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024 7    |a RA564.87.N44 2012_NeeseMRuth |2 BU-Local
050    4 |a RA564.87.N44 2012
100 1    |a Neese, M. Ruth..
245 10 |a A grounded theory study exploring lesbian patient self-disclosure of sexual orientation in acute care |h [electronic resource].
260        |a Miami, Fla. : |b Barry University, |c 2012.
300        |a xi, 150 leaves : |b ill. ; |c 28 cm
490        |a Barry University Dissertations -- College of Nursing and Health Sciences.
502        |a Thesis (Ph.D.)--Barry University, 2012.
504        |a Includes bibliographical references (leaves 113-129).
506        |a 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.
520 3    |a 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.
533        |a Electronic reproduction. |c Barry University, |d 2020. |f (Barry University Digital Collections) |n Mode of access: World Wide Web. |n System requirements: Internet connectivity; Web browser software.
535 1    |a Barry University Archives and Special Collections.
650    0 |a Lesbians |x Medical care.
650    0 |a Lesbians |x Health and hygiene.
650    0 |a Emergency medical services.
650    0 |a Medical personnel |x Attitudes.
655    0 |a Academic theses.
830    0 |a Barry University Digital Collections.
830    0 |a Theses and Dissertations.
852        |a BUDC |c Theses and Dissertations
856 40 |u http://sobekcmsrv.barrynet.barry.edu/AA00001574/00001 |y Click here for full text
992 04 |a https:/budc.barry.edu/content/AA/00/00/15/74/00001/RA564_87_N44 2012_NeeseMRuththm.jpg
997        |a Theses and Dissertations


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