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M C Wendler

Publications and source records attributed to M C Wendler.

4 recordsLinked to original sources

Triangulation using a meta-matrix.

BACKGROUND AND SIGNIFICANCE: Quantitative and qualitative data analysis are often undertaken as separate enterprises, as they emerge from differing philosophies of science and methodologies for data collection, management and analysis. Quantitative data analysis is sometimes seen in philosophic and methodologic conflict with a naturalistic, human science perspective of science. Researchers interested in data from both realms often rely on triangulation procedures, in which each is considered from its representative lens. Results are then projected out into a common area where data are melded and discussed. The purpose of this paper is to introduce the meta-matrix as a tool for triangulation in nursing research and to demonstrate its usefulness in an exemplar case. DESIGN/METHODS: The exploratory nature of a recent study led to the decision to manage triangulation using an emerging methodology, thereby allowing consideration of all data simultaneously through the use of a meta-matrix. Discussion of the meta-matrix as a method is presented. FINDINGS: Use of the meta-matrix facilitated data analysis and allowed pattern recognition across data sets. Discovery of several unexpected relationships deepened understanding of the results and assisted in identifying questions for further research. CONCLUSIONS/IMPLICATIONS: The meta-matrix method provides a useful alternative approach for secondary-level data analysis in mixed-methods research.

Data Interpretation, Statistical↗

Entering the world of dementia: CNA interventions for nursing home residents.

People who have Alzheimer's disease (AD) often reside in nursing homes and frequently exhibit the behaviors of agitation, aggression, screaming, wandering, and repetitive actions (Beck, Heacock, Rapp, & Shue, 1993). Beck et al. (1993) revealed 30% to 95% of nursing home residents exhibited aggressive behaviors that may contribute to the overall decline of the residents. Some of the negative outcomes for these behaviors include: Exhaustion from wandering or repetitive behaviors. Social isolation. Wandering to a dangerous place. Hitting or provoking someone to hit back. (Beck, Heacock, Rapp, & Shue, 1994; Gerdner, Hall, & Buckwalter, 1996). Close observation of the clinical practice of Certified Nursing Assistants (CNAs) has revealed some CNAs intuitively provide care in ways that minimize behaviors such as agitation and aggression. However, a review of the literature failed to reveal information regarding how CNAs intervene in the behaviors of elderly residents exhibiting dementia. This gap between practice and research was the impetus for this study.

Adult↗

Understanding healing: a conceptual analysis.

The practice of the healing arts has been a part of human history since ancient times. Despite the development of related scholarly concepts in nursing such as caring, healing remains an enigma. Using conceptual analysis a clear definition of healing within a Rogerian/Newmanian framework is explicated. Case development assists in the understanding of healing as a concept, and questions arising from this definition provide focus for further scholarly work. A result of this process of concept analysis was the development of a definition of healing which is clear and which fits the theoretical underpinnings of the unitary-transformative paradigm. Healing, as a core variable of interest in the study of health, provides important parameters for study. The definition of healing which arose from the concept analysis is: Healing is an experiential, energy-requiring process in which space is created through a caring relationship in a process of expanding consciousness and results in a sense of wholeness, integration, balance and transformation and which can never be fully known.

Adult↗