RESUMO
PURPOSE: To explore the lived experiences of women with a recent history of gestational diabetes mellitus (GDM) who live in rural communities. STUDY DESIGN AND METHODS: A phenomenological study exploring the lived experiences of 10 women aged 25 to 49 years with a history of GDM in the last 5 years. Data were collected through two semistructured short interviews that were conducted in person or by telephone. RESULTS: Five themes emerged: Authentic emotion, Judgment, It's only a matter of time, I can't do this alone, and Missed opportunities. Strong emotions were experienced at the time of diagnosis. Some women felt judged by healthcare professionals and others based on having GDM. Some were concerned about future risk of developing Type 2 DM. There is a lack of understanding of GDM by women at the time of diagnosis and after they give birth. The majority of women in this study noted that healthcare professionals did not discuss future implications of Type 2 DM and the need for follow-up glucose testing. Many opportunities are missed to provide education and support to facilitate lifestyle interventions. CLINICAL NURSING IMPLICATIONS: Self-management of GDM is more likely to be successful if women understand GDM and believe that they can manage it. Nurses should use every opportunity to provide women with GDM information and available resources. This may be important in rural communities where fewer resources are available for support. Nurses should recognize that negative emotions may affect motivation of women to understand and ask questions about GDM. Nurses can favorably influence the return rates for postpartum glucose testing by raising awareness of implications of GDM on future health.
Assuntos
Diabetes Gestacional/terapia , Período Pós-Parto/psicologia , Autocuidado/psicologia , Adulto , Diabetes Gestacional/psicologia , Feminino , Humanos , Entrevistas como Assunto , Estilo de Vida , Pessoa de Meia-Idade , Gravidez , Pesquisa Qualitativa , População Rural , Autocuidado/métodosRESUMO
Nursing faculty members have become increasingly concerned with student incidences of cheating and the associated lack of commitment to ethical conduct. Our faculty believed that actively engaging students in the development of specific behavioral guidelines would result in improved ethical conduct and provide a bridge to future professional ethical practice. The authors discuss the use of focus groups to establish clear behavioral guidelines that align with the American Nurses Association Code of Ethics.
Assuntos
Atitude do Pessoal de Saúde , Códigos de Ética , Educação em Enfermagem/normas , Ética em Enfermagem , Melhoria de Qualidade , Estudantes de Enfermagem/psicologia , Adulto , American Nurses' Association , Enganação , Educação em Enfermagem/métodos , Grupos Focais , Guias como Assunto , Humanos , Pessoa de Meia-Idade , Pesquisa em Educação em Enfermagem , Estados Unidos , Adulto JovemRESUMO
The purpose of this study is to discover shared perceptions, feelings, and common experiences of nurses after the September 11th World Trade Center terrorist attack through interpretive analysis of narrative stories of seventeen nurses. Six themes and one constitutive pattern describe the experiences: (a) Loss of a symbol and regaining new meaning, (b) Disaster without patients, (c) Coordinating with and without organizations, (d) Rediscovering the pride in nursing, (e) Traumatic Stress, and (f) Preparing for the future. The constitutive pattern is that nursing enables a humanitarian disaster response.