The processes that the mothers of stillborn babies experience represent transformations that involve engagement with cultural expectations for woman. The authors suggest that these cultural impacts should be incorporated into nursing assessment and treatment practices.
Culturally bound taboos against talking about death, participating in death-related events, and expressing grief in public affect the adaptation and grieving processes of Taiwanese women who have had a stillbirth. Nurses should, therefore, make an effort to listen to the perspectives of such patients in order to assist them with coming to terms with their loss. As part of their education, nurses require information on cultural beliefs so that they can provide appropriate care to grieving mothers.
The SARS outbreak adversely affected seizure control because of AED withdrawal. Patients with polytherapy, non-seizure free and symptomatic etiologies were more susceptible to recurrence of seizures after AED withdrawal.
Using reanalyzed data from ethnographic research performed in Taiwan during the 1990s, the authors inspect Taiwanese cultural patterns as they affect adaptation to loss in the form of death. The data include participant observations and the narratives of 52 widows and 30 of their children. An analysis of interview transcripts suggests that the most common form of return to a harmony house among the participants was achieving a sense of reconnection with the deceased. According to the narratives, the Taiwanese concept of reconnection entails (a) maintaining the status quo, (b) restoring images of the deceased in family affairs, and (c) communicating with the dead. Each theme represents the efforts of bereaved families to retain a sense of wholeness (a central Chinese goal) and to preserve symbolic images of fathers and husbands. The authors suggest that reconnection is a culturally specific and accepted means of resolving grief among Taiwanese.
The moral distress model was used in this study to facilitate the development of future nursing theories. On the basis of our findings, we suggested that nursing students be encouraged to use case studies to establish proper moral values, improve moral cognition and judgment capabilities, and promote moral actions to better handle the regular pressures of moral distress in future clinical or workplace settings. Moreover, a better understanding of moral distress may help retain staff nurses.
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