The article focuses on Hmong American women living with diabetes and aims at how to better provide care for them using the nursing theory praxis. The study shows the importance of expanding health consciousness and engaging people to pinpoint meaningful patterns and necessary actions to be taken.
The researcher places the study’s worth in the importance of viewing health in a unitary context. This way, interconnections among physical, mental, and spiritual dimensions are taken into account in the case in Hmong women living in the U.S. to help understand their significantly higher sugar levels compared to those living in Thailand. The rate of diabetes among Hmong women in the U.S. is a major concern. It is 20 times higher the rate of Hmong women living in Thailand. The concern is also addressed in other research work such as one covered by the Minnesota Department of Health. There is a comprehensive literature review with Margaret Newman’s theory of health as expanding consciousness being the main highlight.
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Data were collected and analyzed using Newman’s hermeneutic-dialectic method focused on meaning and focuses on comprehension through interpretation, and dialectic reasoning to enable different perspectives to manifest providing insight into the pattern of the whole. A unitary theory-driven research methodology is used. In data collection, participants were sourced from an urban community clinic and an in-home interview conducted. This type of data collection has been done before. This type of data collection served the research effectively.
No clear biases were established in the study. There is no evidence presented in the article to suggest that the study was approved by an ethics committee. In the main findings, the study showed that when nurses participate in a conversation with their patients about what is important in their lives, the setting of disease processes becomes more clear, and new ways to gain health. The conclusion and recommendations were clear, well-argued and grounded on theory. The study also acknowledged its limitations. Most aspects of the study were successful and obtained apart from its very small sample size. The study’s application to practice suggests nurses be more engaged in dialogue with patients about what is meaningful in their lives.
