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Biomedical subjects

J M Armer

Publications and source records attributed to J M Armer.

15 recordsLinked to original sources
PubMed2000

The church family and kin: an older rural black woman's support network and preferences for care providers.

Although kin and church are considered premier support sources for rural elders, few scholars have undertaken descriptive studies to explore the nature of rural Black elders' support networks and their preferences for in-home service providers. In the case study described in this article, methods of support network analysis and descriptive phenomenology were used to analyze data from five lengthy, open-ended interviews with a 94-year-old rural Black woman. The various groups and individuals of her network are labeled in her words, the network's supportive functions are described, and preferences for providers are noted. In addition, the varying structures of her home care experience with the support network members are described. Her attempts to voice and exercise her preferences for in-home service providers are explained in terms of two contrasting processes: preference uptake and preference suppression. Based on these findings, implications for appraising the appropriateness of rural elders' in-home services are discussed.

Black or African American↗
PubMed1996

An exploration of factors influencing adjustment among relocating rural elders.

The aim of this preliminary qualitative study was to examine factors influencing the adjustment of 34 elderly people relocating to an age-segregated planned housing unit in a rural community. Factors identified as affecting urban relocation were explored as a basis for developing a greater understanding of rural elders. Data from open-ended interviews were analyzed through sorting into categories by themes. Inclusion of factors reported to influence relocation among urban-dwelling elders in rural relocation research was validated through the template analytic technique. Content analysis resulted in support for the variables of predictability, controllability, social support and interaction, recency of loss, and prior life satisfaction as potential influences on post-relocation adjustment. Health professionals can ease adjustment through increased understanding of the factors that affect adjustment to relocation. Based on these preliminary findings, a more comprehensive study of relocation among the rural aged is warranted.

Adaptation, Psychological↗
PubMed1994

A public health nurse's guide to reading meta-analysis research reports.

Meta-analysis research reports are increasingly found in the public health literature. Meta-analysis is a quantitative method for summarizing existing studies. Although it is often advocated to synthesize research, nurses must be able to read these reports critically to determine applicability to practice.

Meta-Analysis as Topic↗
PubMedDate not supplied

Elderly relocation to a congregate setting: factors influencing adjustment.

As the trend in relocation to congregate housing continues, protecting the well-being of relocating elderly becomes a major concern. The relationships of perceived choice, predictability, perceived social support, cognitive appraisal, and coping strategies on relocation adjustment were examined through semistructured interviews with elders relocating to a congregate setting in New York state. Perceived choice in relocation, predictability, perceived social support from family and neighbors, and cognitive appraisal of the move as threat or challenge were found to correlate significantly with adjustment. The majority of subjects viewed the move to a congregate setting positively, predominantly as a challenge, and as different but not extremely difficult. This study provides increased research-based understanding of the factors influencing postrelocation adjustment and fuller understanding of the personal meaning of the relocation experience that may be used to aid the successful transition of an older person to a group residential setting.

Adaptation, Psychological↗
PubMedDate not supplied

Affectivity and mental health among elderly religious.

Fifty elderly Catholic nuns from the Midwest were interviewed in a descriptive study to obtain information regarding affectivity and mental health. Lawton's Philadelphia Geriatric Center affectivity instrument was used to determine frequency of positive versus negative emotions and 10 dimensions of affectivity. Overall, these subjects reported positive emotional experiences to be more common than negative ones. The nuns were shown to be strongest in the affectivity dimensions of duration of feelings, affective dissimulation, and emotional adaptation. They scored lowest on sensation seeking, variability of feelings, and emotional maturity. The mean scores of these subjects demonstrated statistically stronger emotional experiences than did Lawton's subjects. In response to an open-ended question on definition of health, evidence of a multidimensional perception of health was present among these elderly nuns. This research provides the foundation for further work designing and implementing interventions aimed at promoting optimal mental health among members of cultural minority groups.

Affect↗
PubMedDate not supplied

An inside view. NP/MD perceptions of collaborative practice.

The pressing dilemma in this era of health care reform is how to provide cost-effective, high quality health care for all Americans. At the present time, due to a number of complex factors, including attrition and economic disincentives, a shortage of primary care physicians exists in certain medically underserved areas of the country. At the same time, however, primary care nurse practitioners are increasing in number.

Attitude of Health Personnel↗
PubMedDate not supplied

Missouri responds to the advanced practice nurse role.

A randomly-drawn statewide sample of 891 consumers revealed overall support for the advanced practice nurse role to be greater than 75 percent. Seeking health care consumers' reactions to proposed alternatives is a crucial step in planning and implementing a program of health care reform that will meet current and future health needs.

Adult↗