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Biomedical subjects

D M Wing

Publications and source records attributed to D M Wing.

At least 19 recordsLinked to original sources
PubMed1999

The process of transforming self in women veterans with post-traumatic stress disorder resulting from sexual abuse.

In recent years increasing attention has been given to the prevalence and impact of military sexual abuse. Symptoms of post-traumatic stress disorder (PTSD), a diagnostic entity originally restricted to those who had experienced wartime trauma, have been observed in women veterans who reported that they were sexually abused during military service. However, little research has been conducted in this area. The purpose of this study was to determine the recovery process in women veterans suffering from PTSD resulting from sexual abuse. Using grounded theory methods, the researchers interviewed 16 women veterans who were in active recovery. Constant comparison data analysis revealed the emerging basic social process of "transforming self." The findings indicate that participants transformed self by progressing through five stages: reacting to triggers; seeking validation; sorting through confusion; becoming intentional; and affirming self. The authors compare these findings to other research on recovery from sexual abuse.

Adaptation, Psychological↗
PubMed1998

A comparison of traditional folk healing concepts with contemporary healing concepts.

Health professional interest in folk healing concepts as a means of complementing contemporary health care has flourished within recent years. Yet, despite this seemingly new area of study, many basic tenets of folk healing are consistent with principles ascribed to by modern health professionals. In this article, I elucidate several concepts shared by traditional folk healing systems and the contemporary health care system. These concepts include origin of illness, harmony and balance, motion, colors, symbols, and family and community involvement. The analysis of these concepts should enable nurses to have an advanced understanding of transcultural healing practices, as well as a heightened perspective on the shared dimensions of folk and contemporary health care systems.

Attitude to Health↗
PubMed1998

The process of transforming self in women veterans with post-traumatic stress disorder resulting from sexual abuse.

In recent years increasing attention has been given to the prevalence and impact of military sexual abuse. Symptoms of post-traumatic stress disorder (PTSD), a diagnostic entity originally restricted to those who had experienced wartime trauma, have been observed in women veterans who reported that they were sexually abused during military service. However, little research has been conducted in this area. The purpose of this study was to determine the recovery process in women veterans suffering from PTSD resulting from sexual abuse. Using grounded theory methods, the researchers interviewed 16 women veterans who were in active recovery. Constant comparison data analysis revealed the emerging basic social process of "transforming self." The finding indicate that participants transformed self by progressing through five stages: reacting to triggers; seeking validation; sorting through confusion; becoming intentional; and affirming self. The authors compare these findings to other research on recovery from sexual abuse.

Adult↗
PubMed1996

A concept analysis of alcoholic denial and cultural accounts.

Accounts are statements offered by individuals when explaining questionable behavior. Cultures vary in the kinds of accounts they honor, and individuals who deny a problem with alcohol may be attempting to maintain congruence between self and culture. Within this context, health care professionals who challenge a patient's denial may be causing unnecessary harm. The author presents a concept analysis of alcoholic denial in relation to the concept of accounts to explicate cultural variations in the manifestation of denial. The author integrates findings of her own and others' research to advance an understanding of alcoholic denial and cultural accounts.

Adaptation, Psychological↗
PubMed1996

The meaning of alcohol to traditional Muscogee Creek Indians.

The purpose of this study was to learn the meaning of alcohol to the traditional Muscogee Creek Indians of eastern Oklahoma. Using Leininger's theory of culture care diversity and universality as the theoretical base, the authors conducted interviews of 24 traditional people to elicit both emic and etic meanings of alcohol. The conceptualization of alcohol as a dichotomy of power to do both good and evil emerged as the central theme. Other meanings of alcohol were explicated in relation to five social structure dimensions. The findings suggest culturally competent nursing implications for preserving, accommodating, and repatterning the meaning of alcohol.

Adolescent↗
PubMed1995

Causes of alcoholism: a qualitative study of traditional Muscogee (Creek) Indians.

Traditional Native American people are experiencing serious health, economic, and social problems resulting from alcoholism. Native Americans maintain a worldview of health and illness that conflicts with the dominant culture's approach to treatment. The purposes of this study were to describe the health beliefs of traditional Muscogee (Creek) Indians concerning the causes of illness and learn how these beliefs relate to alcoholism. The researchers conducted in-depth interviews of 55 traditional Muscogee (Creek) participants to learn traditional beliefs about illness and alcoholism. Data were analyzed using content analysis. Results indicate that both illness and alcoholism are perceived as having natural and unnatural (supernatural) causes. A challenge facing nurses is how to provide culturally sensitive care when clients' and nurses' beliefs about the cause of alcoholism may be in conflict. The authors discuss preservation, accommodation, and repatterning of health care beliefs as a basis for planning culturally sensitive nursing care.

Adult↗
PubMed1995

Transcending alcoholic denial.

Denial is a characteristic of alcoholism and other drug addictions that must be appreciated in order to understand the recovery process. The purpose of this field study was to describe the internal processes that alcoholics experience as they transcend denial. Grounded theory methods guided data collection and analysis. The author observed and interviewed 42 patients in an inpatient alcoholism treatment facility, then followed 30 participants over a 3-year period. Using the constant comparison method of data analysis, a basic social process theory of transcending alcoholic denial emerged. The theory has five progressive stages: reacting to the critical event; role disaffiliation; ambiguous anticipation; peer affiliation; and acceptance. The theory also elucidates consequences of unresolved stages.

Adaptation, Psychological↗
PubMed1994

Understanding alcoholism relapse. A case study illustrating the integration of two theories.

The potential for relapse is a continuous threat for recovering alcoholics, most of whom will relapse within the first few years following treatment. Although relapse prevention is a challenge to nurse practitioners and clinical specialists, having an understanding of the factors leading to relapse can assist nurses in planning individualized care. This article presents a unique perspective on alcoholism relapse by integrating two theories--the interactional approach theory and the theory of recovery and goal setting. Case studies illustrate this perspective.

Adult↗
PubMed1994

The Alcoholism Denial Assessment Tool (ADAT): a study of interrater reliability.

The purpose of this study was to develop and test a tool for assessing alcoholic denial. The primary author devised the Alcoholism Denial Assessment Tool (ADAT) based on 2 years of experience. The tool was tested for interrater reliability using chart data of 42 recently discharged alcoholism patients. The test for significance of a proportion, using z scores, indicated significance at the .001 level. Item analysis showed strong interrater reliability on all but 1 of the 16 tool items. The ADAT provides nurses with a practical assessment tool that can be used daily to monitor progress. Recognition that a patient is in denial can allow meaningful and appropriately planned treatment.

Adolescent↗
PubMed1993

Applying the "Model of recovering alcoholics' behavior stages and goal setting" to nursing practice.

In 1990, the author developed the Model of Recovering Alcoholics' Behavior Stages and Goal Setting as a result of grounded theory research. The model explains the natural progression of recovery through four behavior stages. Each stage is characterized by specific patient goals. Application of the model provides a framework for nursing care planning that is both stage-focused and patient-centered. In this article, the author discusses nursing intervention in relation to the model.

Alcoholism↗
PubMed1993

Determinants of denial: a study of alcoholics.

1. Although denial may at times operate as a coping mechanism used by alcoholics in an attempt to adapt to a perceived threatening environment, it can be a detriment to recovery. 2. The assessment of denial can be laborious because of the various aspects of denial and the obscure manner in which it can manifest itself. 3. To facilitate the assessment process, the authors have undertaken a study to operationalize denial by its observable behaviors.

Adaptation, Psychological↗
PubMed1991

Goal setting and recovery from alcoholism.

Evaluation of alcoholism treatment effectiveness needs to be based on the healthy goals that alcoholics themselves identify as important. This research uses ethnography and grounded-theory methods to develop a model of recovering alcoholics' goal progression. The author spent 28 days in a treatment center, engaging in all patient activities, and observed and interviewed 42 participants to determine what they wanted from treatment. The research indicates that recovering alcoholics' goals develop through four stages. Certain kinds of behavior must be accomplished for an alcoholic to move from one stage to another. Behavior that facilitates and inhibits goal progression is identified.

Alcoholism↗
PubMed1991

Involuntary chemical addiction treatment. EAP implications for occupational health nurses.

1. Measuring treatment effectiveness is problematic when a substance abuser does not enter treatment voluntarily. Furthermore, clients' goals and EAPs' goals for recovery may be in conflict. 2. It is preferable to determine treatment effectiveness by those changes in behavior, lifestyle, and quality of life that each substance abuser considers important for recovery. 3. The author found that substance abusers' goals progress through four stages: denial, dependence, behavior change, and life planning. 4. The recovering substance abuser who returns to work requires continuous follow up by the occupational health nurse. Client stage needs to be assessed and care must be planned accordingly.

Attitude to Health↗
PubMed1991

Consumer strategies in health care acquisition in the United Kingdom and the United States.

Conflicts in health care financing have emerged as controversial political issues in the United Kingdom and the United States. Given the health care structures and resource allocation patterns of each country, the study of resource acquisition is significant because of scarce resources, changes in health policy, and shifts in consumer demand.

Community Participation↗