Neuman Systems Model Dissertations at Hampton University

 
The Neuman Systems Model Dissertations
at Hampton University:
Focus on the Black Family
 
 
 
 
Jacqueline Fawcett, RN; PhD; ScD (hon); FAAN; ANEF
Professor, Department of Nursing
University of Massachusetts Boston
 
Purpose of this Presentation
 
 
To review seven Neuman Systems Model – based
dissertations conducted by PhD nursology learners at
Hampton University School of Nursing
 
 
 
 
 
 
 
 
 
Overview of this Presentation
 
 
Title of each dissertation
 
Dissertations identified through a search of Dissertation
Abstracts International Global
 
 Related publications about some of the dissertations
 
Publications identified through a search of CINAHL
Complete
 
Conceptual-theoretical-empirical (CTE) structure constructed
for each dissertation and/or each publication
 
The PhD Nursology Program at Hampton University
 
In 1999, Hampton University School of Nursing established
the “first ever PhD in Nursing [program] at a Historically
Black College and University” (Hampton University School of
Nursing, n.d.; http://nursing.hamptonu.edu/page/Doctoral-
Program)
Program focus is the Black family
 
The PhD Nursology Program at Hampton University
 
Program developmental and implementation was funded by
the Teagle Foundation as the Hampton-Penn (University of
Pennsylvania School of Nursing) Initiative
 
(Hutchinson, M. K., Davis, B., Sweet-Jemmot, L., Gennaro, S., Tulman,
L., Condon, E. H., Montgomery, A. J., & Sevonsky, E. J. (2007).
Promoting partnerships to reduce health disparities amoug
vulnerable populations: Sharing expertise between majority
institutions and historically black universities. 
Annual Review of
Nursing Research, 25
, 119-159.
Diagram of the Neuman Systems Model
Internal Environment
External Environment
Created Environment
 
Stressors
 
Intrapersonal
Interpersonal
Extrapersonal
 
 
 
Normal Line
of Defense*
 
 
 
 
 
Lines of
Resistance*
 
 
 
 
 
 
 
Basic
Structure--
Optimal Client
System
Stability*
 
 
 
 
 
 
 
Flexible Line
of Defense*
 
 
* Consider Interacting Physiological,
Psychological, Sociocultural,
Developmental, and Spiritual Variables
 
 
 
Prevention as Intervention
Primary
Secondary
Tertiary
 
 
 
Shelia Cannon:
Dissertation and Related Publications
 
Caregiving of African-American Daughters
    with Aging Parents: Applying Neuman’s Systems Model  (2002)
 
Jones-Cannon, S., & Davis, B. L. (2005). Coping among African-
American daughters caring for aging parents. 
The Association of
Black Nursing Faculty Journal, 16
(6), 118-123.
 
Cannon, S., & Fawcett, J. (2018). Correlates of psychological and
physical health outcomes among African American caregiving
daughters. 
The Association of Black Nursing Faculty Journal,
29
(3)
,
 
86-97.
 
African
American
Daughters
Psychological
Variable  as
Extrapersonal
Stressor
Spiritual
Variable
Client
System
Stability
Client
System
150
African
American
Daughters
Caregiving
of Aging
Parents
Demographic
Data Form
1 Basic
Interview
Schedule
Item +
3 Open-
Ended
Items
Religion
Coping  with
and
Management
of Caregiving
of Aging
Parents
Semi-Structured
Interview Guide
+ Items on
3 Basic
Interview
Schedule
 Subscales
Mixed Methods Design
Focus Groups (n = 44) and Survey (n = 106)
Content Analysis and Descriptive Statistics
Neuman’s Systems Model
 
Jones-Cannon & Davis
(2005)
African American
Daughters’ and
Parents’
Characteristics
Stressors
Lines of
Resistance
Client
System
Stability
Client System
106
African
American
Daughters
Primary
Stressors
+
Secondary
Stressors
Coping
+
Emotional
Support
Daughters ‘
Psychological
Health
and
Physical
Health
Correlational  Design
Path Analysis Statistics
Neuman’s Systems Model
 
Cannon & Fawcett (2018)
Basic
Interview
Schedule
Subscales
Basic
Interview
Schedule
Subscales
Basic
Interview
Schedule
Subscales
Basic
Interview
Schedule
Subscales
 
Barbara A. Smith-Johnson :
Dissertation  and Related Publication
 
Perceived Stress of African American Family Caregivers of
Stroke Survivors (2013)
 
Smith-Johnson, B., Davis, B. L., Burns, D., Montgomery, A. J.,
& McGee, Z. T. (2015). African American wives and perceived
stressful experiences: Providing care for stroke survivor
spouses. 
 The Association of Black Nursing Faculty
Journal
26
(2), 39–42.
 
 
African
American
Family
Caregivers
of Stroke
Survivors
Stressors
Developmental
Variable
Sociocultural
Variable
Client
System
38 African
American
Family
Caregivers
of Stroke
Survivors
Perceived
Stressors
Perlin
Caregiving
and
Stress Process
Scale
African
American
Caregivers’
Age
Family/
Significant
Others
Descriptive Design and Statistics
Neuman’s Systems Model
 
Smith-Johnson (2013)
Smith-Johnson et al. (2015)
Perlin
Caregiving
and
Stress Process
Scale
+
Demographics
Perlin
Caregiving
and
Stress Process
Scale
Physiological
Variable
 Spiritual
Variable
Perlin
Caregiving
and
Stress Process
Scale
Role
Overload
Spiritual
Beliefs
Descriptive Design and Statistics
Neuman’s Systems Model
 
Smith-Johnson (2013)
Perlin
Caregiving
and
Stress Process
Scale
Psychological
Variable
Coping
Patterns
Perlin
Caregiving
and
Stress Process
Scale
 
Pamela Clarke Ngangana:
Dissertation  and Related Publication
 
Intra-family Stressors among Adult Siblings Sharing
Caregiving for Parents (2014)
 
Ngangana, P. C., Davis, B. L., Burns, D. P., McGee, Z. T., &
Montgomery, A. J. (2016). Intra-family stressors among adult
siblings sharing caregiving for parents. 
Journal of Advanced
Nursing
72
(12), 3169–3181.
 
Client
System
 Stressors
Demographic
Data Form
Adult
Siblings +
Parents
Intra-
Family
Stressors
Mixed Methods Design
Correlational Statistics  (N = 72)
Neuman’s Systems Model
 
Ngangana (2014)
Ngangana et al. (2016)
Demographic
Data Form
Developmental
Variable
Sibling
and Parent
Demographics
Zarit
Burden
Interview
Sociocultural
Variable
Adult Sibling
Relationship
Lifespan
Sibling
Relationship
Scale
Open-Ended Question
(N = 79 Responses)
 
Ngangana (2014)
Ngaggana et al. (2016)
Mixed Methods Design
Content Analysis
PARENTAL
CARE
REWARDS
 
Giving Back
Ability to Provide for Parent’s
    Needs
Historical Reflection
Enabling Parent Contentment
Knowing Parent  is Safe/
     At Home
Neuman’s Systems Model
 
 
Stressors
 
Open-Ended Question
(N = 79 Responses)
 
Ngangana (2014)
Ngaggana et al. (2016)
Mixed Methods Design
Content Analysis
PARENT CARE
CHALLENGES
Sense of Imbalance
Loss of Sense of Self-Regulation of Personal Time
Watch Parent’s Decline/Prospects of Death
Caregiving Overload
Parent Problem Behavior
Sibling Problem Behavior
Financial Constraints
Physical Care
Neuman’s Systems Model
 
 
Stressors
 
Open-Ended Question
(N = 79 Responses)
Neuman’s Systems Model
 
 
Stressors
 
Ngangana (2014)
Ngaggana et al. (2016)
Mixed Methods Design
Content Analysis
 
SIBLING
HELP
Equally Shared Responsibilities
Nothing
Offer Respite Care
Does Not Live Nearby/Can’t Help/
    Help When Can But Live Far Away/
    Geographical Distance from Care Recipient
Everything/A Loss/Primary Caregiver
Emotional Support
 
Darylnet Lyttle:
Dissertation  and Related Publication
 
 
The Identification of HIV-Risk Behaviors Among Minority
College Students using the Neuman’s Systems Model (2014)
 
Lyttle, D., Montgomery, A. J., Davis, B. L., Burns, D., McGee,
Z. T., & Fogel, J. (2018). An exploration using the Neuman
Systems Model of risky sexual behaviors among African
American college students: A brief report. 
Journal of Cultural
Diversity
25
(4), 142–147.
 
Minority
College
Students
Intrapersonal and
Interpersonal Stressors
Client
System
292 African-
American
Undergraduate
College Students
( 75% Female)
 
Peer/Family
Influence on
Sexual Risk
Behavior
Sexual Knowledge,
Attitudes, and
Experiences of Black
College Students in
an AIDS Era Survey
Descriptive Design
and Statistics
Neuman’s Systems Model
 
Lyttle (2014)
Lyttle et al. (2018)
Spiritual
Variable
Sexual Knowledge,
Attitudes, and
Experiences of Black
College Students in
an AIDS Era Survey
 
Spirituality
 
Physiological
Variable
Health
State
Health Well-
Being Survey
(SF-12 v2)
Descriptive Design
and Statistics
Neuman’s Systems Model
 
Flexible Line of Defense
 
Lyttle (2014)
Lyttle et al. (2018)
Psychological
Variable
Mental
Health
Status
Health Well-
Being Survey
(SF-12 v2)
Demographics
Questionnaire
Sociocultural
Variable
Family
Income
Developmental
Variable
Participant’s
Undergraduate
Level
Demographics
Questionnaire
 
Patrena Cody:
Dissertation
 
 
 
Caregiver Burdens of Family Members with Alzheimer’s
Disease (2019)
Family Caregivers of
Persons with
Alzheimer’s Disease
Stressors
Client
System
 Family Caregivers of
Persons with Alzheimer’s
Disease Who Attended
Adult Day Care (42) and of
Those Who Did Not Attend
Adult Day Care (42)
Caregiver Burden
Caregiving
Burden Inventory
+
Demographics
Survey
Descriptive Design
and Statistics
Neuman’s Systems Model
 
Cody  (2019)
Physiological
Variable
Physical
Health
 
Caregiving
Burden
Inventory
+
Demographics
Survey
Descriptive Design
and Statistics
Neuman’s Systems Model
 
Cody (2019)
Psychological
Variable
Coping
Patterns +
Mental
Health
Caregiving
Burden
Inventory
+
Demographics
Survey
Caregiving
Burden
Inventory
+
Demographics
Survey
Sociocultural
Variable
Demographics
Developmental
Variable
Caregiver Age
Caregiving
Burden
Inventory
+
Demographics
Survey
 
Linda Brown:
Dissertation
 
 
 
Perceived Stressors among Older African American Primary
Family Caregivers: Caring for a Relative with Alzheimer’s
Dementia (2019)
Family Caregivers of
Persons with
Alzheimer’s or a
Related Dementia
Intrapersonal and
Interpersonal Stressors
Client
System
42 Older Adult
African-
American Family
Caregivers
(50-88 Years of
Age)
Caregivers’ Perceived
Stressors
Perlin’s
Stress Process
Scale-Adapted
Descriptive Design
and Statistics
Neuman’s Systems Model
 
Brown (2019)
Physiological
Variable
Role
Overload
Perlin’s
Stress
Process Scale-
Adapted
Descriptive Design
and Statistics
Neuman’s Systems Model
 
Flexible Line of Defense
 
Brown (2019)
Psychological
Variable
Coping
Perlin’s
Stress
Process Scale-
Adapted
Perlin’s
Stress
Process Scale-
Adapted
Sociocultural
Variable
Caregiver
Competence
Developmental
Variable
Loss of Self
Personal Gain
Perlin’s
Stress
Process Scale-
Adapted
Spiritual
Variable
Religious/
Spiritual
Coping
Meaning of
Caregiving
Scale
Descriptive Design
and Statistics
Neuman’s Systems Model
 
Flexible Line of Defense
 
Brown (2019)
 
Michael Jones:
Dissertation
 
 
 
 
Perceptions of Rural Community-Based Nurses and
Perceived Stigma Related to HIV/AIDS: A Mixed-Methods
Study (2020)
Rural Mississippi
Community-
Based Nurses
Intrapersonal and
Interpersonal Stressors
Client System
(Sociocultural
Variable)
46 African
American +
1 Native
American
Nurses
(34 RNs +
13 LPNs)
Perceived
Stigma by
Nurses’ Family
Members
HIV/AIDS
Stigma
Instrument –
Nurse (HASI-N)
Mixed Methods
Design:
Quantitative
Component--
Descriptive Design
and Statistics
Neuman’s Systems Model
 
Jones (2020)
Rural Mississippi
Community-
Based Nurses’
Demographics
Psychological
Variable
Developmental
Variable
Demographics
Questionnaire
Risk of
Exposure or
Infection
HIV/AIDS
Stigma
Instrument –
Nurse (HASI-N)
Neuman’s Systems Model
 
Jones (2020)
Physiological
Variable
Perceived
Behaviors
HIV/AIDS
Stigma
Instrument –
Nurse (HASI-N)
 
Mixed Methods Design:
Quantitative Component--  Descriptive Design and Statistics
Hermeneutic
Phenomenology--
Face to Face and Telephone
Interviews
Content Analysis
Neuman’s Systems Model
 
Jones (2020)
Mixed Methods Design:
Qualitative Component
Fear of
Contagion
Personal
Commit-
ment
Respect
and
Dignity
Universal
Precautions
Better
than
Average
Care
Bias
Unintentional
Sigma
Emotional
Tone
 
Summary
 
 
Summary
 
Topics
Caregivers of Older Adult
Parents  (2)
Caregivers of Persons with
Alzheimer’s Disease (2)
Caregivers of Stroke
Survivors (1)
Sigma of Caring for
Persons with HIV/AIDS (1)
HIV Risk Behaviors (1)
 
Populations
Family Member as
Caregiver (2)
Daughters as Caregivers (1)
Adult Sibling Caregivers (1)
Spouses as Caregivers (1)
Nurses (1)
Minority College Students
(1)
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Paper presented at the 18th International Biennial Neuman Systems Model Symposium

June 25, 2021.

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This presentation focuses on seven Neuman Systems Model-based dissertations conducted by PhD learners at Hampton University School of Nursing. It highlights the purpose, overview, and the PhD Nursology Program at Hampton University, emphasizing the Black family focus and program development history.

  • Neuman Systems Model
  • Hampton University
  • Nursology
  • Black family
  • PhD program

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  1. The Neuman Systems Model Dissertations at Hampton University: Focus on the Black Family Neuman Systems Model Jacqueline Fawcett, RN; PhD; ScD (hon); FAAN; ANEF Professor, Department of Nursing University of Massachusetts Boston

  2. Purpose of this Presentation To review seven Neuman Systems Model based dissertations conducted by PhD nursology learners at Hampton University School of Nursing Neuman Systems Model

  3. Overview of this Presentation Neuman Systems Model Title of each dissertation Dissertations identified through a search of Dissertation Abstracts International Global Related publications about some of the dissertations Publications identified through a search of CINAHL Complete Conceptual-theoretical-empirical (CTE) structure constructed for each dissertation and/or each publication

  4. The PhD Nursology Program at Hampton University In 1999, Hampton University School of Nursing established the first ever PhD in Nursing [program] at a Historically Black College and University (Hampton University School of Nursing, n.d.; http://nursing.hamptonu.edu/page/Doctoral- Program) Program focus is the Black family

  5. The PhD Nursology Program at Hampton University Program developmental and implementation was funded by the Teagle Foundation as the Hampton-Penn (University of Pennsylvania School of Nursing) Initiative (Hutchinson, M. K., Davis, B., Sweet-Jemmot, L., Gennaro, S., Tulman, L., Condon, E. H., Montgomery, A. J., & Sevonsky, E. J. (2007). Promoting partnerships to reduce health disparities amoug vulnerable populations: Sharing expertise between majority institutions and historically black universities. Annual Review of Nursing Research, 25, 119-159.

  6. Internal Environment External Environment Created Environment Basic Structure-- Optimal Client System Stability* Normal Line of Defense* Lines of Resistance* Stressors Intrapersonal Interpersonal Extrapersonal Flexible Line of Defense* * Consider Interacting Physiological, Psychological, Sociocultural, Developmental, and Spiritual Variables Prevention as Intervention Primary Secondary Tertiary Diagram of the Neuman Systems Model

  7. Shelia Cannon: Dissertation and Related Publications Caregiving of African-American Daughters with Aging Parents: Applying Neuman s Systems Model (2002) Jones-Cannon, S., & Davis, B. L. (2005). Coping among African- American daughters caring for aging parents. The Association of Black Nursing Faculty Journal, 16(6), 118-123. Cannon, S., & Fawcett, J. (2018). Correlates of psychological and physical health outcomes among African American caregiving daughters. The Association of Black Nursing Faculty Journal, 29(3), 86-97. Neuman Systems Model

  8. Jones-Cannon & Davis (2005) Neuman s Systems Model Psychological Variable as Extrapersonal Stressor Client System Stability Client System Spiritual Variable Coping with and Management of Caregiving of Aging Parents Caregiving of Aging Parents African American Daughters Religion 1 Basic Interview Schedule Item + 3 Open- Ended Items 150 African American Daughters Demographic Data Form Semi-Structured Interview Guide + Items on 3 Basic Interview Schedule Subscales Mixed Methods Design Focus Groups (n = 44) and Survey (n = 106) Content Analysis and Descriptive Statistics

  9. Cannon & Fawcett (2018) Neuman s Systems Model Client System Stability Lines of Resistance Client System Stressors Daughters Psychological Health and Physical Health Primary Stressors + Secondary Stressors Coping + Emotional Support African American Daughters and Parents Characteristics 106 African American Daughters Basic Interview Schedule Subscales Basic Interview Schedule Subscales Basic Interview Schedule Subscales Basic Interview Schedule Subscales Correlational Design Path Analysis Statistics

  10. Barbara A. Smith-Johnson : Dissertation and Related Publication Perceived Stress of African American Family Caregivers of Stroke Survivors (2013) Smith-Johnson, B., Davis, B. L., Burns, D., Montgomery, A. J., & McGee, Z. T. (2015). African American wives and perceived stressful experiences: Providing care for stroke survivor spouses. The Association of Black Nursing Faculty Journal, 26(2), 39 42. Neuman Systems Model

  11. Smith-Johnson (2013) Smith-Johnson et al. (2015) Neuman s Systems Model Client System Sociocultural Variable Developmental Variable Stressors African American Family Caregivers of Stroke Survivors African American Caregivers Age Family/ Significant Others Perceived Stressors Perlin Caregiving and Stress Process Scale + Demographics 38 African American Family Caregivers of Stroke Survivors Perlin Caregiving and Stress Process Scale Perlin Caregiving and Stress Process Scale Descriptive Design and Statistics

  12. Smith-Johnson (2013) Neuman s Systems Model Physiological Variable Spiritual Variable Psychological Variable Role Overload Coping Patterns Spiritual Beliefs Perlin Caregiving and Stress Process Scale Perlin Caregiving and Stress Process Scale Perlin Caregiving and Stress Process Scale Descriptive Design and Statistics

  13. Pamela Clarke Ngangana: Dissertation and Related Publication Intra-family Stressors among Adult Siblings Sharing Caregiving for Parents (2014) Ngangana, P. C., Davis, B. L., Burns, D. P., McGee, Z. T., & Montgomery, A. J. (2016). Intra-family stressors among adult siblings sharing caregiving for parents. Journal of Advanced Nursing, 72(12), 3169 3181. Neuman Systems Model

  14. Ngangana (2014) Ngangana et al. (2016) Neuman s Systems Model Client System Developmental Variable Stressors Sociocultural Variable Adult Siblings + Parents Sibling and Parent Demographics Intra- Family Stressors Adult Sibling Relationship Lifespan Sibling Relationship Scale Demographic Data Form Zarit Burden Interview Demographic Data Form Mixed Methods Design Correlational Statistics (N = 72)

  15. Ngangana (2014) Ngaggana et al. (2016) Neuman s Systems Model PARENTAL CARE REWARDS Stressors Giving Back Ability to Provide for Parent s Needs Historical Reflection Enabling Parent Contentment Knowing Parent is Safe/ At Home Open-Ended Question (N = 79 Responses) Mixed Methods Design Content Analysis

  16. Ngangana (2014) Ngaggana et al. (2016) Neuman s Systems Model PARENT CARE CHALLENGES Stressors Sense of Imbalance Loss of Sense of Self-Regulation of Personal Time Watch Parent s Decline/Prospects of Death Caregiving Overload Parent Problem Behavior Sibling Problem Behavior Financial Constraints Physical Care Open-Ended Question (N = 79 Responses) Mixed Methods Design Content Analysis

  17. Ngangana (2014) Ngaggana et al. (2016) Neuman s Systems Model SIBLING HELP Stressors Equally Shared Responsibilities Nothing Offer Respite Care Does Not Live Nearby/Can t Help/ Help When Can But Live Far Away/ Geographical Distance from Care Recipient Everything/A Loss/Primary Caregiver Emotional Support Open-Ended Question (N = 79 Responses) Mixed Methods Design Content Analysis

  18. Darylnet Lyttle: Dissertation and Related Publication The Identification of HIV-Risk Behaviors Among Minority College Students using the Neuman s Systems Model (2014) Lyttle, D., Montgomery, A. J., Davis, B. L., Burns, D., McGee, Z. T., & Fogel, J. (2018). An exploration using the Neuman Systems Model of risky sexual behaviors among African American college students: A brief report. Journal of Cultural Diversity, 25(4), 142 147. Neuman Systems Model

  19. Lyttle (2014) Lyttle et al. (2018) Neuman s Systems Model Intrapersonal and Interpersonal Stressors Spiritual Variable Client System Peer/Family Influence on Sexual Risk Behavior Minority College Students Spirituality 292 African- American Undergraduate College Students ( 75% Female) Sexual Knowledge, Attitudes, and Experiences of Black College Students in an AIDS Era Survey Sexual Knowledge, Attitudes, and Experiences of Black College Students in an AIDS Era Survey Descriptive Design and Statistics

  20. Neumans Systems Model Lyttle (2014) Lyttle et al. (2018) Flexible Line of Defense Sociocultural Variable Psychological Variable Developmental Variable Physiological Variable Mental Health Status Participant s Undergraduate Level Health State Family Income Health Well- Being Survey (SF-12 v2) Demographics Questionnaire Health Well- Being Survey (SF-12 v2) Demographics Questionnaire Descriptive Design and Statistics

  21. Patrena Cody: Dissertation Caregiver Burdens of Family Members with Alzheimer s Disease (2019) Neuman Systems Model

  22. Cody (2019) Neuman s Systems Model Client System Stressors Family Caregivers of Persons with Alzheimer s Disease Caregiver Burden Family Caregivers of Persons with Alzheimer s Disease Who Attended Adult Day Care (42) and of Those Who Did Not Attend Adult Day Care (42) Caregiving Burden Inventory + Demographics Survey Descriptive Design and Statistics

  23. Cody (2019) Neuman s Systems Model Sociocultural Variable Psychological Variable Developmental Variable Physiological Variable Coping Patterns + Mental Health Physical Health Caregiver Age Demographics Caregiving Burden Inventory + Demographics Survey Caregiving Burden Inventory + Demographics Survey Caregiving Burden Inventory + Demographics Survey Caregiving Burden Inventory + Demographics Survey Descriptive Design and Statistics

  24. Linda Brown: Dissertation Perceived Stressors among Older African American Primary Family Caregivers: Caring for a Relative with Alzheimer s Dementia (2019) Neuman Systems Model

  25. Brown (2019) Neuman s Systems Model Client System Intrapersonal and Interpersonal Stressors Family Caregivers of Persons with Alzheimer s or a Related Dementia Caregivers Perceived Stressors 42 Older Adult African- American Family Caregivers (50-88 Years of Age) Perlin s Stress Process Scale-Adapted Descriptive Design and Statistics

  26. Neumans Systems Model Brown (2019) Flexible Line of Defense Sociocultural Variable Psychological Variable Developmental Variable Physiological Variable Loss of Self Personal Gain Role Overload Caregiver Competence Coping Perlin s Stress Process Scale- Adapted Perlin s Stress Process Scale- Adapted Perlin s Stress Process Scale- Adapted Perlin s Stress Process Scale- Adapted Descriptive Design and Statistics

  27. Neumans Systems Model Brown (2019) Flexible Line of Defense Spiritual Variable Religious/ Spiritual Coping Meaning of Caregiving Scale Descriptive Design and Statistics

  28. Michael Jones: Dissertation Perceptions of Rural Community-Based Nurses and Perceived Stigma Related to HIV/AIDS: A Mixed-Methods Study (2020) Neuman Systems Model

  29. Jones (2020) Neuman s Systems Model Client System (Sociocultural Variable) Intrapersonal and Interpersonal Stressors Perceived Stigma by Nurses Family Members Rural Mississippi Community- Based Nurses Mixed Methods Design: Quantitative Component-- Descriptive Design and Statistics 46 African American + 1 Native American Nurses (34 RNs + 13 LPNs) HIV/AIDS Stigma Instrument Nurse (HASI-N)

  30. Jones (2020) Neuman s Systems Model Developmental Variable Psychological Variable Physiological Variable Rural Mississippi Community- Based Nurses Demographics Risk of Exposure or Infection Perceived Behaviors HIV/AIDS Stigma Instrument Nurse (HASI-N) HIV/AIDS Stigma Instrument Nurse (HASI-N) Demographics Questionnaire Mixed Methods Design: Quantitative Component-- Descriptive Design and Statistics

  31. Jones (2020) Neuman s Systems Model Better than Average Care Personal Commit- ment Respect and Dignity Fear of Contagion Universal Precautions Unintentional Sigma Emotional Tone Bias Hermeneutic Phenomenology-- Face to Face and Telephone Interviews Content Analysis Mixed Methods Design: Qualitative Component

  32. Summary Neuman Systems Model

  33. Neuman Systems Model Summary Topics Caregivers of Older Adult Parents (2) Caregivers of Persons with Alzheimer s Disease (2) Caregivers of Stroke Survivors (1) Sigma of Caring for Persons with HIV/AIDS (1) HIV Risk Behaviors (1) Populations Family Member as Caregiver (2) Daughters as Caregivers (1) Adult Sibling Caregivers (1) Spouses as Caregivers (1) Nurses (1) Minority College Students (1)

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