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Perceptions Of Sexuality By African American Patients On Hemodialysis, Merry Ann Stewart
Perceptions Of Sexuality By African American Patients On Hemodialysis, Merry Ann Stewart
Wayne State University Dissertations
ABSTRACT
PERCEPTIONS OF SEXUALITY BY AFRICAN AMERCIAN PATIENTS ON HEMODIALYSIS
by
MERRY STEWART
May 2010
Advisor: Dr. Ramona Benkert
Major: Nursing
Degree: Doctor of Philosophy
Sexuality is central to who we are as sentient beings and transcends physical sex acts. Sexuality concerns are reported as common for individuals receiving hemodialysis; yet, sexuality-related research for this population has been limited to a focus on altered physical sexuality. Little is known about the effects of hemodialysis on perceptions of personal identity, family-social roles as men or women, and intimate relationships. African Americans make up a disproportionate percentage of chronic hemodialysis patients and …
Spirituality And Spiritual Self-Care: Expanding Self-Care Deficit Nursing Theory, Mary Louise White
Spirituality And Spiritual Self-Care: Expanding Self-Care Deficit Nursing Theory, Mary Louise White
Wayne State University Dissertations
The purpose of this study was to extend the theory of self-care deficit nursing by including specific constructs of religion, spirituality, and spiritual self-care practices within the structure suggested by Orem's self-care deficit nursing theory. Based on an extensive literature review, practice experience, and a discovery theory-building approach, a new mid-range theory called White's theory of spirituality and spiritual self-care (WTSSSC) was developed. To begin to test this mid-range theory, empirical indices of many of the main concepts were identified from prior studies and one new instrument (the Spiritual Self-Care Practice Scale) was developed. Hypothesized relationships among the main concepts …
The Experience Of Chronic Pain As Described By African American Indigent Adults Attending An Urban Primary Care Clinic, Jamie Alexandra Crawley
The Experience Of Chronic Pain As Described By African American Indigent Adults Attending An Urban Primary Care Clinic, Jamie Alexandra Crawley
Wayne State University Dissertations
Background: Inadequate chronic pain control has far-reaching implications including costs for missed time at work; utilization of health care resources and reduced quality of life. People at highest risk for inadequate pain control include indigent adults and minorities. Newman's theory health as expanding consciousness views the chronic pain experience as a life pattern within health. Qualitatively examining chronic pain from participants' perspectives may improve chronic pain care.
Purpose: The purpose of this study was to examine the experiences of chronic pain as described by African American indigent adults attending an urban, primary care clinic.
Methods: 13- participants (7 men and …