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Narratives of older Black women rega...

University of Pennsylvania.

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Narratives of older Black women regarding medical treatment for hypertension.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Narratives of older Black women regarding medical treatment for hypertension./
Author:	Mitchell, Sadie M.
Description:	164 p.
Notes:	Adviser: Eileen Sullivan-Marx.
Contained By:	Dissertation Abstracts International68-07B.
Subject:	Black Studies. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3271791
ISBN:	9780549118435

Narratives of older Black women regarding medical treatment for hypertension.
Mitchell, Sadie M.

Narratives of older Black women regarding medical treatment for hypertension. - 164 p.

Adviser: Eileen Sullivan-Marx.

Thesis (Ph.D.)--University of Pennsylvania, 2007.

The purpose of this study was to explore, describe, and interpret narratives of older black women regarding interpersonal processes of care during visits to their physicians for the treatment of hypertension. Sixteen older black women (ages 66-81) participated in face-to-face interviews. Narratives were analyzed to understand interpersonal processes, especially of age, race, or gender biases potentially contributing to health disparities. Understanding of the self-identities of these older black women was gained.

ISBN: 9780549118435Subjects--Topical Terms:

1017673
Black Studies.

Narratives of older Black women regarding medical treatment for hypertension.
LDR:02731nam 2200325 a 45 001 861462
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020 $a 9780549118435
035 $a (UMI)AAI3271791
035 $a AAI3271791
040 $a UMI $c UMI
100 1 $a Mitchell, Sadie M. $3 1029176
245 1 0 $a Narratives of older Black women regarding medical treatment for hypertension.
300 $a 164 p.
500 $a Adviser: Eileen Sullivan-Marx.
500 $a Source: Dissertation Abstracts International, Volume: 68-07, Section: B, page: 4391.
502 $a Thesis (Ph.D.)--University of Pennsylvania, 2007.
520 $a The purpose of this study was to explore, describe, and interpret narratives of older black women regarding interpersonal processes of care during visits to their physicians for the treatment of hypertension. Sixteen older black women (ages 66-81) participated in face-to-face interviews. Narratives were analyzed to understand interpersonal processes, especially of age, race, or gender biases potentially contributing to health disparities. Understanding of the self-identities of these older black women was gained.
520 $a The Interpersonal Processes of Care (Stewart, Napoles-Springer, and Perez-Stable, 1999) guided data collection and analysis and revealed high quality physician communication, decision-making, and interpersonal style in most cases. Theories of Narrative, Black Feminist/Womanist, and Communicative Action framed data analysis and interpretation, leading to the discovery of empowerment as a pervasive thematic element in the narratives. Two themes emerged within the interpersonal processes of care: Claiming Power, and Things that are important to me. Among things that are important to me were God has the last say so, concerned about my, family, and serious about my health.
520 $a Five plot types for interpersonal processes of care within the patient/physician relationship were identified: shared-voice, quest, restitution/redemption, and chaos, and victim narrative. The shared-voice narrative emerged as a particularly unique narrative type in these data. Shared-voice resulted when patient and physician verbal exchange integrated both the lifeworld of the older black woman and medical practice. The most powerful subplot was the effect of empowerment on the patient/physician relationship, the woman's self-identity and entire lifeworld.
590 $a School code: 0175.
650 4 $a Black Studies. $3 1017673
650 4 $a Gerontology. $3 533633
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a Women's Studies. $3 1017481
690 $a 0325
690 $a 0351
690 $a 0453
690 $a 0569
710 2 $a University of Pennsylvania. $3 1017401
773 0 $t Dissertation Abstracts International $g 68-07B.
790 $a 0175
790 1 0 $a Sullivan-Marx, Eileen, $e advisor
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3271791