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Biomedical subjects

S M Bunting

Publications and source records attributed to S M Bunting.

12 recordsLinked to original sources
PubMed2001

Critical thinking in African American mothers who care for adult children with HIV: a cultural analysis.

This research study defines critical thinking in nursing and examines the thinking processes revealed by 15 African American mothers who are caregivers to adult children with HIV. The purpose of this cultural analysis was to compare the mothers' decision-making processes with their critical-thinking processes. Their culture, heritage, faith, and value of family influenced caregivers in this study. Their testimony revealed the patterns of creating a different path of care, weaving together resources, choosing among negative alternatives, and selecting stories to tell. Mothers' decisions were based on complex and holistic knowledge of their situations and culture and could be termed multilogical, a type of thinking considered necessary for managing complex situations. Health providers can benefit from an understanding of these decision-making processes.

Adolescent↗
PubMed1999

Poor women living with HIV: self-identified needs.

Women with HIV are a growing at-risk population in our communities. They are often poor members of minority groups who have responsibilities for dependent children and other family members. They may experience physiological, psychological, and social symptoms and have needs that are unique to them as women. The purpose of this study was to give women with HIV the opportunity to identify their needs. Using the Objects Content Test, 48 women attending HIV clinics in a midsouth city listed 349 needs: 32% psychosocial, 14% physical, 13% service and maintenance, and 11% financial and legal. It is important for nurses working with these women in the community to know how they perceive their own needs and issues to plan and provide effective health care programs for this growing group of clients.

Adult↗
PubMed1998

Horsemen of the Apocalypse: lessons from the Gulf War.

War is a major global threat to human health, not only in the immediate effects of death and injury to the people, but also in the damage to infrastructures such as food, water, and power supplies and to social structures that support families, economies, and governments. Iraq's devastating aftershocks from the Gulf War include the physical and psychologic effects of displacement, poverty, famine, disease, and environmental destruction. Early nursing leaders vocally opposed World War I, and contemporary nurses should consider becoming activists in the primary and secondary prevention of this major global health problem.

Global Health↗
PubMed1997

Protective care-receiving: the active role of care-recipients.

Historical and contemporary conceptualizations of caregiving have not addressed the active role of care recipients within caregiver-care-recipient relationships. Using an interpretive synthesis method, the authors developed the concept of protective care-receiving from three qualitative studies of different groups of care receivers (older adults with chronic illnesses, persons with AIDS, and persons in treatment for active cancer). This paper describes the focus of care recipients' protective care-receiving efforts, the goals they hoped to achieve, and the strategies they used to assist themselves in attaining their goals. Examples of their efforts and strategies are illustrated with quotations from the data. These findings extend what is known about care recipients' selfcare activities. Moreover, the findings reveal a new dimension in the role of care recipients--protective care given by care recipients to their professional care providers, family and friend caregivers, and other care recipients. The concept of protective care-receiving advances our understanding of caregiving relationships and presents researchers with the opportunity to investigate the complex encounter between caregiver and care recipient. Recognizing and facilitating care recipients' protective care-receiving is an ethical imperative for a 'caring' profession such as nursing.

Acquired Immunodeficiency Syndrome↗
PubMed1996

Sources of stigma associated with women with HIV.

In the United States many women infected with the human immunodeficiency virus (HIV) are poor women of African American or Hispanic American descent. Women with HIV have experienced many forms of oppression and discrimination and have been blamed as the victims of HIV and labeled as drug users, prostitutes, and carriers of acquired immune deficiency syndrome (AIDS). They have been stigmatized for their gender, their sexuality, their minority status, and their poverty, as well as for their HIV-positive status. Stigma theory is used in this article to explore the sources of stigma associated with this vulnerable group of clients.

Female↗
PubMed1989

Stress on caregivers of the elderly.

This article considers the health threats to a vulnerable population, caregivers of the frail elderly who are maintained in the community. A model of competing care demands is derived from Orem's self-care theory and from caregiver literature to propose that the caregiver, when faced with dwindling resources of energy, time, and money, is forced to choose between self-care and dependent care of the elder. Often, the individual neglects his or her own health to continue to give care. The suggested research projects presented here assess those nursing interventions that complement and support caregiving.

Adaptation, Psychological↗
PubMed1988

An ethical model for decision-making.

The increasing social and technological complexity of health care is requiring health care providers to make many ethical decisions. This article presents a brief overview of selected ethical principles and theories, as well as several decision-making models. A 10-question model to assist the practitioner in assessing the moral aspects of an ethical dilemma is described and this model is applied to a clinical situation which involves the principles of confidentiality, autonomy, and prevention of harm.

Aged↗
PubMedDate not supplied

Sustaining the relationship: women's caregiving in the context of HIV disease.

In North America and throughout the world the number of persons living with human immunodeficiency virus (HIV [PLWH]) continues to increase. Before the recent discoveries of effective antiviral treatments that have given hope to families of PLWH, acquired immune deficiency syndrome (AIDS) was looked upon as a disease that was a virtual death sentence to those who were infected. The symptoms and opportunistic infections associated with AIDS are varied and debilitating, and PLWH require intensive and prolonged care during their many illnesses and rigorous treatments. As medical breakthroughs have prolonged the lives of the infected persons, the complicated regimens of the treatments and the physical effects of both treatment and disease continue to require the support and caregiving of family members. As is so often the case with caregiving, the tasks of caring for the men, women, and children with AIDS have been taken on in many cases by the women in their lives: their mothers, sisters, aunts, and other family members. In this study I used the grounded theory method to generate a substantive theory of women's caregiving in the context of AIDS. The primary process for collection of data in this study was interviewing participants. In-depth interviews were conducted with 9 women who ranged in age from 28 to 65. Three of the women had AIDS and were also caregivers, 3 other caregiving women were sisters, and 3 were mothers of PLWH. Five of the informants were White and 4 were African American. The basic social psychological process (BSPP) that emerged from the analysis of the data was sustaining the relationship. In this study, role transition, managing behavior, reciprocal caring, balancing independence, and managing distance were categories of the BSPP, "sustaining the relationship" as women engaged in the intricate processes of caregiving. These were overlapping and interacting processes that women used to nurture and preserve not only the object of their care, the person with HIV, but also that person's relationships with her or his significant others, including the relationship with the caregiver. In this article, relationships between categories are illustrated with quotations from the data. Implications for future research and for clinical practice are discussed.

Activities of Daily Living↗
PubMedDate not supplied

Health care participation of perinatal women with HIV: what helps and what gets in the way?

Dealing with the reality of the human immunodeficiency virus (HIV) is a life-changing challenge to perinatal women as they try to care for themselves and their children in environments that often include stigma, uncertainty, and limited access to information and health care. Our purpose for this interpretive hermeneutic study was to identify factors that women with HIV saw as helping or impeding their participation in their health care. We analyzed the qualitative data from open-ended interviews conducted with 18 women. We identified the facilitating themes of "Staying Healthy for Kids," "God Has His Reasons," and "My Family's There for Me." Barriers were "It Hurts to Know," "Health Care System Struggles," and "Kids and Buses and Taxies." We found that the women identified "Health Care Providers' Behaviors" as both an enhancing and an impeding factor to their health care participation. These findings can guide providers to offer more "user-friendly" support systems for women with HIV and their children.

Adolescent↗
PubMedDate not supplied

Applying a feminist analysis model to selected nursing studies of women with HIV.

Women's mental health has been linked to oppression and to oppressive practices in health care. Feminist approaches to health care delivery and research have been suggested as a remedy for the subtle and overt oppression faced by women, and many nurses have used feminist principles to conduct and report their research and to critique existing studies. Though nursing authors have identified useful feminist guides for conducting and reporting research, few examples of the practice of feminist critiques of research are available in the nursing literature. This analysis synthesizes and adapts feminist principles from nursing literature and presents a feminist model to review selected nursing research reports of women with human immunodeficiency virus (HIV). A convenience sample of eight articles from nursing journals was examined for statements or implications that the author(s) (a) perceived the purposes of the study as benefiting women, (b) demonstrated an awareness of the structures and policies that oppress women, (c) were sensitive to issues of diversity, (d) were committed to social change, and (e) recognized the female participants' strengths. The selected articles were found to meet many of the feminist criteria, although these principles were not always explicitly addressed in the articles.

Female↗