24 research outputs found
The Meaning of Health among Midlife Russian-Speaking Women in the United States
No full textThis study sought to explore the meaning of health among midlife Russian-speaking women from the Former Soviet Union. A hermeneutic, phenomenologic, descriptive and interpretive design following the Utrecht School was used. The setting was in an ethnic community in Southwestern Pennsylvania. The sample included 12 Russian-speaking women who also spoke English, ages 40-61, who migrated after 1991 to the United States. Methods included hermeneutic phenomenology, which combined descriptive and interpretive phenomenology, and content analysis of verbatim transcriptions of open-ended individual interviews. Six major themes were identified: health as a highly valued possession; being a stranger/seeking the familiar; grieving and loss/building a new life; experiencing changes and transitions; trusting self; and importance of hope. Conclusions were that the women value health, are knowledgeable about health, participate in self-care practices, trust their own abilities to make self-care decisions, and seek out health-related information. At the same time, this is a vulnerable population at risk for the onset of chronic medical conditions associated with the process of aging, past exposures, and current stressors related to migration and the tendency to avoid health screening. Implications for nursing practice include the need for interventions to build trust and to assess both self-care practices and values concerning end-of-life issues. Future research recommendations include replication of this study with other samples within this population, further investigation of curative practices, and exploration of the meaning of death and end-of-life issues
The meaning of health among midlife Russian-speaking women in the United States
No full textThis study sought to explore the meaning of health among midlife Russian-speaking women from the Former Soviet Union. A hermeneutic, phenomenologic, descriptive and interpretive design following the Utrecht School was used
Comparing Student Role Perceptions: Traditional to Community-Based Curriculum
No full textThis phenomenological study explored role perceptions of senior baccalaureate nursing students in a traditional curriculum (TC) and a community-based curriculum (CBC) following one U.S. schools curriculum revision. Researchers inquired into that moment when students intervened like a nurse. Results were analyzed by groups and then compared. The assumptions and style of the Dutch school of phenomenology guided the collection and analysis of data. Among identified themes were traditional nursing role functions. Students from the CBC perceived a comparatively broader scope for nursing practice, broader definition of client, and a more nuanced description of the nurses role. Seniors from the TC described a developmental trajectory which culminated in being able to intervene like a nurse. Responses from both participant groups confirm the importance of nurse-client and nurse-nurse proximities for the development of professional nursing in both structured and unstructured settings.</jats:p
CPT for PTSD: connections to psychodynamic theory and implications for the APA PTSD clinical practice guideline
No full textCognitive Processing Therapy (“CPT”) is an effective treatment for posttraumatic stress disorder (“PTSD”), as discussed in the American Psychological Association’s Clinical Practice Guideline for the Treatment of PTSD (APA, 2017). Resick & Schnicke (1992, 1993) originally presented cognitive processing therapy as an extension of information processing theories for PTSD and did not explicitly discuss any connections to psychodynamic theory or practice. Nevertheless, as discussed by Resick and Schnicke (1990), the theories that led up to the creation of CPT had connections to analytic theory (i.e., Horowitz, 1976) and practice (i.e., McCann, Sakheim, & Abrahamson, 1988). This dissertation explores how psychodynamic concepts were influential, integrated, or duplicated in the information processing theories that Resick and Schnicke (1992, 1993) discussed in the creation of CPT, as well as in CPT itself. Every information processing theory of PTSD referenced by Schnicke and Resick (1992, 1993) in the creation of CPT had a connection to psychodynamic theory. As information processing theories progressed, the explicit influence of psychodynamic thought was lost in the literature. CPT’s connections to psychodynamic theory range from broader conceptual issues to the inclusion of an unaltered sentence from a psychodynamic article in the original CPT manual (Resick & Schnicke, 1993) that appeared without citations. In a parallel process, when the APA (2017) published their Clinical Practice Guidelines for the Treatment of PTSD, the authors did not explicitly mention psychodynamic theory or practice. The influence of psychodynamic theory on the field of trauma treatment underscores the importance of the open exchange of ideas and psychotherapy integration. The implications of the exclusion of psychodynamic psychotherapy from the clinical practice guidelines are discussed.Psy.D.Includes bibliographical reference
The Value of Dialogue when Planning and Conducting Phenomenological Research: Reflections of a Dissertation Chair and Doctoral Student
No full textCapturing Student Transformation From a Global Service-Learning Experience: The Efficacy of Photo-Elicitation as a Qualitative Research Method
No full textOverview of Nurse-Managed Wellness Centers and Wellness Programs Integrated Into Nurse-Managed Primary Care Clinics
No full textPost-typhoon prevalence of post-traumatic stress disorder, major depressive disorder, panic disorder, and generalized anxiety disorder in a Vietnamese sample
No full textIn 2006, typhoon Xangsane disrupted a multiagency health needs study of 4,982 individuals in Vietnam. Following this disaster, 798 of the original participants were reinterviewed to determine prevalence and risk factors associated with posttraumatic stress disorder (PTSD), major depressive disorder (MDD), panic disorder (PD), and generalized anxiety disorder (GAD). Posttyphoon prevalences were PTSD 2.6%, MDD 5.9%, PD 9.3%, and GAD 2.2%. Of those meeting criteria for a disorder, 70% reported only one disorder, 15% had two, 14% had three, and 1% met criteria for all four disorders. Risk factors for posttyphoon psychopathology differed among disorders, but generally were related to high typhoon exposure, prior trauma exposure, and in contrast to Western populations, higher age, but not gender
