Creating empowering meaning: An interactive process of promoting health with chronically ill older Canadians

Health Promotion International

Volumn 12, Issue 2, 1997, Pages 111-123

  McWilliam, Carol L ^a   Stewart, M ^a   Brown, J B ^a   McNair, S ^b   Desai, K ^c   Patterson, M L ^d   Del Maestro, N ^a   Pittman, B J ^a  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

^b St Joseph's Family Medical Centre   (Canada)

^c Oxford County Home Care Program   (Canada)

^d Middlesex London Home Care Program   (Canada)

Author keywords

Chronic illness; Health promotion; Seniors' health

Indexed keywords

AGED; ARTICLE; AWARENESS; CANADA; CHRONIC DISEASE; CLINICAL ARTICLE; DAILY LIFE ACTIVITY; EXPERIENCE; HEALTH CARE DELIVERY; HEALTH PROMOTION; HUMAN; HUMAN RELATION; PRIORITY JOURNAL; PROFESSIONAL PRACTICE;

EID: 0030901831     PISSN: 09574824     EISSN: None     Source Type: Journal    
DOI: 10.1093/heapro/12.2.111     Document Type: Article

References (94)

1. Antonovsky, A. (1985) Health, Stress, and Coping. Jossey-Bass, San Francisco, CA.
2. Benner, P. and Wrubel, J. (1989) The Primacy of Caring: Stress and Coping in Health and Illness, Chapters 1-6. Addison-Wesley, Reading, MA.
3. Benson, L., Nelson, E. C., Napps, S. E., Roberts, E., Kane-Williams, E. and Salisbury, Z. T. (1989) Evaluation of the Staying Healthy After Fifty Educational Program: impact on course participants. Health Education Quarterly, 16, 485-508.
4. Brickman, P., Rabinowitz, V. C., Karuza, J., Jr, Coates, D., Cohn, E. and Kidder, L. (1982) Models of helping and coping. American Psychologist, 37, 368-384.
5. Bruner, J. (1990) Acts of Meaning. Harvard University Press, Cambridge, MA.
6. Carlson, M. B. (1988) Meaning-making: Therapeutic Processes in Adult Development. W.W. Norton, New York.
7. Carpenter, G. I. and Demopoulos, G. R. (1990) British Medical Journal, 300, 1253-1256.
8. Charmaz, K. (1983) Loss of self: a fundamental form of suffering in the chronically ill. Sociology of Health and Illness, 5, 168-195.
9. Clarke, P. (1989) The philosophical foundation of empowerment: implications for geriatric health care programs and practice. Journal of Aging and Health, 1, 267-285.
10. Cohen, S., Mermelstein, R., Kamarck, T. and Hoberman, H. M. (1985) Measuring the functional components of social support. In Sarason, I. and Sarason, R. (eds) Social Support: Theory, Research and Applications. Martinus Nijhoff, Dordrecht, pp. 73-94.
11. Coupland, J. and Coupland, N. (1994) 'Old age doesn't come alone': discursive representations of health-in-aging in geriatric medicine. International Journal of Aging and Human Development, 39, 81-95.
12. Dracup, K. and Meleis, A. (1982) Compliance: an interactionist approach. Nursing Research, 31, 31-36.
13. Dunst, C. J., Trivette, C. M. and Deal, A. G. (1988) Enabling and Empowering Families: Principles and Guidelines for Practice. Brookline Books, Cambridge, MA.
14. Eliade, M. (1968) Heligt och profant. Verbum, Stockholm.
15. Elliott, T. R., Witty, T. E., Herrick, S. and Hoffman, J. T. (1991) Negotiating reality after physical loss: hope, depression, and disability. Journal of Personality and Social Psychology, 61, 608-613.
16. Epp, J. (1986) Achieving Health for All: A Framework for Health Promotion. Health Services and Promotion Branch, Ottawa. Supply and Services H39102/1986F.
17. Erikson, H. (1985) Den Fullbordade Livscykeln. Natur och Kultur, Stockholm.
18. Eriksson, K. (1992) Multidimensional health [Abstract]. International Research Conference of Nursing: Promoting Health, 9-11, 9, London.
19. Freeman, G. K. and Richards, S. C. (1993) Is personal continuity of care compatible with free choice of doctor? Patients' views on seeing the same doctor. British Journal of General Practice, 43, 493-497.
20. Friere, P. (1970) Pedagogy of the Oppressed. Seabury Press, New York.
21. Friere, P. (1973) Education for Critical Consciousness. Seabury Press, New York.
22. Gaut, D. and Boykin, A. (eds) (1994) Caring as Healing: Renewal Through Hope. National League for Nursing Press, New York.
23. Goldfried, M. and Robins, C. (1982) On the facilitation of self-efficacy. Cognitive Therapy and Research, 6, 361-380.
24. Gould, R. L. (1990) The therapeutic learning program. In Mezirow, J. and Associates (eds) Fostering Critical Reflection in Adulthood: A Guide to Transformative and Emancipatory Learning. Jossey-Bass, San Francisco, CA, pp. 134-156.
25. Green, L., Kreuter, M. W., Deeds, S. G. and Partridge, K. B. (1980) Health Education Planning: A Diagnostic Approach. Mayfield, Palo Alto, CA.
26. Grundy, S. (1982) Three models of action research. Curriculum Perspectives, 2, 23-34.
27. Hall, N., Beck, P. D., Johnson, D. et al. (1989) Twenty-one Month Outcomes of a Health Promotion Program for Frail Elders. Paper presented at the 4th International Congress of Gerontology. Acapulco, Mexico.
28. Hauser, M. J. and Feinberg, D. R. (1976) An operational approach to the delayed grief and mourning process. Journal of Psychiatric Nursing, 14, 30.
29. Heller, K., Thompson, M. G., Vlachos-Weber, I., Steffen, A. M. and Trueba, P. E. (1991) Support interventions for older adults: confidante relationships, perceived family support, and meaningful role activity. American Journal of Community Psychology, 19, 139-146.
30. Hendriksen, C., Lund, E. and Stromgard, E. (1984) Consequences of assessment and intervention among elderly people: a 3 year randomized, controlled trial. British Medical Journal, 289, 1522-1524.
31. Higgens, P. (1989) Short term changes in health behaviours of older adults. The Canadian Journal of Nursing Research, 21, 19-32.
32. Jones, P. and Meleis, A. (1993) Health is Empowerment. Advances in Nursing Science, 15, 1-14.
33. Kaplun, A. (ed.) (1992) Health Promotion and Chronic Illness: Discovering a New Quality of Health, WHO European Series, No. 44. World Health Organization Regional Publications, Copenhagen.
34. Katz, R. (1984) Empowerment and synergy: expanding the community's healing resources. Prevention in Human Services, 3, 201-226.
35. Kelly, R. B., Zyzanski, S. J. and Alemango, S. A. (1991) Prediction of motivation and behaviour change following health promotion: role of health beliefs, social support, and self-efficacy. Social Science and Medicine, 32, 311-320.
36. Kickbusch, I. (1992) Enhancing health potential. In Kaplun, A. (ed.) Health Promotion and Chronic Illness, WHO European Series, No. 44. World Health Organization Regional Publications, Copenhagen, pp. 8-10.
37. Kieffer, C. H. (1984) Citizen empowerment: a developmental perspective. In Rappaport, J., Swift, C. and Hess, R. (eds) Studies in Empowerment: Steps Toward Understanding and Action. Haworth, New York, pp. 9-36.
38. Kolbe, L., Iverson, D. C., Kreuter, M. W., Hochbaum, G. and Christensen, G. (1981) Propositions for an alternate and complementary health education paradigm. Health Education, May/June, 24-30.
39. Kubsch, S. and Wichowski, H. (1992) Identification and validation of a new nursing diagnosis: sick role conflict. Nursing Diagnosis, 3, 141-147.
40. Kuzel, A. and Like, P. (1991) Standards of trustworthiness for qualitative studies in primary care. In Norton, P. G. et al. (eds) Primary Care Research, Traditional and Innovative Approaches. Sage, Newbury Park, CA.
41. Langer, E. and Rodin, J. (1976) The effects of enhanced personal responsibility for the aged: a field experiment in an institutional setting. Journal of Personality and Social Psychology, 34, 191-198.
42. Lewin, K. (1952) Group decision and social change. In Swanson, G. E., Newcomb, T. M. and Hartley, E. L. (eds) Reading in Social Psychology, Henry Holt, New York, pp. 459-473.
43. Lieberman, M. A. and Gourash, N. (1979) Evaluating the effects of change groups on the elderly. International Journal of Group Psychology, 29, 283-304.
44. Lincoln, Y. S. and Guba, E. G. (1985) Naturalistic Inquiry. Sage, Beverly Hills, CA.
45. Lord, J. and Hutchison, P. (1993) The process of empowerment: implications for theory and practice. Canadian Journal of Community Mental Health, 12, 5-22.
46. Lord, J. and McKillop-Farlow, D. (1990) A study of personal empowerment: implications for health promotion. Health Promotion, 29, 2-8.
47. Lowenthal, M. F. and Haven, C. (1968) Interaction and adaptation: intimacy as a critical variable. American Sociological Review, 33, 20-30.
48. Malin, N. and Teasdale, K. (1991) Caring versus empowerment: considerations for nursing practice. Journal of Advanced Nursing, 16, 657-662.
49. Maslow, A. (1962) Toward a Psychology of Being. van Nostrand, Princeton, NJ.
50. May, C. (1991) Affective neutrality and involvement in nurse-patient relationships: perceptions of appropriate behaviour among nurses in acute medical and surgical wards. Journal of Advanced Nursing, 16, 552-558.
51. Maynard, M. (1990) Two groups of elderly residents' health attitudes and behaviours: implications for health promotion. Physical and Occupational Therapy in Geriatrics, 9, 43-54.
52. McWhinney, I. R. (1982) Continuity of care [Editorial]. Journal of Family Practice, 15, 847-848.
53. McWilliam, C. L. (1991) From hospital to home: the elderly's discharge experience. Family Medicine, 24, 457-468.
54. McWilliam, C. L., Brown, J. B., Carmichael, J. L. and Lehman, L. M. (1994) A new perspective on threatened autonomy in elderly persons: the disempowering process, Social Science and Medicine, 38, 327-338.
55. McWilliam, C. L, Del Maestro, N., and Pittman, B. J. (1996a) Creating health through understanding: nurses' experiences in evolving health promotion with chronically ill older persons. Research in Nursing and Health, submitted for publication.
56. McWilliam, C. L., Stewart, M., Brown, J. B., Desai, K. and Coderre, P. (1996b) Creating health with chronic illness. Advances in Nursing Science, 18, 1-15.
57. Mezirow, J. (1991) Transformative Dimensions of Adult Learning. Jossey-Bass, San Francisco, CA.
58. Mezirow, J. and Associates (1991) Fostering Critical Reflection in Adulthood: A Guide to Transformative and Emancipatory Learning. Jossey-Bass, San Francisco, CA.
59. Milinsky, T. (1987) Stagnation and depression in the elderly group client. Journal of Contemporary Social Work, 10, 173-179.
60. Montgomery, C. (1993) Healing Through Communication: The Practice of Caring. Sage, Newbury Park, CA.
61. Mor, V., Granger, C. V. and Sherwood, C. C. (1985) Discharged rehabilitation patients: impact of follow-up surveillance by a friendly visitor. Archives of Physical Medicine Rehabilitation, 64, 346-353.
62. Moss, E. P. (1976) A study of the relationship between group counselling, social activities, and aspects of life adjustment of older, sheltered workshop clients. Dissertation Abstracts International, 37, 979B. [University Microfilms No. 76-19, 038.]
63. Murdoch, G. (1995) Empowerment/disempowerment as experienced by cancer patients and their nurses in relationship. Unpublished Masters Thesis, The University of Western Ontario, London, Ontario.
64. Newman, M. (1986) Health as Expanding Consciousness. C. V. Mosby, St Louis, MO.
65. Parcel, G. and Baranowski, T. (1981) Social learning theory and health education. Health Education, May/June, 14-18.
66. Patton, M. Q. (1990) Qualitative Evaluation and Research Methods, 2nd edn. Sage, Newbury Park, CA.
67. Parsons, T. (1966) The System of Model Societies. Prentice Hall, Englewood Cliffs, NJ.
68. Pender, N. J., Walker, S. N., Sechrist, K. R. and Stromberg, M. F. (1988) Development and testing of the health promotion model, Cardiovascular Nursing, 24, 41-3.
69. Rappaport, J. (1987) Terms of empowerment/exemplars of prevention: toward a theory of community psychology. American Journal of Community Psychology, 15, 121-148.
70. Reiman, D. (1986) Noncaring and caring in the clinical setting: patients' descriptions. Topics in Clinical Nursing, 8, 30-36.
71. Rodin, J. and Langer, E. (1977) Long-term effects of a control-relevant intervention among the institutionalized aged. Journal of Personality and Social Psychology, 35, 897-902.
72. Rogers, C. R. (1961) On Becoming a Person. Houghton Mifflin, Boston, MA.
73. Rogers, C. (1979) Carl Rogers on Personal Power. Delacorte, New York.
74. Rogers, M. (1970) An Introduction to the Theoretical Basis of Nursing. F. A. Davis, Philadelphia, PA.
75. Rook, K. (1991) Facilitating friendship formation in late life: puzzles and challenges. American Journal of Community Psychology, 19, 103-110.
76. Speake, D. L., Cowart, M. E. and Pellet, K. (1989) Health perceptions and lifestyles of the elderly. Research in Nursing and Health, 12, 93-100.
77. Statistics Canada (1983/1984 and 1984/85) Hospital Morbidity. Statistics Canada, Health Care Section, Health Division, Ottawa.
78. Stedman, T. L. (ed.) (1990) Stedman's Medical Dictionary, 26th edn. Williams & Wilkins, Baltimore, MD, p. 305.
79. Surrey, J. (1987) Relationship and Empowerment, Work in Progress, No. 30. Stone Center Working Paper Series, Wellesley, MA.
80. Teague, M. L., Cipriano, R. E. and McGhee, V. L. (1990) Health promotion as a rehabilitation service for people with disabilities. Journal of Rehabilitation, 56, 52-56.
81. Thompson, M. G. and Heller, K. (1990) Facets of support related to well-being: quantitative social isolation and perceived family support in a sample of elderly women. Psychology and Aging, 5, 535-544.
82. Toseland, R., Sherman, E. and Bliven, S. (1981) The comparative effectiveness of two group work approaches for the development of mutual support groups among the elderly. Social Work With Groups, 4, 137-153.
83. Townsend, J., Piper, M., Frank, A. O., Dyer, S., North, W. R. and Meade, T. W. (1988) Reduction in hospital readmission stay of elderly patients by a community-based hospital discharge scheme: a randomised controlled trial. British Medical Journal, 297, 544-547.
84. Van Rossum, E., Frederiks, C. M., Philipsen, H., Portengen, K., Wiskerle, J. and Knipschild, P. (1993) Effects of preventive home visits to elderly people. British Medical Journal, 307, 27-32.
85. Vaux, A. (1991) Let's hang up and try again: lessons learned from a social support intervention. American Journal of Community Psychology, 19, 85-90.
86. Vetter, N. J., Jones, D. A. and Victor, C. R. (1990) Effect of health visitors working with the elderly patients in general practice: a randomised controlled trial. British Medical Journal, 288, 369-372.
87. Weinberger, M., Smith, D. M., Katz, B. P. and Moore, P. S. (1988) The cost effectiveness of post-discharge care: a randomized trial. Medical Care, 26, 1092-1102.
88. Whyte, W. F. (ed.) (1991) Participatory Action Research. Sage, Newbury Park, CA.
89. Wills, T. A. (1991) Comments on Heller, Thompson, Trueba, Hogg, and Vlachos-Weber, 'Peer support telephone dyads for elderly women'. American Journal of Community Psychology, 19, 75-83.
90. World Health Organization (WHO) (1986) Health promotion: a discussion document on the concept and principles [WHO Regional Office for Europe, ICP/HSR 602]. Reprinted in Health Promotion, 1, 73-76.
91. Wynd, C. A. (1990) Analysis of a power theory for health promotion activities. Applied Nursing Research, 3, 118-20.
92. Yalom, I. D. and Vinogradov, S. (1988) Bereavement groups: techniques and themes. International Journal of Group Psychotherapy, 38, 419-446.
93. Zimpfer, D. G. (1987) Groups for the aging: do they work? Journal for Specialists in Group Work, 12, 85-92.
94. Zgliczynski, S. M. (1982) Multimodal behaviour therapy with groups of aged. Small Group Behaviour, 13, 53-62.