Women's tenacity following traumatic brain injury: Qualitative insights

Autor: Kate O'Reilly, Kathleen Peters, Nathan J. Wilson, Cannas Kwok
Rok vydání: 2020
Předmět:
Zdroj: Journal of advanced nursingREFERENCES. 77(4)
ISSN: 1365-2648
Popis: To explore perspectives of Australian women who had sustained a traumatic brain injury to develop a gendered understanding of their experiences.Qualitative findings from a concurrent mixed methods study.Australian women who had sustained a traumatic brain injury participated in conversational interviews. Data were collected from June 2017 - May 2018. Women's narratives were listened to in various ways (AndersonJack, Learning to listen: Interview techniques and analyses, 1991) and analysed using thematic analysis (BraunClark, Thematic analysis, 2016).Two overarching themes Loss-A life once lived and Realigning Self-A new way of being were identified. Women discussed many losses due to injury, loss of income and potential earnings, loss in relationships and loss of identity. These all took time to reconfigure in their lives, as they adjusted to a range of ongoing impairments from the traumatic brain injury.Socially constructed gendered norms continue to at times negatively inform delivery of health care for women following traumatic brain injury. Loss associated with the injury is felt for decades and regardless of time since injury realigning of self, requires remarkable tenacity. Readjustment often continues without end; therefore, individualized health and rehabilitation services must be offered across women's lifespans.There is limited research into women's experiences of traumatic brain injury which suggests experiences will be the same for men and women. This research highlights biological sex differences and socialized gendered roles are important factors to consider for women following traumatic brain injury. Differences are influenced by sociocultural factors and they relate to sexual and reproductive health and gendered roles such as caring for children, caring for ageing parents, employment and projected earnings. These findings should be used to inform the development of individualized health and rehabilitation services which women in this study have identified and must be offered across their lifespans.目的: 探讨澳大利亚女性遭受创伤性脑损伤的观点, 并逐步理解其经历。 设计: 同时展开混合方法研究, 获得定性调查结果。 方法: 本次访谈对象为遭受创伤性脑损伤的澳大利亚女性。数据收集时间为2017年6月至2018年5月。通过多种方式倾听女性叙述 (AndersonJack, 《学会倾听: 访谈技巧与分析》, 1991年) , 并采用主题分析法 (BraunClark, 《主题分析》, 2016年) 。 结果: 目前, 已确定两个关键主题, 即《损失--曾经的生活, 重新调整自我》和《损失--一种新的存在方式》。女性就因伤害、收入和潜在收益减少、人际关系损伤和身份丢失而造成的多项损失展开讨论。生活中, 她们需要一定的时间来重新重置, 原因在于, 其已适应创伤性脑损伤带来的一系列持续损伤。 结论: 部分情况下, 社会建构的性别规范可能对遭受创伤性脑损伤的女性产生持续性负面影响, 不利于为其提供保健服务。此类伤害造成的损失可能会持续数十年, 无需对具体时间进行衡量, 原因在于, 面对伤害, 人们需要自我调整, 需要高度坚韧。应不断调整; 因此, 必须在女性的整个生命周期内提供个性化的保健和康复服务。 影响: 目前, 针对女性创伤性脑损伤经历的研究有限, 表明男性和女性的经历相同。本研究强调, 生物学层面的性别差异和社会化性别角色是女性遭受创伤性脑损伤后需考虑的重要因素。此类差异受到社会文化因素的影响, 同样与性健康、生殖健康和性别角色相关, 例如抚养儿童、赡养年迈父母、就业和预期收入等。此类调查结果应适用于本研究中女性个性化健康和康复服务, 并且, 此类服务必须在其整个生命周期内提供。.
Databáze: OpenAIRE
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