Creation of an encapsulated space for cross-racial nurse-practitioner-patient relationships

2.50
Hdl Handle:
http://hdl.handle.net/10755/160387
Type:
Presentation
Title:
Creation of an encapsulated space for cross-racial nurse-practitioner-patient relationships
Abstract:
Creation of an encapsulated space for cross-racial nurse-practitioner-patient relationships
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Benkert, Ramona
Contact Address:College of Nursing, 370 Cohn, 5557 Cass Avenue, Detroit, MI, 48201, USA
Introduction: Literature increasingly documents racial and ethnic disparities in US health care. Communication patterns between provider and patient are reported as influencing these health disparities. When the individuals in the dyad are from different racial groups, communication can be fraught with misunderstandings and cultural mistrust. Limited and conflicting knowledge exists on cross-racial nurse practitioner (NP) and patient dyads in primary care settings. Purpose: The purpose of this paper is to describe how NPs and patients came to and through cross-racial relationships to develop long-term primary care partnerships. Design/Paradigm: The qualitative design incorporated a social constructivist paradigm and the methodology of Interpretive Interactionism. History, ideology and emotions of the interactants, as well as, everyday race relations are the basis for interpretations of these primary care NP-NPRs. Methods: Twenty cross-racial patient-NP dyads (Black patients and White NPs) participated in individual 1 to 3-hour audiotaped interviews regarding their ongoing relationships and the impact of a nurse-managed center (NMC) on the process. The data analysis and interpretation incorporated the processes recommended by Denzin, which included bracketing, constructing and contextualizing the phenomena. Results: The analysis uncovered a rich description of the pre-relationship developmental process of dyad members and the values of the NMC. The relationship processes from initial meeting to present are described, as are the four typologies of the NP-NPRs. The overall theme of the processes is “Creation of an Encapsulated Space”. The space facilitated the relationships in the context of a primary care NMC across racial boundaries. Conclusion: Significant relationship and self-reflection work is needed by both partners to overcome US race relations, local contextual aspects of cross-racial interactions and overt and covert perceptions. AN: MN030112
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCreation of an encapsulated space for cross-racial nurse-practitioner-patient relationshipsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160387-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Creation of an encapsulated space for cross-racial nurse-practitioner-patient relationships </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Benkert, Ramona</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 370 Cohn, 5557 Cass Avenue, Detroit, MI, 48201, USA</td></tr><tr><td colspan="2" class="item-abstract">Introduction: Literature increasingly documents racial and ethnic disparities in US health care. Communication patterns between provider and patient are reported as influencing these health disparities. When the individuals in the dyad are from different racial groups, communication can be fraught with misunderstandings and cultural mistrust. Limited and conflicting knowledge exists on cross-racial nurse practitioner (NP) and patient dyads in primary care settings. Purpose: The purpose of this paper is to describe how NPs and patients came to and through cross-racial relationships to develop long-term primary care partnerships. Design/Paradigm: The qualitative design incorporated a social constructivist paradigm and the methodology of Interpretive Interactionism. History, ideology and emotions of the interactants, as well as, everyday race relations are the basis for interpretations of these primary care NP-NPRs. Methods: Twenty cross-racial patient-NP dyads (Black patients and White NPs) participated in individual 1 to 3-hour audiotaped interviews regarding their ongoing relationships and the impact of a nurse-managed center (NMC) on the process. The data analysis and interpretation incorporated the processes recommended by Denzin, which included bracketing, constructing and contextualizing the phenomena. Results: The analysis uncovered a rich description of the pre-relationship developmental process of dyad members and the values of the NMC. The relationship processes from initial meeting to present are described, as are the four typologies of the NP-NPRs. The overall theme of the processes is &ldquo;Creation of an Encapsulated Space&rdquo;. The space facilitated the relationships in the context of a primary care NMC across racial boundaries. Conclusion: Significant relationship and self-reflection work is needed by both partners to overcome US race relations, local contextual aspects of cross-racial interactions and overt and covert perceptions. AN: MN030112 </td></tr></table>en_GB
dc.date.available2011-10-26T22:53:41Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:53:41Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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