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The Medication Experience of African-American Women Living With Kidney-Related Diseases: A Phenomenological Inquiry- [electronic resource]
The Medication Experience of African-American Women Living With Kidney-Related Diseases: A Phenomenological Inquiry- [electronic resource]

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자료유형  
 학위논문
Control Number  
0016934222
International Standard Book Number  
9798380125468
Dewey Decimal Classification Number  
614
Main Entry-Personal Name  
Ann Hillman, Lisa.
Publication, Distribution, etc. (Imprint  
[S.l.] : University of Minnesota., 2023
Publication, Distribution, etc. (Imprint  
Ann Arbor : ProQuest Dissertations & Theses, 2023
Physical Description  
1 online resource(258 p.)
General Note  
Source: Dissertations Abstracts International, Volume: 85-02, Section: B.
General Note  
Advisor: Schommer, Jon C.;Ramalho de Oliveira, Djenane.
Dissertation Note  
Thesis (Ph.D.)--University of Minnesota, 2023.
Restrictions on Access Note  
This item must not be sold to any third party vendors.
Summary, Etc.  
요약Chronic kidney disease affects 37 million Americans (14.0%), results in poor quality of life and mortality, is costly for the US Healthcare system and disproportionately impacts Black Americans. The optimal time to intervene in the course of chronic kidney disease is early, making treatment of the disease and risk factors, often with medications, a priority. The African-American woman's lived experience lies at the intersection of race, gender, and other relevant social factors impacting medication use. Knowledge of the experience of medication taking of these women in the context of their everyday lives may shed meaningful insight into person-centered interventions aimed to improve patients' use and experience with medications. Objectives are (1) Explore the medication experiences of African-American women taking medications for chronic diseases related to chronic kidney disease, and (2) Reveal individuals' prioritization of medication-related decisions in the context of their everyday lives. A phenomenological approach was undertaken. One-on-one interviews were conducted with seventeen African-American adult women taking at least one medication for chronic kidney disease or a chronic disease that places them at high risk (hypertension or diabetes mellitus) for chronic kidney disease. The existential structures of the lifeworld as described by French Philosopher Merleau-Ponty were used to guide thematic analysis of data and was based in traditions of phenomenology. Five themes of (1) guided by a personal agency with medications, (2) sense of personal duty to care for self and others, (3) making sense of the body and self with medications, (4) staying on track with medications and with life, and (5) desire to living freely with medications and from their constraints are described. Priorities with medication taking behaviors in daily living experience were revealed to be: (1) safety and security, (2) singularity of experience, and (3) autonomy and vitality. Patient-centered care needs to consider the patient and their medication taking from the perspective of their priorities and daily living. Health care professionals need to practice self-awareness and listen attentively to understand the experiences their patients have with their medications. Knowledge of the medication experience can then inform strategies and interventions that are meaningful to patients. 
Subject Added Entry-Topical Term  
Pharmaceutical sciences.
Subject Added Entry-Topical Term  
Health sciences.
Subject Added Entry-Topical Term  
Social research.
Index Term-Uncontrolled  
African-American women
Index Term-Uncontrolled  
Kidney disease
Index Term-Uncontrolled  
Lived experience
Index Term-Uncontrolled  
Medication experience
Index Term-Uncontrolled  
Pharmacist
Index Term-Uncontrolled  
Phenomenology
Added Entry-Corporate Name  
University of Minnesota Social and Administrative Pharmacy
Host Item Entry  
Dissertations Abstracts International. 85-02B.
Host Item Entry  
Dissertation Abstract International
Electronic Location and Access  
로그인을 한후 보실 수 있는 자료입니다.
Control Number  
joongbu:641553

MARC

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■0820  ▼a614
■1001  ▼aAnn  Hillman,  Lisa.
■24510▼aThe  Medication  Experience  of  African-American  Women  Living  With  Kidney-Related  Diseases:  A  Phenomenological  Inquiry▼h[electronic  resource]
■260    ▼a[S.l.]▼bUniversity  of  Minnesota.  ▼c2023
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2023
■300    ▼a1  online  resource(258  p.)
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  85-02,  Section:  B.
■500    ▼aAdvisor:  Schommer,  Jon  C.;Ramalho  de  Oliveira,  Djenane.
■5021  ▼aThesis  (Ph.D.)--University  of  Minnesota,  2023.
■506    ▼aThis  item  must  not  be  sold  to  any  third  party  vendors.
■520    ▼aChronic  kidney  disease  affects  37  million  Americans  (14.0%),  results  in  poor  quality  of  life  and  mortality,  is  costly  for  the  US  Healthcare  system  and  disproportionately  impacts  Black  Americans.  The  optimal  time  to  intervene  in  the  course  of  chronic  kidney  disease  is  early,  making  treatment  of  the  disease  and  risk  factors,  often  with  medications,  a  priority.  The  African-American  woman's  lived  experience  lies  at  the  intersection  of  race,  gender,  and  other  relevant  social  factors  impacting  medication  use.  Knowledge  of  the  experience  of  medication  taking  of  these  women  in  the  context  of  their  everyday  lives  may  shed  meaningful  insight  into  person-centered  interventions  aimed  to  improve  patients'  use  and  experience  with  medications.  Objectives  are  (1)  Explore  the  medication  experiences  of  African-American  women  taking  medications  for  chronic  diseases  related  to  chronic  kidney  disease,  and  (2)  Reveal  individuals'  prioritization  of  medication-related  decisions  in  the  context  of  their  everyday  lives.  A  phenomenological  approach  was  undertaken.  One-on-one  interviews  were  conducted  with  seventeen  African-American  adult  women  taking  at  least  one  medication  for  chronic  kidney  disease  or  a  chronic  disease  that  places  them  at  high  risk  (hypertension  or  diabetes  mellitus)  for  chronic  kidney  disease.  The  existential  structures  of  the  lifeworld  as  described  by  French  Philosopher  Merleau-Ponty  were  used  to  guide  thematic  analysis  of  data  and  was  based  in  traditions  of  phenomenology.  Five  themes  of  (1)  guided  by  a  personal  agency  with  medications,  (2)  sense  of  personal  duty  to  care  for  self  and  others,  (3)  making  sense  of  the  body  and  self  with  medications,  (4)  staying  on  track  with  medications  and  with  life,  and  (5)  desire  to  living  freely  with  medications  and  from  their  constraints  are  described.  Priorities  with  medication  taking  behaviors  in  daily  living  experience  were  revealed  to  be:  (1)  safety  and  security,  (2)  singularity  of  experience,  and  (3)  autonomy  and  vitality.  Patient-centered  care  needs  to  consider  the  patient  and  their  medication  taking  from  the  perspective  of  their  priorities  and  daily  living.  Health  care  professionals  need  to  practice  self-awareness  and  listen  attentively  to  understand  the  experiences  their  patients  have  with  their  medications.  Knowledge  of  the  medication  experience  can  then  inform  strategies  and  interventions  that  are  meaningful  to  patients. 
■590    ▼aSchool  code:  0130.
■650  4▼aPharmaceutical  sciences.
■650  4▼aHealth  sciences.
■650  4▼aSocial  research.
■653    ▼aAfrican-American  women
■653    ▼aKidney  disease
■653    ▼aLived  experience
■653    ▼aMedication  experience
■653    ▼aPharmacist
■653    ▼aPhenomenology
■690    ▼a0572
■690    ▼a0566
■690    ▼a0344
■71020▼aUniversity  of  Minnesota▼bSocial  and  Administrative  Pharmacy.
■7730  ▼tDissertations  Abstracts  International▼g85-02B.
■773    ▼tDissertation  Abstract  International
■790    ▼a0130
■791    ▼aPh.D.
■792    ▼a2023
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16934222▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.
■980    ▼a202402▼f2024

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