Current Search:   Ray, Marilyn A. (x)

View All Items

  • CSV Spreadsheet
(1 - 10 of 10)
"The show must go on": A caring inquiry into the meaning of widowhood and health for older Indian widows
Title
"The show must go on": A caring inquiry into the meaning of widowhood and health for older Indian widows.
Creator
Czerenda, A. Judith., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description
India, a country in transition, is home to over 33 million widows. Historically, Indian widowhood has been associated with victimization and vulnerability. Using Caring Inquiry, a phenomenological-hermeneutic methodology having caring at its center, this study explores the meaning of health and widowhood to 14 older Hindu widows living in urban South India. Shifting attitudes toward widowhood reflect the rapid changes occurring in India as demonstrated by six metathemes (Drawing From Within,...
Show moreIndia, a country in transition, is home to over 33 million widows. Historically, Indian widowhood has been associated with victimization and vulnerability. Using Caring Inquiry, a phenomenological-hermeneutic methodology having caring at its center, this study explores the meaning of health and widowhood to 14 older Hindu widows living in urban South India. Shifting attitudes toward widowhood reflect the rapid changes occurring in India as demonstrated by six metathemes (Drawing From Within, Seeking Help and Guidance, Accepting the Role, Challenging Tradition, Serving Others, Finding Companionship) that emerged from study data. The common need to move on with life, articulated by one widow as the "The Show Must Go On," became the foundation for a theory and model of the Meaning of Health and Widowhood for Older Indian Widows. Providing an opportunity for the voices of older Indian widows to be heard through poetic expression and theme identification, research findings are further illuminated by employing Ray's Transcultural Caring in Nursing and Health Care Model linking caring, the central focus of nursing, with Indian culture, ethical principles and religious beliefs. This research's purpose is to advance the body of knowledge relating to older Indian widows' lives and begin an open dialogue about their health experiences and needs. Although Indian widows have been the subject of numerous studies, this is the first to specifically focus on their health. Study recommendations include implementing health promotion strategies for the prevention and management of chronic disease including accurate, low-cost, culturally appropriate health education information, widow-to-widow support groups to help widows with the day-to-day issues they face and meet women with common experiences and establishing networks that provide widows with opportunities to assist others less fortunate. The need for transcultural content in nursing education to prepare nurses transculturally in all areas of nursing practice is discussed as are the study's implications for nursing research. Further study of older Indian widows in other parts of India and within other religious and socio-economic groups is recommended so that a more comprehensive picture can be achieved about widows' lives, health, social needs, and the meaning that widowhood has for them.
Show less
Date Issued
2006
PURL
http://purl.flvc.org/fcla/dt/12229
Subject Headings
Widows--India--Social conditions, Widowhood--India, Transcultural nursing
Format
Document (PDF)
Caring in nurse managers as described by staff nurses
Title
Caring in nurse managers as described by staff nurses.
Creator
Swinderman, Todd D., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description
A descriptive study of caring in nurse managers as described by staff nurses is presented. Five participants provided data from semi-structured, open ended, audiotape recorded interviews. The transcribed interview data were coded, concepts were identified, and the conceptual unit of meaning emerged. A conceptual model was developed and subsequently was analyzed in relation to Boykin's and Schoenhofer's (1993) Nursing as Caring Theory. It was discovered that staff nurses respect a nurse...
Show moreA descriptive study of caring in nurse managers as described by staff nurses is presented. Five participants provided data from semi-structured, open ended, audiotape recorded interviews. The transcribed interview data were coded, concepts were identified, and the conceptual unit of meaning emerged. A conceptual model was developed and subsequently was analyzed in relation to Boykin's and Schoenhofer's (1993) Nursing as Caring Theory. It was discovered that staff nurses respect a nurse manager when she participates in direct nursing care, provides for the overall needs of the unit by negotiating with administrators, and nurtures nurses through listening to, encouraging, supporting and role modeling. Recommendations for nursing administration, practice, education and research are presented.
Show less
Date Issued
1997
PURL
http://purl.flvc.org/fcla/dt/15443
Subject Headings
Nurse administrators, Caring, Nursing services--Administration, Nursing informatics, Nursing--Computer network resources, Nursing--Data processing, Information storage and retrieval systems--Nursing, Nursing records, Nursing--Statistical services
Format
Document (PDF)
Clarity-Parity Community Nursing Practice framework: A critical ethnonursing study of women in recovery from chemical dependence and their return to the community
Title
The Clarity-Parity Community Nursing Practice framework: A critical ethnonursing study of women in recovery from chemical dependence and their return to the community.
Creator
Lange, Bernadette M., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description
Women in recovery from chemical dependence represent a unique culture that should be viewed through a transcultural lens in order to facilitate and sustain their recovery in the dominant culture community. The purpose of this research was to explore the perceptions and experiences of women in recovery from chemical dependence and their return to the community. Leininger's ethnonursing method was used to obtain a holistic transcultural view of the beliefs, values and lifeways of twelve women...
Show moreWomen in recovery from chemical dependence represent a unique culture that should be viewed through a transcultural lens in order to facilitate and sustain their recovery in the dominant culture community. The purpose of this research was to explore the perceptions and experiences of women in recovery from chemical dependence and their return to the community. Leininger's ethnonursing method was used to obtain a holistic transcultural view of the beliefs, values and lifeways of twelve women in recovery. A communal moral focus was used to understand patterns of meaning, values, virtues and principles using Ray's Transcultural Nursing Ethics. Critical Social Theory was used as an overarching framework to critically analyze the lifeworld (community life of women in recovery) and the system (sociopolitical structures) to enhance the community nurse's knowledge about the needs of women to facilitate their return to community. Four themes included the following: understanding the lifeworld of chemical dependence was a symbol for facilitating the recovery process, restoring a sense of well being contributed to the meaning of a successful recovery, resituating in the community was demonstrated by actions of recreating new lifeways, and sustaining recovery by relying on the community as a source for supporting new lifeways. A critical analysis of the themes revealed paradoxical experiences of women in the dominant culture community. A synthesis of the findings from the lifeworld and analysis of the themes resulted in the co-creation of The Clarity-Parity Community Nursing Practice Framework. The framework demonstrates how the moral caring actions of the community nurse and the mutual moral caring actions of the community nurse, women in recovery and dominant culture community can result in increasing the clarity of transcultural communication and encouraging a position of parity for women in recovery within the dominant culture community.
Show less
Date Issued
2005
PURL
http://purl.flvc.org/fcla/dt/12153
Subject Headings
Substance abuse--Patients--Rehabilitation, Drug abuse--Treatment, Women--Substance use, Addicts--Rehabilitation, Transcultural nursing, Nursing--Cross-cultural studies
Format
Document (PDF)
Public health nurse managers' perception of Total Quality Management initiatives
Title
Public health nurse managers' perception of Total Quality Management initiatives.
Creator
Wright, Carol Ann., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description
The purpose of this descriptive study was to explore public health nurse managers' perception of Total Quality Management (TQM) Initiatives in the practice setting. Data sources included interviews with six public health nurse managers. A conceptual model was developed and subsequently analyzed in relationship to Watson's (1988) Human Theory of Caring and Total Quality Management Theory. It was discovered that public health nurse managers described favorable experiences working with TQM...
Show moreThe purpose of this descriptive study was to explore public health nurse managers' perception of Total Quality Management (TQM) Initiatives in the practice setting. Data sources included interviews with six public health nurse managers. A conceptual model was developed and subsequently analyzed in relationship to Watson's (1988) Human Theory of Caring and Total Quality Management Theory. It was discovered that public health nurse managers described favorable experiences working with TQM implementation and the team process. Although the study's findings did not support a direct relationship between Watson's Theory and congruence with public health nursing practice and TQM initiatives there is an implied relationship to the universal nursing theories of caring with a strong emphasis on advocacy in guiding public health nursing practice. Recommendations for nursing administration, practice, education and research are presented.
Show less
Date Issued
2000
PURL
http://purl.flvc.org/fcla/dt/12707
Subject Headings
Total quality management, Nurse administrators, Public health administration
Format
Document (PDF)
The nurses' experience of being assisted in practice by multiskilled personnel
Title
The nurses' experience of being assisted in practice by multiskilled personnel.
Creator
Ross, Michele Alessa Stankes., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description
This study's purpose was to explore, through a descriptive method, the registered nurses' experience of being assisted in practice by multiskilled personnel for the provision of direct patient care. The multiskilled personnel were unlicensed, functioned in an assistive role to the nurse, and were trained at the hospital to perform technical direct patient care tasks. Data sources included interviews with three registered nurses. Study findings supported the existence of a caring nurse...
Show moreThis study's purpose was to explore, through a descriptive method, the registered nurses' experience of being assisted in practice by multiskilled personnel for the provision of direct patient care. The multiskilled personnel were unlicensed, functioned in an assistive role to the nurse, and were trained at the hospital to perform technical direct patient care tasks. Data sources included interviews with three registered nurses. Study findings supported the existence of a caring nurse-multiskilled assistant relationship that was characterized by the concepts of communication, task responsibility, reciprocal helping, respect, commitment to a shared goal, and nurse leadership. Through a dialectical process, where the thesis was the nurse-patient relationship as identified in the study and the antithesis was the multiskilled assistant-patient relationship, the nurse-multiskilled assistant-patient relationship was synthesized. The study findings in relationship to previous studies, team theory, and Nursing as Caring theory were discussed.
Show less
Date Issued
1996
PURL
http://purl.flvc.org/fcla/dt/15361
Subject Headings
Delegation of authority, Nursing services--Personnel management, Differentiated nursing practice
Format
Document (PDF)
Views of registered nurses and unlicensed assistive personnel on the differentiating aspects of their roles in a partnership model of care delivery
Title
Views of registered nurses and unlicensed assistive personnel on the differentiating aspects of their roles in a partnership model of care delivery.
Creator
Sorbello, Barbara C., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description
The purpose of this study was to explore, through a descriptive method, views of registered nurses and unlicensed assistive personnel about their roles. Data sources included interviews with three registered nurses and three unlicensed assistive workers practicing in partnership on an acute patient care unit. Study findings supported role theory assertions that role strain and stress, manifested as role ambiguity, role confusion, role overlapping, and role overload occur when the role...
Show moreThe purpose of this study was to explore, through a descriptive method, views of registered nurses and unlicensed assistive personnel about their roles. Data sources included interviews with three registered nurses and three unlicensed assistive workers practicing in partnership on an acute patient care unit. Study findings supported role theory assertions that role strain and stress, manifested as role ambiguity, role confusion, role overlapping, and role overload occur when the role transition process and role expectations are not clarified or nurtured among role partners. Implications for nursing practice include the following: (1) Nurses in clinical and administrative practice need to be sensitized to the importance of nurses and ancillary personnel being active participants in the work redesign process, and must support the value of caring that transpires in the nurse-patient relationship. (2) Role theory can be utilized to understand dynamics that occur in work settings of nurses and assistive partners.
Show less
Date Issued
1996
PURL
http://purl.flvc.org/fcla/dt/15305
Subject Headings
Differentiated nursing practice, Nursing services--Personnel management, Nurses--Attitudes, Nurses' aides, Nursing--Standards
Format
Document (PDF)
Meanings of folk and professional health care experienced by Guatemalan Mayans in southeast Florida
Title
Meanings of folk and professional health care experienced by Guatemalan Mayans in southeast Florida.
Creator
Herp, Cheryl Ann., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description
In the 1980s civil unrest in Guatemala forced many Mayans to flee their native land for Southeast Florida. Their rich cultural heritage has long been a source of wonder to anthropologists and tourists traveling into Mexico and Guatemala, yet little is known about their experiences of daily life and caring practices when they arrive in the United States. This study used Leininger's theory, Culture Care Diversity and Universality, and ethnonursing method to discover Mayan folk care practices...
Show moreIn the 1980s civil unrest in Guatemala forced many Mayans to flee their native land for Southeast Florida. Their rich cultural heritage has long been a source of wonder to anthropologists and tourists traveling into Mexico and Guatemala, yet little is known about their experiences of daily life and caring practices when they arrive in the United States. This study used Leininger's theory, Culture Care Diversity and Universality, and ethnonursing method to discover Mayan folk care practices and their relationship to professional care. Sixteen universal and four diverse themes were discovered. The struggle to preserve cultural identity while finding ways to be part of a new culture was an important theme. The use of healers, herbal medicines, rituals and unregulated injections were accepted practices within the community. Professional health care along with folk care practices were often used simultaneously. The processes of acculturation, enculturation, and marginalization influence caring modalities as well as contribute to the Guatemalan Mayan contribution to the South Florida Cultural Mosaic.
Show less
Date Issued
1996
PURL
http://purl.flvc.org/fcla/dt/15311
Subject Headings
Mayas--Medicine, Traditional medicine--Florida, Nursing--Cross-cultural studies, Health behavior--Cross-cultural studies
Format
Document (PDF)
Ethical evaluation by nephrology nurse administrators: An exploratory-descriptive study
Title
Ethical evaluation by nephrology nurse administrators: An exploratory-descriptive study.
Creator
DiDominic, Vicki., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description
An exploratory-descriptive study of the processes involved in ethical evaluations by nephrology nurse administrators is presented. Five participants provided data from open interviews. Category coding involved Ray's (1989) Theory of Bureaucratic Caring, and Husted & Husted's (1995) definitions of ethical principles. It was discovered that the nurses most frequently utilized the principle of beneficence, and were often affected by the contextual factors of past experiences. It was determined...
Show moreAn exploratory-descriptive study of the processes involved in ethical evaluations by nephrology nurse administrators is presented. Five participants provided data from open interviews. Category coding involved Ray's (1989) Theory of Bureaucratic Caring, and Husted & Husted's (1995) definitions of ethical principles. It was discovered that the nurses most frequently utilized the principle of beneficence, and were often affected by the contextual factors of past experiences. It was determined that the nurses engaged in a common process of ethical evaluation, identified in the Common Ethical Ground Conceptual Model. The common nursing goal was the well-being of patients, and the creation of environments which enhanced patient well-being. Patient education was identified as a method to reach this goal during an era of economic constraint.
Show less
Date Issued
1995
PURL
http://purl.flvc.org/fcla/dt/15217
Subject Headings
Nurse administrators, Chronic renal failure, Nursing ethics, Hospitals--Nephrological services
Format
Document (PDF)
work-life views of the nurse manager during transition from primary care to patient-focused care
Title
The work-life views of the nurse manager during transition from primary care to patient-focused care.
Creator
Dittman, Patricia Welch, Florida Atlantic University, Ray, Marilyn A.
Abstract/Description
The purpose of this descriptive study was to investigate the work life of the nurse manager during the transition from primary care to patient-focused care. The sample population includes nurse managers who were in administrative roles at the time of transition from primary care to patient-focused care delivery model. Exploratory descriptive data were collected by an open-interview, semi-structured format utilizing focused questions with three nurse managers who participated in the study. The...
Show moreThe purpose of this descriptive study was to investigate the work life of the nurse manager during the transition from primary care to patient-focused care. The sample population includes nurse managers who were in administrative roles at the time of transition from primary care to patient-focused care delivery model. Exploratory descriptive data were collected by an open-interview, semi-structured format utilizing focused questions with three nurse managers who participated in the study. The study adds significantly to the current debate on caring, nursing, nursing administration, patient-focused care, and nursing care delivery systems.
Show less
Date Issued
1995
PURL
http://purl.flvc.org/fcla/dt/15218
Subject Headings
Nurse administrators, Caring, Nurse and patient
Format
Document (PDF)
Unveiling The Mystery Of Covenantal Trust: The Theory of the Social Process Between the Nurse Manager and the Chief Nursing Officer
Title
Unveiling The Mystery Of Covenantal Trust: The Theory of the Social Process Between the Nurse Manager and the Chief Nursing Officer.
Creator
Hilsenbeck, Julie R., Ray, Marilyn A., Florida Atlantic University
Abstract/Description
The purpose of the research was to explore the social process of trust between the chief nursing officer and the nurse manager in the hospital setting. The researcher used the grounded theory method to analyze the nurse manager-chief nursing officer relationship from the perspective of the nurse manager. A total of 12 participants were interviewed by the researcher. The sample consisted of nurse managers employed in hospitals in the southeastern United States. Data analysis consisted of open...
Show moreThe purpose of the research was to explore the social process of trust between the chief nursing officer and the nurse manager in the hospital setting. The researcher used the grounded theory method to analyze the nurse manager-chief nursing officer relationship from the perspective of the nurse manager. A total of 12 participants were interviewed by the researcher. The sample consisted of nurse managers employed in hospitals in the southeastern United States. Data analysis consisted of open coding and constant comparative analysis. Resulting categories consisted of preparing to trust, co-creating trust and co-creating the trusting environment. The basic social process of the nurse manager-chief nursing officer trusting relationship in healthcare was the substantive theory of Striving to Live the Golden Rule which refers to living the nurse manager-chief nursing officer ethical relationship in a nursing environment where trust may be difficult to establish. The formal theory generated was the essential link between Striving to Live the Golden Rule to Living the Golden Rule as Unveiling the Mystery of Covenantal Trust. The overall results of this research demonstrated the process of trust between the nurse manager and chief nursing officer as essential to the overall relationship and to the success of both.
Show less
Date Issued
2006
PURL
http://purl.flvc.org/fau/fd/FA00000621
Subject Headings
Nursing ethics--Philosophy, Nursing--Standards, Nurse administrators, Nursing services--Administration
Format
Document (PDF)