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Narrative identity

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https://www.readbyqxmd.com/read/28095759/living-with-end-stage-renal-disease
#1
Karen Schipper, Elleke Landeweer, Tineke A Abma
BACKGROUND: Living with a renal disease often reduces quality of life because of the stress it entails. No attention has been paid to the moral challenges of living with renal disease. OBJECTIVES: To explore the moral challenges of living with a renal disease. RESEARCH DESIGN: A case study based on qualitative research. We used Walker's ethical framework combined with narrative ethics to analyse how negotiating care responsibilities lead to a new perspective on moral issues...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28087544/children-s-experiences-of-chronic-fatigue-syndrome-myalgic-encephalomyelitis-cfs-me-a-systematic-review-and-meta-ethnography-of-qualitative-studies
#2
Roxanne M Parslow, Sarah Harris, Jessica Broughton, Adla Alattas, Esther Crawley, Kirstie Haywood, Alison Shaw
OBJECTIVE: To synthesis the qualitative studies of children's experiences of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME). DESIGN: Systematic review and meta-ethnography. BACKGROUND: CFS/ME is an important disabling illness, with uncertain cause and prognosis. As a result, children with CFS/ME can find themselves living with greater uncertainty and stigma, exacerbating the impact of the condition. There is a growing body of qualitative research in CFS/ME, yet there has been no attempt to systematically synthesis the studies involving children...
January 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28077036/mass-media-narratives-of-women-s-cardiovascular-disease-a-qualitative-meta-synthesis
#3
Christine A Gonsalves, Kerry R McGannon, Robert J Schinke, Ann Pegoraro
Cardiovascular disease is the leading cause of death and disability among women world-wide. Narratives circulated by the media regarding women's identities and health constitute one source of meanings by which conceptualizations about risk, risk reduction, and disease prevention are formed and framed. An interpretive and integrative meta-synthesis of qualitative research was done to examine the representations of women's cardiovascular disease in traditional and user-generated Canadian and U.S. media narratives, and explore the implications of these for gendered identities and health promotion for women...
January 11, 2017: Health Psychology Review
https://www.readbyqxmd.com/read/28067092/-its-all-part-of-the-big-change-a-grounded-theory-study-of-women-s-identity-during-menopause
#4
Judith Sergeant, Rosemary Rizq
This study explores the impact of menopause on women's identity and considers the effect of sociocultural factors on their experience of this stage of life. Semi-structured interviews were conducted with 11 women and analysed following constructivist Grounded Theory methods. Women described uncertainty produced by their changing bodies. Menopause was interpreted as marking transition to another phase of life, which necessitated renegotiation of role and status in the face of menopause narratives questioning women's relevance, vigour, attractiveness and emotional stability...
January 9, 2017: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28033728/measuring-professional-identity-formation-early-in-medical-school
#5
Adina Kalet, Lynn Buckvar-Keltz, Victoria Harnik, Verna Monson, Steven Hubbard, Ruth Crowe, Hyuksoon S Song, Sandra Yingling
AIM: To assess the feasibility and utility of measuring baseline professional identity formation (PIF) in a theory-based professionalism curriculum for early medical students. METHODS: All 132 entering students completed the professional identity essay (PIE) and the defining issues test (DIT2). Students received score reports with individualized narrative feedback and wrote a structured reflection after a large-group session in which the PIF construct was reviewed...
December 30, 2016: Medical Teacher
https://www.readbyqxmd.com/read/28019013/a-cultural-take-on-the-links-between-religiosity-identity-and-meaning-in-life-in-religious-emerging-adults
#6
Oana Negru-Subtirica, Alexandra Tiganasu, Jessie Dezutter, Koen Luyckx
Identity and meaning in life are core developmental assets in emerging adulthood. We analysed how religiosity is related to these intentional strivings in emerging adults enrolled in theological education, by depicting (1) identity strivings and meaning in life accounts in faith narratives (Study 1) and (2) links between personal identity and meaning in life profiles and religious beliefs, behaviours, and subjective experiences (Study 2). Both studies highlighted that a Foreclosed status, with high personal commitment and reduced exploration, was dominant in faith narratives and personal identity profiles...
December 26, 2016: British Journal of Developmental Psychology
https://www.readbyqxmd.com/read/28012200/obesity-bodily-change-and-health-identities-a-qualitative-study-of-canadian-women
#7
Andrea E Bombak, Lee F Monaghan
Medicalised concerns about an obesity crisis persist yet more needs to be learnt about everyday orientations to weight (loss). This article reports and analyses data generated using qualitative methods, including repeated interviews and fieldwork conducted over one year in Canada with women (n = 13) identifying as (formerly) obese. Three ideal types are explored using empirical data: (1) hopeful narratives; (2) disordered eating distress; and (3) weight-cycling or stagnation. Core themes include women's desire to embody a thin(ner) future and the good life, the harms of intentional weight-loss, and resignation to living as a fat woman whilst nonetheless challenging stigma...
December 24, 2016: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28009676/effectiveness-of-meaningful-occupation-interventions-for-people-living-with-dementia-in-residential-aged-care-a-systematic-review
#8
Catherine Travers, Deborah Brooks, Sonia Hines, Maria O'Reilly, Mitchell McMaster, Wei He, Margaret MacAndrew, Elaine Fielding, Lina Karlsson, Elizabeth Beattie
BACKGROUND: The ability to participate in valued activities, whether for work, leisure or family, is an important aspect of personal identity. In dementia, progressive memory loss means that abilities developed over a lifetime begin to be lost as well, contributing to the loss of self and identity. Some studies have reported that activities or interventions tailored to be meaningful to the person with dementia (defined as any activity important to the individual) are more effective in addressing behavioral and psychological symptoms of dementia (BPSD) and improving quality of life (QoL) than those that are not so tailored...
December 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28003037/med-diet-4-0-the-mediterranean-diet-with-four-sustainable-benefits
#9
S Dernini, E M Berry, L Serra-Majem, C La Vecchia, R Capone, F X Medina, J Aranceta-Bartrina, R Belahsen, B Burlingame, G Calabrese, D Corella, L M Donini, D Lairon, A Meybeck, A G Pekcan, S Piscopo, A Yngve, A Trichopoulou
OBJECTIVE: To characterize the multiple dimensions and benefits of the Mediterranean diet as a sustainable diet, in order to revitalize this intangible food heritage at the country level; and to develop a multidimensional framework - the Med Diet 4.0 - in which four sustainability benefits of the Mediterranean diet are presented in parallel: major health and nutrition benefits, low environmental impacts and richness in biodiversity, high sociocultural food values, and positive local economic returns...
December 22, 2016: Public Health Nutrition
https://www.readbyqxmd.com/read/28000980/qualitative-study-of-peer-workers-within-the-partners-in-recovery-programme-in-regional-australia
#10
John Hurley, Andrew Cashin, Jem Mills, Marie Hutchinson, Desiree Kazlowski, Iain Graham
In Australia and internationally, Peer Workers are increasingly being incorporated into the mental health workforce. Underpinning this trend is the conviction that the inclusion of workers with lived experience in overcoming mental health challenges is central to transforming service delivery. Given there are few identified Australian studies into the experiences of Peer Workers, this paper reports findings from qualitative interviews conducted in a Partners In Recovery programme in one regional area in Australia...
December 21, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27978837/what-works-for-whom-in-pharmacist-led-smoking-cessation-support-realist-review
#11
Trisha Greenhalgh, Fraser Macfarlane, Liz Steed, Robert Walton
BACKGROUND: New models of primary care are needed to address funding and staffing pressures. We addressed the research question "what works for whom in what circumstances in relation to the role of community pharmacies in providing lifestyle interventions to support smoking cessation?" METHODS: This is a realist review conducted according to RAMESES standards. We began with a sample of 103 papers included in a quantitative review of community pharmacy intervention trials identified through systematic searching of seven databases...
December 16, 2016: BMC Medicine
https://www.readbyqxmd.com/read/27973722/a-mitochondrial-story-mitochondrial-replacement-identity-and-narrative
#12
Jackie Leach Scully
Mitochondrial replacement techniques (MRT) are intended to avoid the transmission of mitochondrial diseases from mother to child. MRT represent a potentially powerful new biomedical technology with ethical, policy, economic and social implications. Among other ethical questions raised are concerns about the possible effects on the identity of children born from MRT, their families, and the providers or donors of mitochondria. It has been suggested that MRT can influence identity (i) directly, through altering the genetic makeup and physical characteristics of the child, or (ii) indirectly through changing the child's experience of disease, and by generating novel intrafamilial relationships that shape the sense of self...
January 2017: Bioethics
https://www.readbyqxmd.com/read/27932396/narrative-aversion-challenges-for-the-illness-narrative-advocate
#13
Kathy Behrendt
Engaging in self-narrative is often touted as a powerful antidote to the bad effects of illness. However, there are various examples of what may broadly be termed "aversion" to illness narrative. I group these into three kinds: aversion to certain types of illness narrative; aversion to illness narrative as a whole; and aversion to illness narrative as an essentially therapeutic endeavor. These aversions can throw into doubt the advantages claimed for the illness narrator, including the key benefits of repair to the damage illness does to identity and life-trajectory...
February 2017: Journal of Medicine and Philosophy
https://www.readbyqxmd.com/read/27917963/mobile-pastoralists-in-central-and-west-africa-between-conflict-mobile-telephony-and-im-mobility
#14
M De Bruijn, A Amadou, E Lewa Doksala, B Sangaré
The livelihoods of the Fulani mobile pastoralists in the Sahel, West and Central Africa are characterised by mobility (related to the needs of their animals), extensive social networks, and a focus on social ties as the basis of status and influence ('wealth in people'). The Sahel environment in which many Fulani nomads live has become embroiled in jihadism, conflict, and violence; at the same time, this region has experienced an increase in opportunities to connect through the wireless mobile communication system...
November 2016: Revue Scientifique et Technique
https://www.readbyqxmd.com/read/27917128/what-role-can-avatars-play-in-e-mental-health-interventions-exploring-new-models-of-client-therapist-interaction
#15
REVIEW
Imogen C Rehm, Emily Foenander, Klaire Wallace, Jo-Anne M Abbott, Michael Kyrios, Neil Thomas
In the burgeoning field of e-mental health interventions, avatars are increasingly being utilized to facilitate online communication between clients and therapists, and among peers. Avatars are digital self-representations, which enable individuals to interact with each other in computer-based virtual environments. In this narrative review, we examine the psychotherapeutic applications of avatars that have been investigated and trialed to date. Five key applications were identified (1) in the formation of online peer support communities; (2) replicating traditional modes of psychotherapy by using avatars as a vehicle to communicate within a wholly virtual environment; (3) using avatar technology to facilitate or augment face-to-face treatment; (4) as part of serious games; and (5) communication with an autonomous virtual therapist...
2016: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/27912847/negotiating-positive-aging-in-the-presence-of-age-related-vision-loss-arvl-the-shaping-and-perpetuation-of-disability
#16
Colleen McGrath, Debbie Laliberte Rudman, Jan Polgar, Marlee M Spafford, Barry Trentham
INTRODUCTION: While previous research has explored the meaning of positive aging discourses from the perspective of older adults, the perspective of older adults aging with a disability has not been studied. In fact the intersection of aging and disability has been largely underexplored in both social gerontology and disability studies. METHOD: This critical ethnography engaged ten older adults aging with vision loss in narrative interviews, participant observation sessions, and semi-structured in-depth interviews...
December 2016: Journal of Aging Studies
https://www.readbyqxmd.com/read/27905255/rumination-and-self-reflection-in-stress-narratives-and-relations-to-psychological-functioning
#17
Kelly A Marin, Elena K Rotondo
The longitudinal study aims to expand what is known about the costs and benefits of narrating stressful experiences by exploring changes in rumination within the narrative process and comparing it to changes in self-reflection. Rumination (e.g., brooding, self-criticism, and negative emotions) and self-reflection were measured in stress narratives of 56 college students. There were several goals: (1) examine changes in narrative rumination and narrative self-reflection over 3 days of writing, (2) examine the relations among the changes in narrative rumination variables and narrative self-reflection and (3) examine how changes in narrative rumination and narrative self-reflection relate to multiple measures of psychological functioning...
January 2017: Memory
https://www.readbyqxmd.com/read/27869453/in-search-of-a-new-identity-an-institutional-consultation-at-a-sub-acute-inpatient-unit-in-a-general-hospital
#18
Carlos E Sluzki
Introduction: Hospitals are constantly morphing under the pressure of ever-evolving health care technologies, procedures, and reimbursement practices. In turn, healthy institutional identities and personnel allegiance contribute to counterbalance the potentially destabilizing effects of those changes. An institutional consultation was requested at a general hospital recently created sub-acute unit (SAU) due to malaise and dissatisfaction in the nursing staff. Method: The consultation included a total of 3 group meetings with the SAU nursing staff as well as observation of procedures and milieu in this and adjacent units...
November 21, 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27864498/exploring-female-sexuality-embracing-the-whole-narrative
#19
Tanya M Bass
Sexuality is inseparable from sexual health and can refer to sex, gender identities, orientation, pleasure, intimacy, expression, and reproduction. While each element of human sexuality is important, all of these components interconnect to make us complete sexual beings. Educators and other human service providers thus require professional preparation to ensure they can meet the needs of their learners, effectively manage programming, and successfully implement strategies that allow individuals to embrace or manage their sexual existence...
November 2016: North Carolina Medical Journal
https://www.readbyqxmd.com/read/27862757/easy-read-and-accessible-information-for-people-with-intellectual-disabilities-is-it-worth-it-a-meta-narrative-literature-review
#20
REVIEW
Deborah Chinn, Claire Homeyard
BACKGROUND: The proliferation of "accessible information" for people with intellectual disabilities in UK health care has accelerated in recent years, underpinned by policy guidance alongside the recent introduction of mandatory standards. However, questions have been raised as to the impact of such resources as a means of enhancing involvement in health care and addressing health inequalities. OBJECTIVE: To review and synthesize the evidence from different approaches used to evaluate the impact of accessible information for people with intellectual disabilities using a meta-narrative approach...
November 16, 2016: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
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