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• W1583534249 abstract "THE EXPERIENCES OF SELF-MANAGING PERCEIVED BLOOD PRESSURE CHANGES IN WOMEN WITH HYPERTENSION by MARY M. FRANKLIN AUGUST 2013 Advisor: Rosalind M. Peters, PhD, RN, FAAN Major: Nursing Degree: Doctor of Philosophy In the United States, nearly one-third of all women over the age of 20 have hypertension (HTN). Nearly 30 to50% of persons with HTN experience symptoms attributed to high blood pressure (BP). Women with hypertensive symptoms may connect their symptoms to perceived BP changes, and may be using their perceptions about BP changes to guide their HTN self- management. There is limited research about perceived BP changes or their use in self- management. The purpose of this qualitative study was to describe the experiences of women with HTN self-managing their perceived BP changes. van Manen’s phenomenology methodology and method guided the inquiry, and also guided the existential reflection of the impact of perceived BP changes on the participants’ lifeworlds (e.g, lived space, lived body, lived time, and lived relations). Seven African American and six European American women with HTN who were able to tell if their BP changed based on their symptoms were recruited from community settings and 225 were interviewed once with a semi-structured guide. Participants were middle-aged (M=50.5 years, SD=9.62), experienced in living with HTN (M=10.76 years, SD=9.50), had at least a high school education, and a limited annual income (93% recorded and professionally transcribed. Textual data was analyzed using thematic analysis to identify major themes. Participants experienced distressful BP changes indicated by body changes and sensations (e.g., headaches, visual disturbances, flushing, and fatigue). One central theme (“getting to normal”) and four subthemes (i.e., “I can tell”, “tending to it”, “the wakeup call”, and “doing it right”) were discovered in the data. The themes depict a process of episodic symptom-driven and day-to-day actions that the participants used to return their BP to normal. The study is significant as new knowledge was discovered about how women perceive their BP changes and use them to guide self-management. This knowledge builds nursing science by explicating the concept of self-care operations within the theory of self-care, and contributes to clinical practice through suggestions for improving patient assessments. Results serve as a foundation for further research of the self-management of BP changes and the development of belief-based interventions with the potential to improve BP control. 226 AUTOBIOGRAPHICAL STATEMENT MARY FRANKLIN af1635@wayne.edu EDUCATION January, 2008- present Doctoral Candidate (PhD) Wayne State University, College of Nursing, Completion Spring 2013 June, 1992 M.S.N. University of California- San Francisco May, 1986 B.S.N. University of Michigan-Ann Arbor PROFESSIONAL LICENSURE & CERTIFICATION 1986-Present State of Michigan Registered Nurse 1998-Present State of Michigan Nurse Practitioner Specialty Certification 2000-Present American Nurses Credentialing Center Acute Care Nurse Practitioner Certification HONORS and FELLOWSHIPS 2007 Honorable Mention, Doctoral Student Poster Competition Midwest Nursing Research Society, Omaha, Nebraska 2006 Gilbert and Leona Schumann Endowed Scholarship Michigan State University College of Nursing 2005-2006 University Graduate Fellowship, Michigan State University 1986 Sigma Theta Tau International, Rho Chapter Induction RESEARCH GRANTS 2012 The Experience of Self-Managing Perceived Blood Pressure Changes in Women with Hypertension (Dissertation study). Mary Franklin, RN, MSN, ACNP-BC, & Rosalind Peters, PhD, RN, FAAN. Wayne State University Graduate School Dissertation Research Award of $1000.00. Principal Investigator. 2012 The Experience of Self-Managing Perceived Blood Pressure Changes in Women with Hypertension (Dissertation study). Mary Franklin, RN, MSN, ACNP-BC, & Rosalind Peters, PhD, RN, FAAN. Sigma Theta Tau International, Lambda Chapter-Funded for $2000.00. Principal Investigator." @default.
• W1583534249 created "2016-06-24" @default.
• W1583534249 creator A5060491190 @default.
• W1583534249 date "2013-01-01" @default.
• W1583534249 modified "2023-09-27" @default.
• W1583534249 title "The experience of self-managing perceived blood pressure changes in women with hypertension" @default.
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