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Biomedical subjects

Clarann Weinert

Publications and source records attributed to Clarann Weinert.

At least 19 recordsLinked to original sources

Research as spiritual covenant.

Conducting research with Native American communities poses special challenges from misunderstandings that may arise from the interface of differing cultural worldviews held by the scientific and the Native communities. Although the community-based participatory research approach shows promise for conducting research that can maximize benefits and minimize the risks of harm to Native American people, there is little information related to the practical implementation of culturally appropriate research practices when working with Native American communities. Drawing on the authors' research with three Native American communities in the Northwest, this article describes culturally appropriate processes for engaging Native American communities. The first section identifies and describes the principles that provide the foundation for the authors' research activity as a spiritual covenant and guides the authors' research with the three communities. The second section describes the project phase matrix that was used to organize the approaches employed in this work.

Aged↗

Spirituality, chronic illness, and rural life.

PURPOSE: The purpose of this article is to report the findings of an exploration of the associations among spirituality, hope, depression, social support, and well-being in rural dwelling people who have one or more chronic conditions. METHOD: A mail survey was completed by 111 rural-dwelling people with chronic illness in two rural western states. FINDINGS: Spirituality, hope, depression, and social support had overlapping influence on well-being, although spirituality was not shown to have an independent effect. Participants reported unexpectedly high levels of hope and low levels of depression despite living with chronic illness. CONCLUSIONS: Although spirituality did not have an independent effect, the group as a whole had active spiritual and religious lives, possibly influencing the high levels of hope and low levels of depression found. IMPLICATIONS: The positive picture of rural people with chronic illness needs further investigation for possible mitigating effects of spirituality on problems associated with chronic illness.

Adaptation, Psychological↗

Developing a scholarship community.

PURPOSE: To report the results of a multidisciplinary, interinstitutional writing support group established to facilitate faculty scholarly productivity. ORGANIZING CONCEPT: The road to scholarship can be filled with many obstacles, among them time constraints, teaching and meeting demands, student needs, office interruptions, and lack of colleagueship. The problems associated with lack of colleagueship, in particular, can be compounded for faculty who work in isolated contexts with few, if any, senior faculty to serve as mentors. METHODS OF DEVELOPMENT: The Western Writers Coercion Group evolved over a 2-year period from a small group of nursing faculty at a single institution to include, by its second year, 21 faculty from five western university campuses and three academic disciplines. The group met biweekly via teleconference with the objectives of defining and accomplishing realistic individual scholarship goals and providing a forum for the critical exchange of ideas. RESULTS: The ongoing support and mentoring of the group led to significant writing outcomes in the form of manuscripts submitted for publication, abstracts submitted for conference presentation, grant proposals developed, and collegial relationships formed. DISCUSSION: Although the benefits of group participation varied somewhat for faculty at different points in the career trajectory, they seemed to accrue at all levels of development. Group members underscored the many less quantifiable advantages of group participation: exposure to broader professional perspectives, the formation of key professional relationships, the enrichment of multidisciplinary input, and individualized assistance with time management, goal setting, and actual drafts. CONCLUSIONS: The structure and experience of this group, which continues to meet regularly, might be a model to guide other groups of scholars who face geographic isolation and who struggle with balancing time and work and finding motivation for the process of writing.

Attitude of Health Personnel↗

Health care choices: complementary therapy, chronic illness, and older rural dwellers.

PURPOSE: To better understand elderly rural dwellers use of complementary and alternative therapies (CAM), perception of efficacy, and their sources of information. METHOD: Ten participants between ages 60 and 80 years were interviewed by telephone. Qualitative analysis for content and themes was done. FINDINGS: Self-directed practices such as vitamin, mineral, and herbal supplements, taken to compensate for perceived dietary deficiencies, were cited most frequently. Therapies used included biofeedback, massage, chiropractic, and podiatry. Information was obtained from the physician or nurse practitioner and supplemented with material from other sources. CONCLUSIONS: Respondents were discriminating users of the products they selected and were satisfied with the results, although they did not always have accurate understanding of the effects of the supplement or therapy. IMPLICATIONS: Health professionals need to have knowledge about CAM and to include questions about use during patient encounters. Providers must take time to answer questions and provide user friendly information.

Aged↗

The Center for Research on Chronic Health Conditions: a strategy for enhancing rural nursing research.

Conducting nursing research with rural populations is influenced by the multidimensional characteristics of rural dwellers, the rural environment, the paucity of nurse scientists prepared and supported to conduct rural research, and institutional constraints common to academic institutions serving rural communities. Collaboration across rural academic settings is therefore integral to the success of rural nursing science. The purpose of this article is to discuss the role of the Center for Research on Chronic Health Conditions in Rural Dwellers as a strategy for overcoming the challenges of conducting rural nursing research in the rural western mountain region of the United States.

Academies and Institutes↗

Management of chronic illness: voices of rural women.

BACKGROUND: The prevalence and cost of chronic illness globally and in the United States of America continue to escalate and the day-to-day management of these conditions presents a major challenge. The burden of chronic illness disproportionately affects vulnerable populations such as women and those living in rural areas. AIM: To add to the knowledge base of illness management by chronically ill rural women through examining their individual perceptions of the illness experience. METHOD: The Women to Women project provided a nursing research-based computer intervention model for conducting support groups, providing health education, and fostering self-care, via personal computers and evaluated its effect on the women's psychosocial health. FINDINGS: Fatigue and pain were the major physical symptoms that impacted the women's quality of life, with depression and stress being the primary emotions they experienced. The characteristics of humour, hope, and courage were key in their successful adaptation to living with chronic illness. CONCLUSIONS: The women's voices relate how they manage their illness responses and adaptation mechanisms. The data provide nurses with information to heighten their sensitivity to clients' day-to-day needs and experiences. It will assist them in their designing and planning of interventions that will enable clients to adapt and to have the best quality of life possible within the limitations of their chronic illnesses. The data are also important to nurses involved in rural research and theory development concerning self-management and adaptation to chronic illnesses.

Adaptation, Psychological↗

Ten rural women living with fibromyalgia tell it like it is.

The purpose of this qualitative study was to gain an understanding of the personal experiences of 10 rural women dealing with fibromyalgia based on the theoretical frameworks of adaptation to chronic illness and social support. The data were gathered from a nursing intervention that provided computer-based peer support and encouragement. The women described themes of pain, fatigue, depression, and sleep disturbances; expressed views on the experience of rural isolation; and shared positive philosophies of dealing with this disease. With this understanding, professionals and significant others can compassionately respond to the needs of sufferers of fibromyalgia.

Adaptation, Psychological↗

I am not alone: spirituality of chronically ill rural dwellers.

Spirituality plays a vital role in adjusting to chronic illness and rehabilitation nurses strive to gain understanding of their patients' spirituality in order to improve patient care and outcomes. The purpose of this qualitative study was to explore the nature of spirituality in chronically ill rural dwellers and how it relates to their illness. As a part of this pilot project, 10 women with chronic illness volunteered to participate in a phone interview to discuss their spirituality. Content analysis was used to analyze the data. The theme Means the World to Me described what spirituality meant to participants. The following themes described how spirituality related to chronic illness: I Am Not Alone, Putting on a Happy Face, Others Are Worse Off, Transcending Despair and Letting Go. Participants were able to use spiritual coping measures to transcend despair. Results from this study provide rehabilitation nurses with insight into the spirituality needs of chronically ill rural-dwelling women.

Adult↗

Effect of a computer-based intervention on social support for chronically ill rural women.

Social support is a key factor in illness management. Despite the positive effects of support groups, there are barriers to participation by rural dwellers in face-to-face groups. To address these barriers, a computer-based support group intervention, the Women to Women Project, was designed to provide peer support and health information through a computer-based intervention. Data from three groups (intervention, information, comparison) of woman who participated in the program were analyzed. The pattern of improvement in social support was in the anticipated direction, but not significant in the main analysis. Exploratory analysis was conducted on a vulnerable subsample of women reporting low social support and high psychosocial distress. Results suggest that improvement in social support, based on the intervention, was greater for the vulnerable subsample as compared with the sample as a whole. An effective and efficient means of providing social support and facilitating the mobilization of this support is through self-help groups; this study demonstrates that virtual support groups can increase perceived social support.

Adult↗

Social support in cyberspace: lessons learned.

The lessons learned from the implementation of phase one of Women to Women (WTW1), a research-based computer outreach program for rural women with chronic illness, and their influence on the development of phase two of Women to Women (WTW2) are discussed in this article. The changes implemented in WTW2 included moving from the FirstClass delivery platform to WebCT; increasing the intra- and interdisciplinary nature of the team by adding nurse experts in Web skills and women's health and non-nurse colleagues in family finance and nutrition; expanding the geographical area to be served from Montana to adjoining states; developing health teaching units that harness the internet as the major source of ever-current health information; including a control group in the study design; and selecting more pertinent, repeated measurement instruments to assess psychosocial variables.

Chronic Disease↗

Rural women with chronic illness: computer use and skill acquisition.

Chronically ill rural women must manage complex illness without easy access to health care resources including support and health information. The Women to Women project is a technology-based program with an overarching aim to assist rural women in the day-to-day management of their illnesses. An important aspect of the Women to Women program is teaching the women how to use the Internet to meet their support and informational needs. The purposes of this article are to examine changes in 1) the level of computer skills, 2) degree of comfort in using the computer, and 3) knowledge of Internet functions for the participants in the Women to Women computer-based intervention. Results of the initial analysis of data from 63 women (intervention group n = 29, control group n = 34) indicate that women participating in the intervention reported greater computer skills and computer comfort and greater knowledge of specific aspects of Internet use than women in the control group. These findings were further strengthened considering that intervention and control group differentials were sustained 8 months after the end of the women's participation in the computer intervention. With the attainment of computer and Internet skills, it is expected that these rural women will have a sustained ability to access quality Internet information that will allow them to better manage and adapt to their chronic illnesses.

Adult↗

An exploration of spirituality in rural women with chronic illness.

The purpose of this study was to explore expressions of spirituality in rural women with chronic illness. Six categories that emerged were prayer, faith, verse, finding meaning, transcendence, and family. Results of this study were consistent with findings in previous literature that spirituality can be an extremely helpful and powerful coping mechanism that can be used in managing the stressors of a chronic illness. Spirituality is an important illness management tool that needs to be acknowledged by healthcare professionals.

Adaptation, Psychological↗

The psychometric evaluation of Korean translation of the Personal Resource Questionnaire 85-Part 2.

BACKGROUND: Although the Personal Resource Questionnaire (PRQ 85-Part 2) has been widely used to measure perceived level of social support, results of psychometric evaluation of the measure with a Korean population are not currently available in the literature. OBJECTIVE: To assess the psychometric properties of the Korean language version of the PRQ 85. METHOD: An empirical validation of the theoretical relationships among the construct, social support, as measured by the PRQ 85, and other related constructs was conducted. In addition, factor structure comparison with a cross-validation technique was utilized on a combined sample of 555 Korean adults from three independent studies. RESULTS: Construct validity for the Korean PRQ 85 was evidenced by statistically significant correlations of perceived social support with the theoretically relevant variables such as depression and psychosocial adjustment. Using principal axis factoring with an oblique rotation, the two-factor solution was found to be most satisfactory in the first random sample and was cross-validated in the second sample, accounting for 52% and 54.1% of the total variance, respectively. Inspecting the distribution of variables within the factors, however, only the first factor appeared to be a construct-related factor; the second factor, which was exclusively represented by negatively keyed items, was method-related. CONCLUSION: The findings suggest that a one-factor solution can be used to accurately describe a substantive (or construct-related) factor pattern of the Korean version of the PRQ 85. Although researchers generally agree that negatively worded questions are important in order to minimize the "response bias," this approach appeared to be problematic for Koreans who used the translated PRQ 85. Further research is warranted to explicate this important methodological issue in cross-cultural instrumentation.

Adult↗

Influence of a computer intervention on the psychological status of chronically ill rural women: preliminary results.

BACKGROUND: Adaptation to chronic illness is a lifelong process presenting numerous psychological challenges. It has been shown to be influenced by participating in support groups. Rural women with chronic illness face additional burdens as access to information, healthcare resources, and sources of support are often limited. Developing virtual support groups and testing the effects on psychosocial indicators associated with adaptation to chronic illness may help remove barriers to adaptation. OBJECTIVE: To examine the effects of a computer-delivered intervention on measures of psychosocial health in chronically ill rural women including social support, self-esteem, empowerment, self-efficacy, depression, loneliness, and stress. METHODS: An experimental design was used to test a computer-delivered intervention and examine differences in psychosocial health between women who participated in the intervention (n = 44) and women in a control group (n = 56). RESULTS: Differences between women who participated in the intervention and controls were found for self-esteem, F(1,98) = 5.97, p =.016; social support, F(1,98) = 4.43, p =.038; and empowerment, F(1,98) = 6.06, p =.016. A comparison of means for depression, loneliness, self-efficacy, and stress suggests that differences for other psychosocial variables are possible. DISCUSSION: The computer-based intervention tested appears to result in improved self-esteem, social support, and empowerment among rural women with chronic illness. Descriptive but nonsignificant differences were found for other psychosocial variables (depression, loneliness, self-efficacy, and stress); women who participated in the intervention appeared to improve more than women in the control group.

Adaptation, Psychological↗

Complementary therapy and older rural women: who uses it and who does not?

BACKGROUND: Despite the growing use of complementary therapy by consumers in the United States, very little is known about the factors associated with the use of these therapies among older rural women. OBJECTIVE: The aim of this study was to answer the following research question using data from a portion of a larger study: What factors predict the use of complementary therapy among older rural women? METHODS: Data were collected by telephone interview from a random sample of older residents of 19 rural towns in Montana and North Dakota. Interviews were conducted using a guide that included questions about the use of allopathic and complementary healthcare and related issues such as health status, health problems, and reasons for seeking care. A direct logistic regression analysis was performed on the use of complementary or alternative medicine (CAM) as outcome and eight potential predictors. Data from 156 women were included in this analysis. RESULTS: A total of 25.6% (n=40) of the women reported using CAM in the recent past. Rural women most likely to use CAM were those who were fairly well educated, not currently married, and in their early older years. They had one or more significant chronic illnesses and lower health-related quality of life due to emotional concerns. DISCUSSION: By improving the existing understanding of who is or is not likely to use CAM, the results of this study can be used in giving comprehensive care for rural women, including all healthcare practices, self-care and practitioner provided, and complementary and conventional.

Age Factors↗

Community-based participatory research: an approach to intervention research with a Native American community.

Community-based participatory research (CBPR), with its emphasis on joining with the community as full and equal partners in all phases of the research process, makes it an appealing model for research with vulnerable populations. However, the CBPR approach is not without special challenges relating to ethical, cultural, and scientific issues. In this article, we describe how we managed the challenges we encountered while conducting a CBPR project with a Native American community. We also suggest criteria that will enable evaluation of the project.

Aged↗

An evaluation of an online intervention to provide social support and health education.

Managing chronic illness in the isolation of rural environments is challenging for women who lack access to personal sources of social support and health information. The Women to Women project was designed to provide chronically ill rural women access to support and health information via electronic means. This article reports on the acquisition of computer skills, the perceptions of importance of various aspects of the intervention, and an assessment of women's overall satisfaction with participation in the research project. Findings indicate that the women's self-ratings of computer skills improved significantly over the 22-week intervention and that highly interactive features of the project were rated as most important by the participants. Overall, women found the program beneficial in assisting them to better manage their chronic illness.

Attitude to Computers↗