Surgically or chemically induced premature menopause may have an impact on women’s sense of self: the physical, psychological, social, and spiritual sense of self. This ethnographic research study explores the major factors that assaulted prematurely menopausal women’s concept of self and the ways in which they attempted to readjust that concept. A unifying domain, evolution of self, and three constitutive themes emerged: change/loss, connectedness/disconnectedness, and transcendence/transformation. A holistic nurse-client relationship that transcends the hospital experience and extends into the community may help prematurely menopausal women to move toward a more synthesized sense of self and a greater degree of self-actualization.
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References
1.
Arnold, E.
, & Boggs, K. (1995). Interpersonal relationships: Professional communication skills for nurses (2nd ed.). Philadelphia: Saunders.
2.
Bandura, A.
(1977). Social learning theory. Englewood Cliffs, NJ: Prentice Hall.
3.
Brown-Saltzman, K.
(1997). Replenishing the spirit by meditative prayer and guided imagery. Seminars in Oncology Nursing, 13(4), 255-259.
4.
Burkhardt, M.
(1989). Spirituality: An analysis of the concept. Holistic Nursing Practice, 33, 69-77.
5.
Burkhardt, M.
(1994). Becoming and connecting: Elements of spirituality for women. Holistic Nursing Practice, 8, 12-21.
6.
Carson, V.
(1989). Spiritual dimensions of nursing practice. Philadelphia: Saunders.
7.
Cobb, J.
(1990). Education of community and health-care providers. In M. Flint, F. Kronenberg, & W. Utian (Eds.), Multidisciplinary perspectives on menopause: Annals of the New York Academy of Sciences (vol. 592, pp. 221-227). New York: The New York Academy of Sciences.
8.
Compton, M. S.
(1998). Women and the change. St. Paul, MN: Llewellyn.
9.
Denzin, N.
(1978). The research act (2nd ed.). New York: McGraw-Hill.
10.
Dossey, B.
(1995). Using imagery to help your patient heal. American Journal of Nursing, 95, 40-46.
11.
Erickson, H.
, Tomlin, E., & Swain, M. (1983). Modeling and role-modeling. Englewood Cliffs, NJ: Prentice Hall.
12.
Ferguson, M.
(1988). July 19th meditation. In R. Fishel (Ed.), Time for joy: Daily affirmations. Deerfield Beach, FL: Health Communications.
13.
Fitzpatrick, J. J.
(1983). A life perspective rhythm model. In J. J. Fitzpatrick& A. L. Whall (Eds.), Conceptual models of nursing: Analysis and applications (pp. 295-302). Bowie, MD: Brady.
14.
Hall, B. A.
(1997). Spirituality in terminal illness: An alternative view of theory. Journal of Holistic Nursing, 15, 82-96.
15.
Hall, B. A.
, & Allan, J. D. (1994). Self-in-relation: A prolegomenon for holistic nursing. Nursing Outlook, 42, 110-116.
16.
Hillman, J.
(1975). Re-visioning psychology. New York: Harper & Row.
17.
Housecalls
. (1997). Which medicinal herbs can I count on. Health, 11, 144.
18.
Kaufert, P. L.
(1990). Methodological issues in menopause research. In M. Flint, F. Kronenberg, & W. Utian (Eds.), Multidisciplinary perspectives on menopause: Annals of the New York Academy of Sciences (vol. 592, pp. 114-122). New York: The New York Academy of Sciences.
19.
Kaufert, P. L.
, & Gilbert, P. (1986). Women, menopause, and medicalization. Culture, Medicine, and Psychiatry, 10, 7-21.
20.
Lorde, A.
(1993). Uses of the erotic: The erotic as power. In M. Golden (Ed.), Wild women don’t wear no blues (pp. 49-55). Garden City, NY: Doubleday.
21.
Madel, L.
, Leff, I., Ennis, R. C., & Weinrib, A. M. (Eds.). (1998). Midlife, menopause, and more. HER: Health Education Review Newsletter. Great Neck, NY: North Shore-Long Island Jewish Health System.
22.
Mansfield, P. K.
, & Boyer, B. (1990). The experiences, concerns, and health care needs of women in the menopausal transition. In M. Flint, F. Kronenberg, & W. Utian (Eds.), Multidisciplinary perspectives on menopause: Annals of the New York Academy of Sciences (vol. 592, pp. 448-449). New York: The New York Academy of Sciences.
23.
Martin, E.
(1987). The woman in the body: A cultural analysis of reproduction. Boston: Beacon.
24.
Mestel, R.
(1998). Soy wonder. Health, 12, 83-86.
25.
Morse, J. M.
(1991). Strategies for sampling. In J. M. Morse (Ed.), Qualitative nursing research: A contemporary dialogue. Newbury Park, CA: Sage.
26.
Munhall, P. L.
(1994). Revisioning phenomenology: Nursing and health science research. New York: National League for Nursing.
27.
Munhall, P. L.
, & Oiler-Boyd, C. (1993). Nursing research: A qualitative perspective (3rd ed.). New York: National League for Nursing.
28.
Nagai-Jacobson, M. G.
, & Burkhardt, M. (1989). Spirituality: Cornerstone of holistic nursing practice. Holistic Nursing Practice, 3, 18-26.
29.
Ojheda, L.
(1992). Menopause without medicine. Alameda, CA: Hunter House.
30.
Parlee, M. B.
(1990). Integrating biological and social scientific research on menopause. In M. Flint, F. Kronenberg, & W. Utian (Eds.), Multidisciplinary perspectives on menopause: Annals of the New York Academy of Sciences (vol. 592, pp. 378-389). New York: The New York Academy of Sciences.
31.
Perlmutter, C.
(1997). Best herbs to ease menopause. Prevention, 49, 80-87, 159-161.
32.
Sanford, I.
, & Donovan, M. E. (1984). Women and self-esteem. New York: Penguin.
33.
Shepard, M. K.
(1990). Discussion: Part II. In M. Flint, F. Kronenberg, & W. Utian (Eds.), Multidisciplinary perspectives on menopause: Annals of the New York Academy of Sciences (vol. 592, pp. 185-192). New York: The New York Academy of Sciences.
34.
Spradely, J. P.
(1979). The ethnographic interview. New York: Holt, Rinehart & Winston.
35.
Tillich, P.
(1952). The courage to be. New Haven, CT: Yale University Press.
36.
Turkoski, B.
, & Lance, B. (1996). The use of guided imagery with anticipatory grief. Home Healthcare Nursing, 14, 878-887.
37.
Tusek, D. L.
, Church, J. A., & Fazio, V. W. (1997). Guided imagery as a coping strategy for perioperative patients. AORN Journal, 66, 664-669.
38.
Viscott, D.
(1976). The language of feelings. New York: Ballantine.
39.
Wang, J. F.
(1997). Menopause, science and culture. Reflections, 1, 14-15.
40.
Watson, J.
(1985). Nursing: Human science and human care. Norwalk, CT: Appleton-Century-Crofts.
