Search PubMed⌕ Search

Biomedical subjects

Janice Humphreys

Publications and source records attributed to Janice Humphreys.

7 recordsLinked to original sources

What we know and what we still need to learn.

Research has changed the conceptualization of the causes and consequences of violence. Yet some questions remain unanswered. Infants and young children have largely been overlooked, and intraethnic and cultural group variations have not been addressed. There is still a need to address macro-level systematic discrimination in the health care system along with the intrapersonal physiological changes that result from exposure to violence. Fortunately, studies are beginning to show how longitudinal and intervention research can be safely conducted.

Battered Women↗

Resilience in sheltered battered women.

While many battered women report physical and psychological distress, others are able to respond to adverse sequelae with less severe outcomes. The findings of this study indicate that resilience assessed by the Resilience Scale was significantly and inversely correlated with three global measures and five subscales of the Symptom Checklist-90R. Further study of battered women's resilience will allow for greater appreciation of their strengths as well as expand understanding of human responses to trauma.

Adult↗

Expectations, perceptions, and management of labor in nulliparas prior to hospitalization.

This ethnographic qualitative study was designed to explore the phenomenon of prehospitalization labor from the perspective of nulliparous women. Twenty-three women were interviewed in the early postpartum period using a semistructured interview guide. The participants recounted their experiences with labor onset recognition and management before being admitted to the hospital for birthing. Qualitative analyses included verbatim transcription of audiotaped interviews, line-by-line coding, and categorization of data into codes and categories. Interpretive analyses were validated with a collaborative research team and the participants themselves. The central theme that emerged from this study was confronting the relative incongruence between expectations and actual experiences. Supporting categories included: expectations about the labor experience, identifying labor onset, managing the physical and emotional responses to labor, supportive resources, and decision making about hospital admission. Early labor experiences in nulliparas offer insight into the contributions of both expectations and environment to adaptation in labor. Midwives and perinatal nurses are in a unique position to design interventions that support and reinforce laboring women's activities outside of the hospital setting.

Attitude to Health↗

Strengthening an academic nursing center through partnership.

Nurse-managed health centers offer holistic health care and patient-centered health promotion and disease prevention. These goals are particularly well suited to the needs of children and their families. Few reports in the literature, however, have described such practices. The purpose of this paper is to describe one practice, Valencia Health Services (VHS), a nurse-managed, academic health center providing primary care to pediatric and adolescent patients. Valencia Health Services offers interdisciplinary, comprehensive health services to ethnically diverse children and their families through an inter-university partnership and provides clinical experiences and research opportunities, under the supervision of expert faculty-clinicians, to students of nursing (advanced practice, public health, and case management), social work and psychology. Valencia Health Services is the rare nurse-managed academic health center that provides comprehensive health care to children and adolescents. The multifaceted demands of such a health center, however, present both unique opportunities for quality care and service and considerable ongoing challenges.

Adolescent↗

Sleep disturbance in battered women living in transitional housing.

This study describes objective and subjective sleep in a convenience sample of 29 battered women living in specialized transitional housing programs compared to 30 women living in their own stable home environment. Compared to healthy controls, battered women living in transitional housing experienced longer sleep onset latencies by both subjective and objective measures and higher percentage of time awake during the night by objective measure. Poor sleep quality may reflect the relative contributions of less total sleep time, difficulty falling asleep, and more awakenings during the night rather than just one aspect of disturbed sleep. Findings suggest that battered women in transitional housing programs may improve daytime alertness and benefit from interventions directed toward reducing sleep onset latency as well as increasing total sleep time.

Adolescent↗

[Resilience, spirituality, distress and tactics for battered women's conflict resolution].

OBJECTIVE: Determining the relationship of resilience and spirituality in battered women to distress, the frequency and intensity of mistreatment and the severity of injury. MATERIALS AND METHODS: A sample was taken of 199 women who consulted Comisarías de Familia de Medellín, Colombia (family police/counselling stations). Resilience scales (RS), spiritual perspective (SPS), SCL-90R and conflict tactics (CTS) were used. Internal consistency, correlation and main exploratory components were measured. RESULTS: The scales revealed internal consistency. Resilience was positively correlated to spirituality (r = 0.22; p = 0.0015) and negatively correlated to total positive distress symptoms (PST) (r = -0.39; p < 0.0001), the global severity index (GSI) (r = -0.30; p = < 0.0001) and 9 dimensions of symptoms from SCL-90R. CONCLUSIONS: The scales used were reliable and valid for measuring the variables being studied. Women with higher levels of resilience reported high levels of spirituality, a lower number of positive distress symptoms and less distress.

Adaptation, Psychological↗