Behavioural Eating

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University of Massachusetts - Amherst

ScholarWorks@UMass Amherst
Open Access Dissertations Dissertations and Theses

2-1-2012

The Theory of Compromised Eating Behavior
Ellen Frances Furman
University of Massachusetts - Amherst, ellen@furman.com

Follow this and additional works at: http://scholarworks.umass.edu/open_access_dissertations Part of the Nursing Commons Recommended Citation Furman, Ellen Frances, "The Theory of Compromised Eating Behavior" (2012). Open Access Dissertations. Paper 504.

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THE THEORY OF COMPROMISED EATING BEHAVIOR

A Dissertation Presented by Ellen F. Furman

Submitted to the Graduate School of the University of Massachusetts Amherst in partial fulfillment of the requirements for the degree of Doctor of Philosophy February 2012 School of Nursing

© Copyright by Ellen F. Furman 2012 All Rights Reserved

The Theory of Compromised Eating Behavior

A Dissertation Presented by Ellen F. Furman

Approved as to style and content by:

_____________________________________________ Cynthia Jacelon, Chair

______________________________________________ Donna Zucker, Member

_____________________________________________ Nancy L. Cohen, Member

_______________________________________________ Stephen J. Cavanagh, Dean School of Nursing

DEDICATION

To my grandmother, Dorothy B. Gustafson.

ACKNOWLEDGMENTS I would like to thank the nursing faculty of the University of Massachusetts School of Nursing especially Micheline Asselin and Donna Zucker for teaching me that every nurse has the ability to be a pioneer and the responsibility to be a crusader. I would like to thank Jeanne Kayser-Jones for inspiring me to do the work that I have done. I would like to thank Carol Picard for making it possible for me to continue my education. I would like to thank my Committee, Donna Zucker, Nancy Cohen, and especially Cynthia Jacelon, my advisor, for supporting me and encouraging me along the way. I truly appreciate all the time you listened to me as I theorized. I would like to thank my friend and colleague, Christine Gryglik, for helping me persevere. Lastly and most importantly, I would like to thank my family, Allison, Lindsay, Benjamin, Jillian, and especially my husband John for their patience and support. I know it’s been difficult at times. Thank you all.

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ABSTRACT THE THEORY OF COMPROMISED EATING BEHAVIOR FEBRUARY 2012 ELLEN F. FURMAN, B.S., UNIVERSITY OF MASSACHUSETTS AMHERST M.S., UNIVERSITY OF MASSACHUSETTS AMHERST Ph.D., UNIVERSITY OF MASSACHUSETTS AMHERST Directed by: Professor Cynthia Jacelon The purpose of this inquiry was to develop substantive theory that describes the social process that influences the eating behavior of hospitalized older adults. Undernutrition or the inadequate intake of dietary nutrients necessary to maintain health, contributes to negative health outcomes such as increased morbidity and mortality in hospitalized older adults. Inadequate dietary intake is a risk factor for undernutrition. Despite the availability of vast resources within the hospital environment, hospitalized older adults have inadequate dietary intake. Undernutrition has been studied from a dietary intake perspective; however, why dietary intake remains inadequate is unknown. Inquiry of eating behavior and the social process that influences eating behavior will provide insight into why dietary intake remains inadequate. The Quality Health Outcomes Model was the conceptual framework that guided this inquiry. A qualitative, grounded theory methodology was used to investigate this phenomenon. Participants included acutely ill, hospitalized older adults and...
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