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Biomedical subjects

J Wuest

Publications and source records attributed to J Wuest.

31 records · Page 2Linked to original sources
PubMed1990

Trying it on for size: mutual support in role transition for pregnant teens and student nurses.

Pregnant adolescents and student nurses are both undergoing role transition when student nurses teach prenatal classes to single adolescents. Through participant observation and the constant comparative analysis of grounded theory, I determined that both groups engage in the process of "trying it on for size". As learners teach learners, an environment of mutual support is created that allows for experimentation with roles. In this article, the process of trying it on for size is discussed from the perspective of a faculty advisor with emphasis on the benefits to both students and clients.

Adaptation, Psychological↗
PubMed1990

The impact of fluctuating relationships with the Canadian health care system on family management of otitis media with effusion.

The analysis of data from a grounded theory study of family interaction when a child has otitis media with effusion (OME) shows that these families are engaged in the process of learning to manage. Their relationship with the health care system, coupled with the effects of the disease on the child and the family lifestyle, has a powerful influence on how this process proceeds. In this paper, the authors discuss the impact of the family's relationship with the Canadian health care system on the development of management skills. Relationships with the health care system fluctuate forward and backward through entrusting, becoming disillusioned, learning the rules and negotiating, as families learn to manage the effects of the disease process on the child and the family. The family perspective of the quality and availability of health care at a time when health care systems throughout the world are under close scrutiny, adds to our understanding of consumer expectations. Some recommendations for improving current relationships between families and the health care system are made.

Adult↗
PubMed1990

Childhood otitis media: the family's endless quest for relief.

Otitis media with effusion (OME) is a common disease of childhood that has a profound influence on family life. The findings of a grounded theory study that explored family interaction when a child has OME are contained in this article. Three variables were found to influence the position of the family on a continuum of learning to manage: effects of the disease on the child, disruption to family life, and relationship with the health care system. In this discussion the authors focus on the effects on the child and family life. Comparisons are made with the effects of chronic illness on a family. The documentation of the effects of OME on family life is significant to assist health care professionals in appreciating the gravity of this often trivialized illness. Some strategies are suggested for positive health promotion in these families.

Adaptation, Psychological↗
PubMed1989

Pleuropulmonary infection due to Clostridium subterminale.

Clostridial pleuropulmonary infection in a patient with suspected pulmonary embolism is described. Clostridium subterminale was recovered as the sole pathogen on several occasions despite antibiotic therapy. The patient died of cardiac failure after a complicated course in hospital. Clostridium subterminale is a rare pathogen and has not so far been reported as the sole cause of pleuropulmonary infection.

Amoxicillin↗
PubMed1989

Debate: a strategy for increasing interaction in audio teleconferencing.

Increased demand for audio teleconferenced undergraduate nursing courses for registered nurses in New Brunswick, Canada, has resulted in nurse educators being challenged to meet the needs of adult learners within the constraints of this technology. In this paper the problem of limited interaction among adult nursing students in a teleconferenced course is examined in light of the theoretical frameworks of adult education and distance education. The effects of implementing debate as a learning strategy to increase participation are discussed. The debate process increased site to site interaction and encouraged nurses to consider pragmatic issues from new perspectives.

Attitude↗
PubMed1980

Necrotising enterocolitis and neuraminidase-producing bacteria.

In 9 out of 26 newborns with necrotising enterocolitis (NEC) exposure of the Thomsen-cryptantigen (T-antigen), probably due to the action of circulating bacterial neuraminidase, was demonstrated on red blood cells. The serological titres seemed to correlate with the clinical course of the disease. Neuraminidase-producing clostridia were isolated in two of the patients. Reaction between the exposed T-antigen and anti-T-agglutinins, normally present in human blood, may lead to difficulties during blood transfusion. This potential transfusion hazard is best avoided by routine T-antigen-tests and by transfusion of packed or washed red blood cells to T-antigen-positive patients.

Antibody Specificity↗
PubMedDate not supplied

Professionalism and the evolution of nursing as a discipline: a feminist perspective.

The evolution of nursing knowledge and nursing as a practice discipline has been stunted by the quest for professionalism. Liberal and socialist feminist theory clarifies the hazards inherent in the masculine institution of professionalism for a predominately female discipline. Socialist feminist theoretical perspectives facilitate a vision of nursing that includes altering social structure such that caring is valued.

Female↗
PubMedDate not supplied

Repatterning care: women's proactive management of family caregiving demands.

Caregiving frequently is framed as a family issue when, in practice, women bear the primary responsibility. The goal of this feminist grounded theory study of women's caring was to explain the complex process of family caring by women within the current context of health and social reform. One finding of this study was that women use a process of repatterning, that is, reorganizing caring activities, to reduce or overcome the negative effects of caring demands. These findings make visible both the losses and gains of caring women as they learn and employ the expert strategies of anticipating, setting ground rules, juggling time, and relinquishing and replenishing. These findings draw attention to the complexity of caring and provide direction for health professionals in their work with individuals and families and in lobbying for necessary resources.

Caregivers↗
PubMedDate not supplied

Connected and disconnected support: the impact on the caregiving process in Alzheimer's disease.

The findings of this grounded theory study of Eastern Canadian family caregiving for persons with Alzheimer's disease (AD) provide additional evidence that the presence of both formal and informal social support often fails to make caregiving easier. At family, community, and professional levels, caregiver perception of the helpfulness of support in meeting needs emerged as the indicator of whether support is connected or disconnected. In this paper, we demonstrate and discuss the impact of connected and disconnected support on caregiver progression on the continuum from intimacy to alienation in the process of becoming strangers, the basic social process identified in the study. Implications for further research and practice are discussed.

Adaptation, Psychological↗
PubMedDate not supplied

Precarious ordering: toward a formal theory of women's caring.

Given the current societal and political trends toward increasing demands on women to provide care, a conceptualization of caring that captures the common processes of diverse women's caring experiences, and makes the consequences of caring for women's health visible, is critical for the development of a health and social policy that is responsive to women. The findings of this feminist grounded theory study go beyond the current theoretical understandings of women's caring, framed as either burden or fulfilment. The complex strategies women use to manage the dissonance created by competing and changing caring demands are revealed as a process I have named precarious ordering. This middle range theory demonstrates the power and resilience in women's management through the interdependent processes of setting boundaries, negotiating, and repatterning care. In addition, the method of theoretical sampling used in this study is explicated to move toward a formal theory applicable to diverse women's caring in a wide range of health, illness, and developmental situations.

Adaptation, Psychological↗
PubMedDate not supplied

Institutionalizing women's oppression: the inherent risk in health policy that fosters community participation.

Current Canadian health policy is based on the implicit assumption that women are available to provide care in the home to the dependent, the ill, the elderly, and the physically and mentally disabled. Women are socialized from birth to accept caring roles within a traditional family structure, and current societal expectations and social policy reinforce this value system. Women's health can only be understood within the context of their lived experience of social inequity, medicalization, and family caregiving. Health care professionals are complicit in sustaining women's oppression by reinforcing these institutions of social control. For health policy to be responsive to women's needs, it must be based on research that considers the social complexity of ordinary women's lives.

Canada↗
PubMedDate not supplied

Counteracting abuse and breaking free: the process of leaving revealed through women's voices.

In a feminist, grounded-theory study, we interviewed rural survivors of abusive relationships to discover a substantive theory to explain the process of leaving. The central process for survivors was reclaiming self. In this article, we discuss the initial stages of reclaiming self: counteracting abuse and breaking free. Our findings reveal that the abused women were not passive victims. From the beginning, they counteracted abuse by relinquishing parts of self, minimizing abuse, and fortifying their defenses. The work of counteracting abuse prepared the survivor for testing the exits in the process of breaking free. These findings support the view of abused women as survivors and clearly demonstrate the societal infrastructure required to support women's efforts to counteract abuse until they have acquired the strength and resources to leave. In addition, questions are raised about the roles of lay and professional helpers in facilitating and inhibiting the process of reclaiming self.

Adaptation, Psychological↗