Paper
Saturday, July 14, 2007
This presentation is part of : Initiatives in Women's Health
"I'm so glad somebody is willing to listen to what older women think." Older women's stories of the power of connection: Implications for evidence-based nursing practice
Maureen T. Beirne Streff, EdD, RN, CS, Center Health Sciences Nursing, Regis College, Weston, MA, USA
Learning Objective #1: examine the fundamental concepts of the Relational-Cultural theoretical framework and the implications for evidence-based nursing practice.
Learning Objective #2: identify the women's perceived levels of mutuality, social support and their expectations of health care providers illustrated in stories.

This presentation will offer first person stories of older women and their experience of the power of connection in the context of relational-cultural theory and its application to evidence-based nursing practice.

These stories are the results of interviews and completion of validated tools assessing the perceived levels of mutuality and social support in two groups of women. The sample of Caucasian American women and African American women included 25 suburban and 25 urban, all within 65-93 years of age. Their stories reflected their life experiences in the context of the Great depression, World War II, the Civil Rights movement and the impact of the women’s movement.

The theoretical framework for the study focused on the early development of the tenets of Relational-Cultural theory based on research of Jean Baker Miller in her publication of "A New Psychology of Women."  Miller, with her colleagues at the Stone Center at Wellesley College, noted in their research at the Women’s Center the importance of relationships and sense of connection as being central to the psychological development of younger women.

The paucity of research focused on the psychological development of women 65 and older necessitated this study. Women are now the majority of the older population in virtually all nations and face different circumstances and challenges than men.  Their levels of education, socio-economic status, and widowhood potentially effect their optimal wellness.

This presentation will explore how these women found satisfaction, pleasure, effectiveness and a sense of worth in their life activities in connection with others. Relational-Cultural theory demonstrates the power of connection. You will hear their expectations of health care providers and the potential implications for the nurse patient relationship.