Medicine and Health Sciences Commons^™

Rural Appalachian Person And Family Decision Making At End Of Life, Mary Lou Clark Fornehed

Doctoral Dissertations

The dynamics of delivering care to persons at end of life (EOL) have dramatically changed in the last twenty years. Improved management of chronic illness and provision of aggressive life sustaining measures for an illness once deemed fatal are more common, significantly increasing longevity. While it is estimated that more than 40 million persons with life-limiting illness worldwide are candidates for some form of palliative or end-of-life care (EOLC), less than 14% of them will receive it.

When coping with life-limiting illness, people and their families are asked to make many complex and difficult decisions about EOL, palliative, or hospice …

Discovery Of The Meanings, Expressions, And Practices Related To Malaria Care Among The Maasai, Cecily Weller Strang

Doctoral Dissertations

Each year, malaria invades and infects 300 million persons, kills up to 1 million, and 90% of deaths are among children in Sub-Saharan Africa. Malaria illness and deaths cost Africa $12 billion in lost productivity. Eighty percent of all malaria cases occur in 17 African countries; one is Kenya, where one group suffers incessantly from malaria, the Maasai. Their pastoral, indigenous lifestyle places the Maasai men, women, and children daily at malaria risk. Although malaria is preventable and treatable, high mortality and morbidity occurrence continues. Global interest in malaria care includes prevention, treatment, and eradication. The current use of generic …

End-Of-Life Culture Care Expressions, Meanings, Patterns, And Practices Among Yup'ik Eskimo, Pamela J. Embler

Doctoral Dissertations

The need for end-of-life care research is exemplified by the fact that the National Institutes of Health has made this topic a research priority. End-of-life care is multifaceted and concepts become complex when cultural perspectives are considered. The purpose of this qualitative ethnonursing study was to discover culture care expressions, meanings, patterns, and practices at end-of-life among Yup’ik Eskimo in community settings. Data was obtained from Yup’ik Eskimo of the Yukon-Kuskokwim Delta, Alaska. The Culture Care Diversity and Universality Theory and the ethnonursing research method directed this study. Key and general informants were interviewed. Interviews and observations were analyzed. The …

The Use Of The Ethnonursing Qualitative Research Method To Study Culture Care, Sandra J. Mixer, Hiba Wehbe-Alamah, Marilyn R. Mcfarland, Renee Burke

Faculty Publications and Other Works -- Nursing

Leininger developed the ethnonursing research method to study transcultural human care phenomena using her theory of culture care diversity and universality. The ethnonursing research methodology which uses an open, largely inductive process of discovery to document, describe, understand, and interpret people’s meanings and experiences will be presented. The ethnonursing researcher functions as co-participant with informants working together to discover how people experience and practice care in their daily lives. Systematic and reflective processes are used while focusing on the cultural context to explicate lifeways and understand their meaning for informants. The ethnonursing method embraces the importance of discovery from the …

Nursing Faculty Care Expressions, Patterns, And Practices Related To Teaching Culture Care, Sandra J. Mixer

Faculty Publications and Other Works -- Nursing

Introduction: Teaching culture care in nursing education is critical to ensuring a culturally competent workforce. The purpose of this qualitative study was to discover faculty care that facilitates teaching students to provide culture care.

Research questions were:

1. In what ways do nursing faculty care expressions, patterns, and practices influence teaching culture care?

2. In what ways do worldview, culture and social structure, and environmental context influence nursing faculty teaching culture care?

3. Given the nature of the school of nursing/university culture, what influence does this have on nursing faculty teaching culture care?

4. In what ways does nursing faculty …

Faculty Wisdom As Teaching Culture Care Within The Indigenous Context Of The Southeastern United States, Sandra J. Mixer

Faculty Publications and Other Works -- Nursing

This poster presents an ethnonursing research study guided by the culture care theory entitled Nursing Faculty Care, Expressions, Patterns, and Practices Related to Teaching Culture Care and conducted within the environmental context of urban and rural baccalaureate nursing programs in the Southeastern United States. The goal of the study was to discover faculty care that facilitated teaching students to provide culturally congruent and competent care. Four universal themes with universal and diverse patterns which supported the themes were discovered. The themes were faculty care as embedded in Christian religious values, beliefs, and practices; faculty teaching culture care without an organizing …