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Biomedical subjects

E F Olshansky

Publications and source records attributed to E F Olshansky.

9 recordsLinked to original sources

A family's coming to terms with Alzheimer's disease.

Findings of a qualitative analysis of several members of a family in which one member has Alzheimer's Disease (AD) support the notion that differences in how each family member defines and makes meaning of the situation have consequences for the family as a unit. Ten in-depth individual and dyadic interviews of five available family members were conducted during a period of 18 months. Data support the finding that each member of the family experienced a similar process of coming to terms with changes in the person who has AD. This process consisted of three stages: identifying how the person with AD was the same as he was before, as well as how he was different, prior to disease onset; redefining the identity of the person with AD; and rewriting one's relationship with the person with AD. This study supports both Knafl's and Deatrick's concept of family management and Patterson's concept of family meaning.

Adaptation, Psychological↗

A counseling approach with persons experiencing infertility: implications for advanced practice nursing.

A program of research on human responses to infertility revealed three salient concepts: sense of self/identity, meaning, and quality of life. These three concepts provided the foundation for a theoretical basis to develop strategies for a counseling intervention with persons experiencing infertility. Advanced practice nurses can assume key roles in carrying out such strategies. The strategies include assisting patients with infertility to make decisions regarding treatment, focus on successful aspects of self, move on with life despite treatment outcome, and cultivate and maintain interpersonal relationships.

Counseling↗

Redefining the concepts of success and failure in infertility treatment.

Technology has been used with increasing frequency to achieve fertility in couples who have experienced infertility. However, the success rates of many of the technology-assisted methods continue to be low. One major consequence of the low success rates is that infertile persons often view themselves as "failures." The major thesis of this chapter is that nurses can play a key role in helping individuals and couples redefine their concepts of success and failure. As a result, these persons can differentiate "treatment failure" from "personal failure" and reframe their meanings of infertility and their views of themselves.

Adult↗

Psychosocial implications of pregnancy after infertility.

Couples who become pregnant after being infertile experience profound psychosocial changes related to the "identity shift" that they must make from infertility to pregnancy. They often straddle the two worlds of infertility and fertility, not feeling completely a part of either world. Nurses play a key role in counseling, educating, and supporting these individuals and couples during the antepartum, intrapartum, and postpartum periods. This article discusses current knowledge about pregnancy after infertility and the implications for nursing practice.

Counseling↗

Identity of self as infertile: an example of theory-generating research.

This article presents results of a study using grounded-theory methodology to explore the meaning of infertility to those persons experiencing it. Thirty-two persons were interviewed, including 15 married couples and two married women whose husbands were either unable or unwilling to participate in the study. Forty-five semistructured interviews were conducted, as each person was interviewed separately and 13 couples were interviewed conjointly. Through the ongoing process of data collection and analysis, a substantive grounded theory was generated, with a core concept being that as persons experience unwanted infertility they take on a central identity of themselves as infertile. The process of taking on and managing this identity is described.

Infertility↗

From limbo to legitimacy: a theoretical model of the transition to the primary care nurse practitioner role.

The initial transitional year of professional practice is thought to provide the critical foundation on which new professionals build their expertise. The purpose of this study was to describe the experiences of new nurse practitioner graduates during their first year of primary care practice. Thirty-five persons were interviewed alone or in focus groups at approximately 1, 6, and 12 months after graduation. Grounded theory methodology guided the data collection and analysis. A theoretical model was constructed that represents the transition to the primary care nurse practitioner role. This model consists of a process called From Limbo to Legitimacy, which encompasses four major categories: Laying the Foundation, Launching, Meeting the Challenge, and Broadening the Perspective. Each category contains a set of subcategories that detail the multiple aspects of the experience. This model highlights both the distress and the accomplishments of the initial year of advanced practice.

Adult↗

Artificial insemination: an overview.

This article presents an overview of the indications for and techniques of artificial insemination, including artificial insemination of husband's/partner's sperm and artificial insemination of donor sperm. Important issues related to psychologic, legal, and ethical concerns are addressed, as well as long-term ramifications and implications for nursing.

Anger↗