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Thesis/Dissertation Information
- Degree Disciplines:
- Nursing
Notes
- Abstract:
- Background: Lesbians are a vulnerable population that has experienced discrimination in health care. Evidence-based strategies for supporting lesbian self-disclosure of sexual orientation have been developed for primary care, but not for acute care settings. Purpose: The purpose of this study was to develop a grounded substantive theory to describe the process involved in lesbian self-disclosure of sexual orientation in acute care settings. Philosophical Underpinning: The philosophical underpinning was grounded theory as described by Strauss and Corbin (1998). Methods: Twelve lesbians who had been hospital inpatients or Emergency Department patients within the previous twelve months were individually interviewed about the process of self-disclosure of sexual orientation to acute care providers. Interviews were audiotaped and transcribed verbatim by the researcher and analyzed using open, axial, and selective coding. Results: The Neese Theory of Lesbian Self-Disclosure in Health Care was identified that consisted of antecedent conditions, the core category of personal risking, and the causal condition of fear. Personal risking was a two-stage process used by participants to manage the fear of self-disclosure and consisted of an anticipatory and interactional phase. Participants calculated the risk of self-disclosure and selected one of four interactional stances in encounters with acute care providers. Conclusion: The Neese Theory of Lesbian Self-Disclosure in Health Care could be used to guide more inclusive acute care nursing practices for lesbian clients.
- Thesis:
- Thesis (Ph.D.)--Barry University, 2012.
- Bibliography:
- Includes bibliographical references (leaves 113-129).
Record Information
- Source Institution:
- Barry University
- Holding Location:
- Barry University Archives and Special Collections
- Rights Management:
- Copyright . Ruth Neese. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
- Resource Identifier:
- RA564.87.N44 2012_NeeseMRuth ( BU-Local )
- Classification:
- RA564.87.N44 2012 ( lcc )
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