THEORY ASSIGNMENT

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Nursing Theory of the Future: Situation-Specific Theories

Article (PDF Available) in Pflege 24(6):345-7 · December 2011 with 2,311 Reads DOI: 10.1024/1012-5302/a000150 · Source: PubMedCite this publication

Afaf Meleis
- 39.09
- University of Pennsylvania

Maxim Topaz
- 32.74
- Columbia University

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Join for free Content uploaded by Maxim Topaz Author contentAll content in this area was uploaded by Maxim Topaz on Dec 22, 2013 Download full-text PDF Citations (0) References (99) This research hasn't been cited in any other publications.

Post-colonial feminist theory Article
- Jan 1998
- S. Mills
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Use of Alternative Therapies in Patients With Asthma in Central New Jersey Data From a Pilot Survey Article
- Jun 2011
- Catherine Monteleone
- Sima Mithani
The objective was to investigate characteristics of patients using alternative therapies for asthma, reasons for its use and its association with conventional medicine use. Over a period of 14 months, 32 (18%) of 187 patients completing a survey reported using alternative therapies to treat asthma. The most common alternative therapy used was exercise/massage; the least popular was homeopathy. The highest users were women (59%), ages 41-50 (31%), White ethnicity (63%), higher education (56%), and higher annual household income (84%). The major reasons for usage were having more control of their health, personal beliefs, and concern over side effects of conventional medication. It is concluded that the rate of alternative therapy use in patients with asthma in central New Jersey was lower than in some other studies. It is important for physicians to take these therapies into account to develop a health care plan consistent with patients’ beliefs and expectations. View Show abstract

P04.01. Complementary and alternative medicine use and health outcomes among urban adolescents with asthma Article Full-text available
- Jun 2012
- BMC Compl Alternative Med
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Herbal medicines: A guide for health-care professionals Article
- Sep 1996
- PHYTOCHEMISTRY
- Jeffrey B. Harborne
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School-Based Intervention: Relaxation and Guided Imagery for Students With Asthma and Anxiety Disorder Article
- Nov 2010
- Can J Sch Psychol
This school-based study analyzed the impact of RGI on lung functioning (forced expiratory volume in 1 s [FEV1] and forced expiratory flow 25-75 [FEF25-75]) and by employing a multiple baseline design across 3 high school students with asthma and clinically diagnosed anxiety disorders. The RGI intervention took place for a 20-min period, an average of three times per week, over a 4-week period. At the onset of the intervention, it was found that lung functioning, particularly FEV1 increased in all 3 participants, with effect sizes ranging from —.32 to —2.48. FEF25-75 improved in one of the participants. In addition, a positive impact was also seen in the lowering of anxiety scores across all 3 participants, with effect sizes ranging from .12 to 1.69. View Show abstract

The effect of tape-recorded relaxation training on well-being, symptoms, and peak expiratory flow rate in adult asthmatics: A pilot study Article
- May 1999
- PSYCHOL HEALTH
Evidence indicates that psychological stress plays a role in precipitating and exacerbating asthma symptoms and suggests that relaxation techniques aimed at reducing stress and autonomic arousal leads to symptom reduction. This study explored the effect of a tape-recorded relaxation intervention on well-being (mood and stresson). asthma symptoms, and a measure of pulmonary function (PEFR). Twenty adult asthmatics were studied for 21 days in their natural environment using a multiple baseline design. Self-administered relaxation training (including both breathing exercises and muscle relaxation) led to decreased negative mood and stressor report. Reporting of asthma symptoms decreased over time, and PEFR was increased by relaxation training. Asthma medication use was unchanged. Results suggest that tape–recorded relaxation training positively impacts well-being, asthma symptoms. and PEFR in a naturalistic setting. Further study of the potential use of inexpensive tape-recorded interventions in chronic illness is warranted. View Show abstract

P-850 Patient initiation of complementary and alternative medicaltherapies (CAM) during conventional lung cancer treatment Article
- Jul 2005
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Effects of Biofeedback-Assisted Relaxation on Asthma Severity and Immune Function Article
- Jun 1996
- Pediatr Asthma Allergy Immunol
The purpose of this randomized controlled pilot study was to determine the effects of eight sessions of biofeedback-assisted relaxation training on asthma severity, respiratory function, and immunity. Twenty subjects, aged 12-22 years, with nonsteroid-dependent reactive airway disease participated, All subjects monitored symptoms and medication use throughout the study, Ten subjects were trained with relaxation techniques aided by biofeedback, and 10 subjects were controls. Results showed decreased asthma severity and decreased facial muscle tension in the experimental group but not in the control group, Improvements in asthma severity were correlated with decreases in facial muscle tension, No effects on pulmonary function were seen, Data on immune measures revealed significant decreases in immunoglobulins in both groups related to seasonal change, Increases in CD4 and CD8 lymphocyte counts were observed more frequently in the experimental group than in the controls, These findings, although limited by size of population, suggest that biofeedback-assisted relaxation training has potential for improvement of asthma severity and immune function in young asthmatics. View Show abstract

Relaxation and guided imagery: A school-based intervention for children with asthma Article
- Nov 2003
- Psychol Schools
Asthma, a disease of the respiratory system, is the most common chronic medical condition among children. School-aged children with asthma evidence increased absenteeism, decreased school performance, restriction of various activities, poor peer relationships, and emotional and behavioral difficulties. Asthma can be triggered and exacerbated by emotions and stress, and therefore, it has been treated with psychological interventions. Relaxation and guided imagery (RGI), an intervention based on the theoretical position that the mind and body interact in determining health, has been shown to be effective in improving mental and physical health outcomes with a myriad of medical conditions, yet it has not been adequately studied with childhood asthma. This investigation analyzed the effect of RGI on lung function [forced expiratory volume in 1 second (FEV1) and forced expiratory flow 25–75 (FEF25–75)] and anxiety by employing a multiple baseline design across four middle school students with asthma. With the introduction of the intervention, it was found that FEV1 improved and anxiety decreased in all students. FEF25–75 improved in three of the four participants. The effect sizes for the four participants ranged from −0.98 to −1.88 for FEV1, 0.20 to −1.93 for FEF25–75, and 2.19 to 4.06 for anxiety. © 2003 Wiley Periodicals, Inc. Psychol Schs 40: 657–675, 2003. View Show abstract

Knowledge and Use of Ethnomedical Treatments for Asthma Among Puerto Ricans in an Urban Community Article Full-text available
- Jan 2011
- ANN FAM MED
PURPOSE: Puerto Ricans have higher lifetime and current asthma prevalence than other racial and ethnic groups in the United States. A great many Hispanics use ethnomedical therapies for asthma. This study elicited participant knowledge of ethnomedical therapies, developed a typology of the therapies, and considered whether some types are used or deemed efficacious based, in part, on information source. METHODS: Eligible participants were randomly selected from the medical records of an inner-city primary care clinic serving a predominantly Hispanic community in Buffalo, New York. Thirty adult Puerto Ricans who had asthma or were caregivers of children with asthma were interviewed in person using a semistructured instrument. Qualitative data analysis followed a content-driven immersion-crystallization approach. Outcome measures were ethnomedical treatments for asthma known to participants, whether these treatments were used or perceived effective, and the participant’s information source about the treatment. RESULTS: Participants identifi ed 75 ethnomedical treatments for asthma. Behavioral strategies were significantly more likely to be used or perceived effective compared with ingested and topical remedies (P <.001). Among information sources for ingested and topical remedies, those recommended by community members were signifi cantly less likely to be used or perceived effective (P <.001) compared with other sources. CONCLUSIONS: This sample of Puerto Ricans with a regular source of medical care was signifi cantly more likely to use or perceive as effective behavioral strategies compared with ingested and topical remedies. Allopathic clinicians should ask Puerto Rican patients about their use of ethnomedical therapies for asthma to better understand their health beliefs and to integrate ethnomedical therapies with allopathic medicine. View Show abstract

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A Systematic Review of Complementary and Alternative Medicine for Asthma Self-management

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This article is a systematic review of complementary and alternative medicine use for pediatric and adult asthma self-management. The aim of the review was to summarize the existing body of research regarding the types and patterns of, adverse events and risky behaviors associated with, and patient-provider communication about complementary therapies in asthma. This evidence serves as the basis ... [Show full abstract] for a series of recommendations in support of patient-centered care, which addresses both patient preferences for integrated treatment and patient safety. Read more Article Full-text available

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Health has been described as a central concept and the goal of nursing. The incongruence between that centrality in nursing and in other disciplines and the public's view is discussed. Other issues and views of health also are considered, including diversity and unity in conceptualizing health, the social nature and societal obligations toward the health of the individual, the lack of congruency ... [Show full abstract] between conceptual and empirical views of health, and health as viewed in nursing and in the international arena. Several conditions to be included in nurses' attempts in the theoretical development of health are articulated. The need for focusing on an understanding of the health care needs of underserved populations, the potential advantage in using a feminist framework, and the integration between a static conception of being healthy and a process/dynamic/becoming conception of health are some of the strategies that can be used to develop a contextual conception of health. View full-text Article Full-text available

Between two cultures: Identity, roles, and health

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Population shifts and migration are increasing worldwide, and with it there is a renewed interest in maintaining uniqueness and cultural heritage. Immigrants are constantly attempting to balance the values of their cultural heritage with those of the new host society. To deal with immigrant women's health-care needs, scientists from the host country need to understand the delicate interplay ... [Show full abstract] between several dynamic properties inherent in being a woman and an immigrant and to develop ways to describe the health-care needs and responses that are congruent with the properties of immigrant women's situations. Properties selected for this article are uniqueness versus stereotyping, permanence versus temporariness, and host-country values versus country-of-origin values. Appropriate methods of research discussed are involvement, lived experiences, and satisfaction and stress in roles. Proposed agendas for future study of immigrant women include identifying high-risk populations among immigrant women and developing appropriate methodological strategies and population-specific interventions. View full-text Article Full-text available

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To expand knowledge surrounding parental illness representations (IRs) of their children's asthma, it is imperative that culturally appropriate survey instruments are developed and validated for use in clinical and research settings. The Asthma Illness Representation Scale (AIRS) provides a structured assessment of the key components of asthma IRs, allowing the health care provider (HCP) to ... [Show full abstract] quickly identify areas of discordance with the professional model of asthma management. The English AIRS was developed and validated among a geographically and ethnically diverse sample. The authors present the validation results of the AIRS-S (Spanish) from a sample of Mexican and Puerto Rican parents. The AIRS was translated and back translated per approved methodologies. Factor analysis, internal reliability, external validity, and 2-week test-retest reliability (on a subsample) were carried out and results compared with the validated English version. Data were obtained from 80 Spanish-speaking Mexican and Puerto Rican parents of children with asthma. The sample was recruited from two school-based health centers and a free medical clinic in Phoenix, Arizona, and a hospital-based asthma clinic in Bronx, New York. The original Nature of Asthma Symptoms, Facts About Asthma, and Attitudes Towards Medication Use subscales emerged. Remaining factors were a mixture of items with no coherent or theoretical distinction between them. Interpretation of results is limited due to not meeting the minimum requirement of 5 observations/item. Cronbach's alpha coefficients for the total score (alpha = .77) and majority of subscales (alpha range = .53-.77) were acceptable and consistent with the English version. Parental reports of a positive relationship with the HCP significantly predicted AIRS scores congruent with the professional model; longer asthma duration was associated with beliefs aligned with the lay model; and AIRS scores congruent with the professional model were related to lower asthma severity. Stability in AIRS-S scores over 2 weeks was demonstrated. The AIRS-S is a culturally appropriate instrument that can be used by HCPs to ascertain Spanish-speaking parents' asthma illness beliefs and assess discordance with the professional model of asthma management. This information can be used by the HCP when discussing parent's asthma management strategies for their children during clinical encounters. View full-text Article Full-text available

Developing A Tool To Support Decisions On Patient Prioritization At Admission To Home Health Care

January 2014

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and aims: Millions of Americans are discharged from hospitals to home health every year and about third of them return to hospitals. A significant number of rehospitalizations (up to 60%) happen within the first two weeks of services. Early targeted allocation of services for patients who need them the most, have the potential to decrease readmissions. Unfortunately, there is only fragmented ... [Show full abstract] evidence on factors that should be used to identify high-risk patients in home health. This dissertation study aimed to (1) identify factors associated with priority for the first home health nursing visit and (2) to construct and validate a decision support tool for patient prioritization. I recruited a geographically diverse convenience sample of nurses with expertise in care transitions and care coordination to identify factors supporting home health care prioritization. Methods: This was a predictive study of home health visit priority decisions made by 20 nurses for 519 older adults referred to home health. Variables included sociodemographics, diagnosis, comorbid conditions, adverse events, medications, hospitalization in last 6 months, length of stay, learning ability, self-rated health, depression, functional status, living arrangement, caregiver availability and ability and first home health visit priority decision. A combination of data mining and logistic regression models was used to construct and validate the final model. Results: The final model identified five factors associated with first home health visit priority. A cutpoint for decisions on low/medium versus high priority was derived with a sensitivity of 80% and specificity of 57.9%, area under receiver operator curve (ROC) 75.9%. Nurses were more likely to prioritize patients who had wounds (odds ratio [OR]=1.88), comorbid condition of depression (OR=1.73), limitation in current toileting status (OR= 2.02), higher numbers of medications (increase in OR for each medication =1.04) and comorbid conditions (increase in OR for each condition =1.04). Discussion: This dissertation study developed one of the first clinical decision support tools for home health, the "PREVENT"- Priority for Home Health Visit Tool. Further work is needed to increase the specificity and generalizability of the tool and to test its effects on patient outcomes. View full-text Discover more Last Updated: 31 Jul 2018 Download citation What type of file do you want? RIS BibTeX Plain Text What do you want to download? Citation only Citation and abstract Download Interested in research on Nursing Theory? Join ResearchGate to discover and stay up-to-date with the latest research from leading experts in Nursing Theory and many other scientific topics. Join for free or Discover by subject area

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