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Biomedical subjects

J Wuest

Publications and source records attributed to J Wuest.

At least 19 recordsLinked to original sources
PubMed2001

Beyond survival: reclaiming self after leaving an abusive male partner.

Research on the process of leaving an abusive male partner has focused on surviving abuse and the crisis of leaving. Little is known about the experience of women who have left abusive male partners and not gone back. In this feminist grounded theory study of women leaving abusive partners, the researchers discovered the basic social-psychological process of reclaiming self in which women voyaged through 4 stages: counteracting abuse, breaking free, not going back, and moving on. The focus of this paper is the last stage, moving on, during which women move beyond framing their lives as survivors of an abusive relationship through the processes of figuring it out, putting it in its rightful place, launching new relationships, and taking on a new image. The findings extend our knowledge of the leaving process by delineating the ways in which the abuse experience and the survival process are displaced as the centre of the woman's intra-psychic, interpersonal, and social existence. Questions are raised about how nurses and other health professionals can avoid revictimizing women who have moved on.

Adaptation, Psychological↗
PubMed2000

Negotiating with helping systems: an example of grounded theory evolving through emergent fit.

A strength of substantive grounded theories is that they are modifiable. Yet, little attention is given in the research literature to the evolution of grounded theories through the process of emergent fit. In this article, emergent fit is discussed, and the evolution of the theoretical understanding of relationships with helping systems is provided as an example. In a feminist grounded-theory study of women's caring, emergent fit with existing inductive research on health care relationships resulted in a framework of negotiating, which includes four strategies: reframing responsibility, becoming an expert, harnessing resources, and taking on more. This explanatory model demonstrates how the use of emergent fit can avoid the generation of isolated theories and contribute to knowledge accumulation by producing a substantive theory with wider applicability.

Adaptation, Psychological↗
PubMed1998

Setting boundaries: a strategy for precarious ordering of women's caring demands.

Under the conditions of health care reform, women increasingly are being called upon to assume caring responsibilities. There is little research about the process of women's caring. The findings of this feminist grounded theory study of women caring in diverse situations reveal the strategies women use to manage the dissonance created by caring demands. The strategy of setting boundaries, and subprocesses of determining legitimacy and attending to one's own voice provide an explanation of the processes employed by women to limit the number and extent of caring demands and to draw on self-knowledge to order their caring. This explanatory framework has potential to guide the practice of nurses and other health professionals working with women caring for themselves and others. In addition, these findings contribute to understanding the place of reciprocity, commitment, and affection in the phenomena of caring.

Caregivers↗
PubMed1998

Cytological comparison of leaves and stems of Prunus avium L. shoots cultured on a solid medium with agar or gelrite.

An axillary proliferating clone of Prunus avium L. was subcultured every four weeks on solid MS medium with agar as the gelling agent. Vitrification (hyperhydricity) of shoots was induced in one four week cycle with the same medium except that agar was replaced by gelrite. During culture on the vitrifying medium, the water content of the shoots progressively increased with a parallel decrease in chlorophyll content. Cytological differences between the leaves and stems of the vitrified and normal shoots were detected by light and electron (both transmission and scanning) microscopy. Leaves of vitrified shoots were characterized by lower number of chloroplasts in the palisade parenchyma and by a defective cuticle. The stems of vitrified shoots had a less developed and lignifled xylem tissue, lacked sclerenchymatic areas and showed hypertrophy of the cortical parenchyma. More intense vacuolar activity with evaginations of the chloroplast envelope into the vacuole was noted in cells of vitrified leaves.

Agar↗
PubMed1997

Illuminating environmental influences on women's caring.

Current health care reform is resulting in increasing demands on women to care for others. Little is known about the process of women's caring or the effects of caring on women. This feminist grounded theory study resulted in a substantive theory that explains how women manage the problematic aspects of caring and explicates the ways that environment influences women's responses to caring demands. Of particular concern is the evidence that the existing social structure creates and intensifies problems for women caring. The discussion considers the implications of the findings for health policy and nursing practice.

Caregivers↗
PubMed1997

Fraying connections of caring women: an exemplar of including difference in the development of explanatory frameworks.

While research exploring diverse groups enhances understanding of their unique perspectives and experiences, it also contributes to the exclusion of such groups from mainstream frameworks and solutions. The feminist grounded theory method allows for inclusion of marginalized groups through theoretical sensitivity to feminist theory and theoretical sampling. This paper demonstrates how this approach results in an explanatory framework that accounts for diverse realities in a study of women's caring. Fraying connections were identified as women's initial response to competing and changing caring demands. The range of dimensions and properties of fraying connections was identified through theoretical sampling guided by the emerging themes and theoretical sensitivity to issues of gender, culture, age, ability, class, and sexual orientation.

Adaptation, Psychological↗
PubMed1995

Effects of ingested phytoecdysteroids in the female soft tick Ornithodoros moubata.

The effects of the ingestion of some phytoecdysteroids were studied in the soft tick Ornithodoros moubata. Supernumerary moulting and malformations of first leg pairs were obtained with 22-oxo-20-hydroxy-ecdysone, 20-hydroxyecdysone-22-acetate, and 20-hydroxyecdysone-22-benzoate. Egg-yield was reduced with 20-hydroxyecdysone-22-acetate and carthamosterone. Finally, drying-out of eggs was observed with carthamosterone and 22-deoxy-20,26-dihydroxyecdysone. In addition, we demonstrated that there is a correlation between the number of completed gonotrophic cycles and the impossibility of inducing supernumerary moulting.

Animals↗
PubMed1994

Becoming strangers: the changing family caregiving relationship in Alzheimer's disease.

Alzheimer-type dementia (AD) is an insidious pervasive debilitating disorder that destroys the affected person's capacity for self-care. In this grounded theory study, we explored the reciprocal process of becoming strangers in which eastern Canadian family caregivers and care recipients with AD interact on a continuum from intimacy to alienation through dimensions of dawning, holding on and letting go. The findings illuminate the experiences of family members who struggle on a daily basis with their commitment to the person they knew and their increasing detachment from the stranger that person has become. With the increasing emphasis on home care, these findings offer insights for individual care and health policy development.

Aged↗
PubMed1994

A feminist approach to concept analysis.

Concept analysis is an important device for clarifying the meaning of concepts and the foundations of nursing theory, research, and practice. Exploration of traditional approaches to concept analysis reveals the limitations of these methods for contextual analysis that acknowledges the social construction of the concept and acknowledges gender, class, and racial bias. Concept analysis conducted from a feminist perspective overcomes these weaknesses and becomes a powerful tool for the development of nursing knowledge.

Female↗
PubMed1993

Feminist critique: searching for meaning in research.

Feminist critique is presented as an important method for examination of prior knowledge for androcentric and ethnocentric bias in all aspects of knowledge development, from theoretical underpinnings through the steps of the research process. The history and implications for using feminist critique as a mode of inquiry for nursing science are developed. In addition, pragmatic information for the conduct of feminist critique is provided.

Bias↗
PubMed1992

Method slurring: the grounded theory/phenomenology example.

Increasingly, qualitative research methods are being embraced by nurse researchers because these approaches allow exploration of human experience. Failure to explicate qualitative methodologies is resulting in a body of nursing research that is either mislabelled or is classified broadly as qualitative and subject to charges that qualitative research lacks rigour. In this paper, the authors discuss the importance of specificity in methodology and distinguish between phenomenology and grounded theory, two frequently misused terms in the description of qualitative methodology.

Data Collection↗
PubMed1991

Learning contracts: a vehicle for increased student involvement in audio teleconferencing.

Increasing demand for baccalaureate nursing education for registered nurses delivered by audio teleconferencing creates many challenges in course design and delivery for nurse educators. In this paper, the strengths and limitations of contract learning as a means of increasing student involvement are discussed from the perspectives of both student and teacher, in light of both adult learning theory and the unique demands of distance education.

Attitude of Health Personnel↗
PubMed1991

Harmonizing: a North American Indian approach to management of middle ear disease with transcultural nursing implications.

In a grounded theory study of Canadian Indian family management of persistent middle ear disease, harmonizing was identified as the major strategy employed in the process of learning to manage. This finding resulted in a recasting of the substantive theory of management identified in an earlier study of Caucasian families. Although families from both cultures advance and retreat on the continuum of learning to manage in response to the relationship with the health care system, the effects of the disease on the child, and the amount of disruption in family life, culture was found to influence the ways in which these families learned to manage. In general, native families harmonized by integrating the experience into their reality in contrast with their Caucasian counterparts who attempted to direct or take charge of the experience. Factors that influenced native Indian management included autonomy of the child, perceptions of health and illness, expectations of the health care system, orientation to present and past time, and listening skills. These findings significantly contributed to the development of transcultural nursing knowledge.

Adolescent↗
PubMed1990

[Sepsis caused by Fusobacterium necrophorum: the re-discovered postangina sepsis Lemierre syndrome and other manifestations].

Among 5 patients with bacteremia due to Fusobacterium necrophorum, 3 young adults had post-anginal sepsis (Lemierre syndrome), including one with the classical secondary metastatic complications of pulmonary abscesses, pleural empyema, arthritis and hepatobiliary disturbances. The primary focus was a cholangiogenic abscess in an 81-year-old woman, and fetid otitis following a radical operation for cholesteomatous chronic otitis media in a 29-year-old male. Septicemia due to Fusobacterium necrophorum, and in particular Lemierre syndrome, are presented in the light of the literature.

Adult↗