsibility arose usually long before the necessity for caregiving occurred. The feeling of responsibility nurtured the development of a caring attitude towards the mother, which was expressed in caring and increasingly help providing activities by the daughter. Caregiving embodied the intensification of this responsibility motivated care. The awareness of personal responsibility for the mother implicits the acceptance of possible caregiving. Further concept developments about the support for caregiving daughters should more strongly consider their individual motives of responsibility.
  Pflege 03/2005; 18(1):5-14. · 0.18 Impact Factor
• Article: [Effects of nursing insurance on caregiving daughters--the role of professional nursing care].

  Dagmar Dräger, Christina Geister, Adelheid Kuhlmey
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  ABSTRACT: In view of the demographic development the topic of "Nursing of elderly relatives" is gaining more and more importance within nursing research. The object of the investigation described in this paper was to assess the measures of the Pflegeversicherung [Long Term Care Insurance] with regard to its effects on care-giving daughters. This publication assesses one of the questions of the study--what part professional services play in the support of care-giving daughters. The data was collected by individual biographic-narrative interviews in the private household of care-giving daughters. The data was then evaluated according to the method of biographical case reconstruction developed by Gabriele Rosenthal. This way we were able to gain a deeper insight into the situation of care-giving daughters and analyse the consequences of the Pflegeversicherungsgesetz [Long Term Care Insurance Law] from an "inner perspective". The results of the study point to both the positive effects of the Pflegeversicherungsgesetz and its limits. We were able to show that the expansion of out patient services leads to an enhanced nursing infrastructure. In view of the part that professional nursing services play, however, the biographical access also made it clear that the Pflegeversicherung will not lead to far-reaching changes in nursing arrangements. In spite of Pflegeversicherung caregiving relatives still suffer from personal and emotional strain. Also the legal requirements are too narrow and allow hardly enough space for the consideration of the family environment and the history of life of relationship between daughter and mother.
  Pflege 01/2004; 16(6):342-8. · 0.18 Impact Factor