2.50
Hdl Handle:
http://hdl.handle.net/10755/601830
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Enduring Resilience: Being a Woman, Uninsured, and Living in a Rural County
Other Titles:
Discussions about Women's Social Health [Session]
Author(s):
Shea, Mary Louise
Lead Author STTI Affiliation:
Omicron Xi-at-Large
Author Details:
Mary Louise Shea, RN, FNP-C, PNP-C, mary.shea@umit.maine.edu
Abstract:
Session presented on Sunday, July 26, 2015: Purpose: The purpose of this research was threefold: a) to explore the experiences of near elderly women who are uninsured or underinsured, b) to identify ways women managed health care needs, c) to develop a conceptual understanding of this experience grounded in the participants perspectives.' There is limited research analyzing or exploring the experiences of near elderly women who are uninsured.'' There is a many studies determining the numbers of uninsured and underinsured but none describing the difficulties these women face on a day-to-day basis. This study offers a new view of how these women manage their health care needs in a challenging socioeconomic environment.' Grounded theory is useful in research situations where there are major gaps in current knowledge. Near elderly women, ages 50-64 years of age are at a higher risk for worsening of chronic diseases than women in younger age groups.' The uninsured have limited access to care, and are likely to delay care. Without medical insurance, women are less likely to seek care or to follow up with prescribed tests, treatments and appointments.' When they do seek care, they are often sicker than insured peers of a similar age. Access to primary care and consistent face-to-face contact with a regular care provider are associated with better health outcomes and enhanced chronic disease management and health outcomes in general. Methods: 'A grounded theory approach was used.' Eleven participants responded to advertisements in local newspaper seeking women between 50-64 years old who are uninsured.' All were interviewed and the interview digitally recorded. Transcripts were analyzed word for word and coded using the constant comparison method. 'During the analysis codes, categories and Enduring Resilience is the basic social process employed by near-elderly women who face myriad economic and social challenges. Results: 'The lack of financial protection from unexpected health care expenses that increase with age can have devastating effects on health and finances. The participants were a resolute group of women who offered numerous examples of how the loss or the lack of health insurance had impacted their lives and their ability to manage on a day-to-day basis. 'Several had medical debt ranging from several hundred dollars to more than $90, 000.' Study participants described the many barriers to health they encountered and the strategies they used for managing their health.' Enduring Resilience is the basic social process employed by near-elderly women who face myriad economic and social challenges. 'The Basic Social Process, enduring resilience occurs in a non-linear manner and'has 2 sub-processes Downward Spiralling and Keeping it all together. ' The phrase 'downward spiral' evokes a picture of a loss of control which concludes in a momentous crash.' Following the 'crash,' these women found their way back to a state of balance.' Keeping it all together refers to the participants' determination to move forward despite the obstacles.' The term describes the ability of these women to modify, adapt to, and/or accept circumstances which could constrain their progress. Conclusion: Without health insurance, women are less likely to seek care or to follow through with prescribed medications, tests, treatments and appointments. 'Uninsured women in this age group have a barrier to routine primary care placing them at increased risk for worsening any chronic disease.' These women are also likely to skip, discontinue or decrease prescribed medications often destabilizing any chronic disease. 'In order to provide apropriate care nurses and nurse practitioners must understand the difficulties uninsured women encounter in managing their health care needs. Once the difficulties have been indentified nurses may help mitigate some of the barriers these women must overcome.
Keywords:
Women; Uninsured; Grounded Theory
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15H08
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleEnduring Resilience: Being a Woman, Uninsured, and Living in a Rural Countyen
dc.title.alternativeDiscussions about Women's Social Health [Session]en
dc.contributor.authorShea, Mary Louiseen
dc.contributor.departmentOmicron Xi-at-Largeen
dc.author.detailsMary Louise Shea, RN, FNP-C, PNP-C, mary.shea@umit.maine.eduen
dc.identifier.urihttp://hdl.handle.net/10755/601830-
dc.description.abstractSession presented on Sunday, July 26, 2015: Purpose: The purpose of this research was threefold: a) to explore the experiences of near elderly women who are uninsured or underinsured, b) to identify ways women managed health care needs, c) to develop a conceptual understanding of this experience grounded in the participants perspectives.' There is limited research analyzing or exploring the experiences of near elderly women who are uninsured.'' There is a many studies determining the numbers of uninsured and underinsured but none describing the difficulties these women face on a day-to-day basis. This study offers a new view of how these women manage their health care needs in a challenging socioeconomic environment.' Grounded theory is useful in research situations where there are major gaps in current knowledge. Near elderly women, ages 50-64 years of age are at a higher risk for worsening of chronic diseases than women in younger age groups.' The uninsured have limited access to care, and are likely to delay care. Without medical insurance, women are less likely to seek care or to follow up with prescribed tests, treatments and appointments.' When they do seek care, they are often sicker than insured peers of a similar age. Access to primary care and consistent face-to-face contact with a regular care provider are associated with better health outcomes and enhanced chronic disease management and health outcomes in general. Methods: 'A grounded theory approach was used.' Eleven participants responded to advertisements in local newspaper seeking women between 50-64 years old who are uninsured.' All were interviewed and the interview digitally recorded. Transcripts were analyzed word for word and coded using the constant comparison method. 'During the analysis codes, categories and Enduring Resilience is the basic social process employed by near-elderly women who face myriad economic and social challenges. Results: 'The lack of financial protection from unexpected health care expenses that increase with age can have devastating effects on health and finances. The participants were a resolute group of women who offered numerous examples of how the loss or the lack of health insurance had impacted their lives and their ability to manage on a day-to-day basis. 'Several had medical debt ranging from several hundred dollars to more than $90, 000.' Study participants described the many barriers to health they encountered and the strategies they used for managing their health.' Enduring Resilience is the basic social process employed by near-elderly women who face myriad economic and social challenges. 'The Basic Social Process, enduring resilience occurs in a non-linear manner and'has 2 sub-processes Downward Spiralling and Keeping it all together. ' The phrase 'downward spiral' evokes a picture of a loss of control which concludes in a momentous crash.' Following the 'crash,' these women found their way back to a state of balance.' Keeping it all together refers to the participants' determination to move forward despite the obstacles.' The term describes the ability of these women to modify, adapt to, and/or accept circumstances which could constrain their progress. Conclusion: Without health insurance, women are less likely to seek care or to follow through with prescribed medications, tests, treatments and appointments. 'Uninsured women in this age group have a barrier to routine primary care placing them at increased risk for worsening any chronic disease.' These women are also likely to skip, discontinue or decrease prescribed medications often destabilizing any chronic disease. 'In order to provide apropriate care nurses and nurse practitioners must understand the difficulties uninsured women encounter in managing their health care needs. Once the difficulties have been indentified nurses may help mitigate some of the barriers these women must overcome.en
dc.subjectWomenen
dc.subjectUninsureden
dc.subjectGrounded Theoryen
dc.date.available2016-03-17T12:56:39Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:56:39Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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