Concept and process of attaining and maintaining health for a selected Vietnamese immigrant population
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Louise Dean-Kelly, RN, DNS, MS, BS, FNP
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Nursing theorists have proposed that health is a concept central to nursing, yet the concept is surrounded by confusion and ambiguity because the word has had varying interpretations applied to it over time by both professionals and the lay public. A limited number of studies have been done to determine what professional's and lay persons' believe about health and how important it is to them. While Leininger (1985) has noted that health is both culturally defined and expressed, only a few studies have attempted to determine what difference a person's cultural background might have on his or her interpretation of health. The purpose of this qualitative study was to investigate the concept of health for a Vietnamese immigrant population and to attempt to determine the processes they employ to attain and maintain health. Participants were adult Vietnamese from Central New York who spent the first fifteen years of their lives in Vietnam and immigrated to the United States within the last year. The interview schedule and consent form were translated, backtranslated for cultural congruency, and administered by the investigator with the assistance of translators. The pilot study allowed the investigator to refine the interview schedule and to instruct and rehearse the translators in their role. The actual study involved 14 semi-structured interviews with participants. The interviews were tape-recorded and English translations transcribed. Transcripts were analyzed by the grounded theory approach. Symbolic interaction provided the theoretical underpinning for the grounded theory approach and Leininger's theory of Cultural Care Diversity and Universality provided the broad framework for the study. "The Routine of Health" emerged as a three level process employed by the informants to attain and maintain health. First level strategies of sleep, exercise, nourishment, and hygiene were identified as essential to attain and maintain health. When informants were not feeling well but had no specific complaints, they employed General and Specific second level strategies to maintain their health. When they experienced specific complaints, such as fever or pain, they employed General or Specific Self-Treatment strategies to regain their health. Informants moved to third level Strategies, Seeking Professional Help, when the strategies employed in levels I and II were not successful in regaining health. This study provides health care providers with specific information about how this population views health and attempts to attain and maintain it. Strategies for assisting the informants in attaining and maintaining their health, and areas of potential concern are identified.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9801468; ProQuest document ID: 304422746. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Grounded Theory |
Research Approach | Qualitative Research |
Keywords | Nursing Theory; Vietnamese Immigrants; Health Routines |
Grantor | The State University of New York at Buffalo |
Advisor | Haughey, Brenda P. |
Level | Doctoral-Other |
Year | 1997 |
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