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1

Shaughnessy, Molly J. "Integrative Literature Review on Shame." Nursing Science Quarterly 31, no. 1 (December 13, 2017): 86–94. http://dx.doi.org/10.1177/0894318417741120.

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Shame is a universal living experience that is just beginning to be explored within the discipline of nursing. Development of a broad understanding of shame is needed to aid nurse researchers in clarifying this phenomenon from a nursing perspective. Pursuant to this goal, the author in this article reviews the extant literature on shame from the disciplines of nursing, psychology, sociology, philosophy, and theology. Three themes that emerged from the scholarly literature were (a) shame propels miring in paralysis, (b) shame captures the illusionary seen-unseen, and (c) shame permeates the struggle for identity.
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2

Jaeb, Michael A. "Concept analysis of shame in nursing." International Journal of Mental Health Nursing 31, no. 2 (November 9, 2021): 295–304. http://dx.doi.org/10.1111/inm.12948.

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3

Bunkers, Sandra Schmidt. "Shame on You." Nursing Science Quarterly 31, no. 2 (March 23, 2018): 109–10. http://dx.doi.org/10.1177/0894318418755737.

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The following story is an introduction to an interesting exploration of the concept of shame, providing new insights into this important notion through the humanbecoming theoretical process of concept inventing.
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4

Bunkers, Sandra Schmidt. "Faces of Shame." Nursing Science Quarterly 31, no. 3 (June 19, 2018): 215–19. http://dx.doi.org/10.1177/0894318418774928.

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The author in this article explores the humanbecoming dignity tenet of shame. Shame is examined through an extensive literature review, through storytelling, and through surveying humanbecoming inquiries of sadness, feeling fear, feeling overwhelmed, and feeling disrespected.
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5

Carroll, Karen. "Shaming: Considerations for Practice." Nursing Science Quarterly 34, no. 2 (March 22, 2021): 130–31. http://dx.doi.org/10.1177/0894318420987183.

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Feeling ashamed frequently arises with the experience of being shamed by others. In the initial thoughts put forth in this article and the article that follows, considerations to the feelings of shame arising with the shaming are explored within the context of persons who have experienced sexual violence. This provides insights for nursing practice based on a nursing theoretical perspective.
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6

Murphy, Rachel, Belinda Harris, and Katharine Wakelin. "Too shamed to tell: the impact of shame on illness disclosure in women living with inflammatory bowel disease." Gastrointestinal Nursing 20, no. 5 (June 2, 2022): 42–48. http://dx.doi.org/10.12968/gasn.2022.20.5.42.

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Background: Living with an invisible disease of the bowel, such as inflammatory bowel disease (IBD), can evoke the psychologically difficult emotion of shame, which can in turn impact illness disclosure decisions. Aim: This Interpretative Phenomenological Analysis (IPA) study explored the link between shame and illness disclosure decisions. Findings: All 16 female participants experienced psychologically difficult emotions, with shame being predominant. This shame originated in the social stigma surrounding the specific nature of an illness of the bowel. Additionally, participants expressed their complex relationship with illness disclosure, which highlighted the influencing factor of shame. Methods: This IPA study was conducted under a humanistic, feminist theoretical framework and from a social constructivist standpoint. Conclusion: The experience of shame by women with IBD heavily influences their illness disclosure choices. The question that now requires exploration is how shame impacts illness disclosure in healthcare settings.
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7

Yancey, Nan Russell. "Shame in Teaching-Learning: A Humanbecoming Perspective." Nursing Science Quarterly 34, no. 2 (March 22, 2021): 125–29. http://dx.doi.org/10.1177/0894318421993171.

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In a discussion on the phenomenon of shame, intriguing questions are raised for consideration by teachers of nursing. Raising concerns about the perceived emergence of societal norms that seem to encourage the shaming of others along with technology and social media platforms that enable public shaming brings one to ponder the meaning of shame in the sciencing and art of teaching-learning in nursing, especially in an era of virtual learning. From the unique perspective of humanbecoming, reflections on selected stories of the student experience of shame give rise to several suggestions for faculty to be with students in moving beyond moments of potential shame in the unfolding of new possibilities. These stories and suggestions are offered to nurse faculty and academic administrators for continuing discussion and as an opportunity for shared learning.
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8

Nosek, Marcianna, Holly Powell Kennedy, and Maria Gudmundsdottir. "Silence, Stigma, and Shame." Advances in Nursing Science 33, no. 3 (2010): E24—E36. http://dx.doi.org/10.1097/ans.0b013e3181eb41e8.

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9

Dossey, Larry. "Shame." EXPLORE 1, no. 2 (March 2005): 75–81. http://dx.doi.org/10.1016/j.explore.2004.12.001.

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10

Grainger, Ruth Dailey. "Guilt and Shame." AJN, American Journal of Nursing 91, no. 6 (June 1991): 12. http://dx.doi.org/10.1097/00000446-199106000-00006.

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11

Milton, Constance L. "Shame: Ethical Considerations During the Pandemic." Nursing Science Quarterly 34, no. 2 (March 22, 2021): 123–24. http://dx.doi.org/10.1177/0894318420987178.

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The concept of shame and shaming has been prevalent in the healthcare literature and on social media platforms during the pandemic. There are innumerable ethical implications for the discipline of nursing to consider as the concept of shaming oneself and others is evident in healthcare situations. Shame is an enduring truth found in the humanbecoming ethos of human dignity. This article begins an analysis and discussion of the straight-thinking implications of shame and shaming others while desiring to honor others with human dignity as they traverse the chaotic healthcare system.
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12

Cummings, Jeanne, and Steven L. Baumann. "Understanding Shame as an Obstacle: Toward a Global Perspective." Nursing Science Quarterly 34, no. 2 (March 22, 2021): 196–201. http://dx.doi.org/10.1177/0894318420987186.

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In this paper, the authors suggest that shame is a barrier to many patients’ willingness to disclose their history of trauma to nurses and other members of the healthcare team and that the clinicians participate in this withholding of information because of their experience of vicarious shame. The authors propose that shame and vicarious shame reduce the accuracy of assessment, limit the nurse–patient relationship, and reduce the ability of the healthcare teams to accurately diagnose and treat patients. Shame as a barrier to trauma assessment is also considered in light of the Roy adaptation model and from a global perspective. Implications for education, research, and nursing practice are discussed.
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13

Morrow, Mary R. "Shaming or Courage? A Scholarly Examination of a Press Release." Nursing Science Quarterly 34, no. 2 (March 22, 2021): 135–38. http://dx.doi.org/10.1177/0894318420987162.

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Shame is an ethical tenet of the humanbecoming ethos, dignity. While shame is a difficult concept to discuss, it is used by some disciplines to transform society. Shaming has become the norm in 2020 society with the advent of social media. A recent press release noted that nursing is complicit with racism if they do not speak up against it. The press release is examined using Milton’s straight talk of nursing ethics and Parse’s leading-following model to determine if shaming was used to transform nursing related to racism or if it was a nurse leader’s act of courage.
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14

Teets, Raymond Y. "Concerning shame." EXPLORE 1, no. 5 (September 2005): 330. http://dx.doi.org/10.1016/j.explore.2005.07.003.

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15

Bond, Mary Ellen. "Exposing Shame and Its Effect on Clinical Nursing Education." Journal of Nursing Education 48, no. 3 (March 1, 2009): 132–40. http://dx.doi.org/10.3928/01484834-20090301-02.

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16

TSUJI, Keiko, Naomi IWATA, Miwa SIMOJO, Tomoko HAGIWARA, Youko SASAKI, Yoshie NAGATA, Maki MATSUMOTO, and Hiromi KODAMA. "Nursing Care Students’ Image of Shame −Comparison Between First and Second Year Nursing Students−." Journal of UOEH 41, no. 2 (June 1, 2019): 203–9. http://dx.doi.org/10.7888/juoeh.41.203.

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17

Sowell, Richard L. "Stories of Violence and Shame." Journal of the Association of Nurses in AIDS Care 10, no. 4 (July 1999): 15–16. http://dx.doi.org/10.1016/s1055-3290(06)60307-5.

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18

Alanizi, Amal W. "The Humanbecoming Concept Inventing Model: Feeling Ashamed." Nursing Science Quarterly 34, no. 2 (March 22, 2021): 178–82. http://dx.doi.org/10.1177/0894318420987167.

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The scholar in this paper presents a concept inventing model of feeling ashamed. It consists of a literature review across many disciplines, an exploration of many artforms, dialoguing with others, and a distinctive description of feeling ashamed. With the humanbecoming concept inventing model, the scholar explored shame and created a novel idea that could develop approaches in the advancement of nursing knowledge. This exploration advances nursing knowledge within the humanbecoming paradigm. With the use of humanbecoming concept inventing model, the now-truth of feeling ashamed for the scholar was raised as unbearable stillness with desired escape arising with isolating affiliations. The ingenuous proclamation as a theoretical statement was communicated in the humanbecoming sciencing language as languaging the powering of connecting-separating with the artform of Shame by Rosa Gunasingha.
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19

Tingle, John. "Clinical negligence and the blame, name, shame game." British Journal of Nursing 31, no. 4 (February 24, 2022): 254–55. http://dx.doi.org/10.12968/bjon.2022.31.4.254.

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20

Crosson, Barbara Dritz. "THE HIDDEN SHAME." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 3, no. 1 (January 1985): 11–14. http://dx.doi.org/10.1097/00004045-198501000-00006.

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21

BANDY, DARLENE C. "Itʼs a shame." Nursing 27, no. 8 (August 1997): 6. http://dx.doi.org/10.1097/00152193-199708000-00001.

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22

Gardner, Carol Brooks, and William P. Gronfein. "Reflections on Varieties of Shame Induction, Shame Management, and Shame Avoidance in Some Works of Erving Goffman." Symbolic Interaction 28, no. 2 (May 2005): 175–82. http://dx.doi.org/10.1525/si.2005.28.2.175.

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23

Clement, Jeanne A. "No More Secrets, No More Shame." Journal of Psychosocial Nursing and Mental Health Services 30, no. 1 (January 1992): 39. http://dx.doi.org/10.3928/0279-3695-19920101-11.

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24

Zuzelo, Patti Rager. "Smokersʼ Guilt and Shame." Holistic Nursing Practice 31, no. 5 (2017): 353–55. http://dx.doi.org/10.1097/hnp.0000000000000230.

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25

Kaya, Nurten, Türkinaz Aştı, Nuray Turan, Burcu Karabay, and Emrullah Emir. "The feelings of guilt and shame experienced by Nursing and Midwifery students." Nurse Education Today 32, no. 6 (August 2012): 630–35. http://dx.doi.org/10.1016/j.nedt.2011.08.011.

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26

Colosimo, Rosann, and Yu Xu. "Research on Shame: Implications for English as a Second Language Nursing Students." Home Health Care Management & Practice 19, no. 1 (December 2006): 72–75. http://dx.doi.org/10.1177/1084822306292226.

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27

Ungvarski, Peter J. "It???s a Shame." Home Healthcare Nurse 18, no. 9 (October 2000): 595. http://dx.doi.org/10.1097/00004045-200010000-00011.

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28

Hegge, Margaret, and Sandra Schmidt Bunkers. "Living Human Dignity: A Nightingale Legacy." Nursing Science Quarterly 30, no. 4 (September 21, 2017): 291–95. http://dx.doi.org/10.1177/0894318417724465.

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The authors in this article present the humanbecoming ethical tenets of human dignity: reverence, awe, betrayal, and shame. These four ethical tenets of human dignity are examined from a historical perspective, exploring how Rosemarie Rizzo Parse has conceptualized these ethical tenets with added descriptions from other scholars, and how Florence Nightingale lived human dignity as the founder of modern nursing.
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29

Khalaf, Atika, Vanja Berggren, and Albert Westergren. "Caring for Undernourished Patients in an Orthopaedic Setting." Nursing Ethics 16, no. 1 (January 2009): 5–18. http://dx.doi.org/10.1177/0969733008097986.

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This study elucidates the nursing of undernourished patients as experienced by eight registered clinical nurses and five nursing assistants by using content analysis. The participants' narratives describe the inner perspective of caring for undernourished patients, known in Sweden as `the thin ones'. Categories identified were: frustration in nursing, joy in nursing and that undernourishment is taboo. The taboo was narrated as feelings of guilt and shame. Frustration in nursing could be seen as feeling stressed, exposed, lonely, powerless, helpless, and being torn between demands and needs. Joy in nursing was experienced when creating a trusting relationship, promoting pleasure in the meal situation and working with respect for each individual's life-style and context of life. Understanding staff members' views is important when implementing guidelines as well as in the teaching situation in order to identify where staff stand with regard to knowledge and attitudes.
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30

Arthur Burton, Laurel. "Respect: Response to shame in health care." Journal of Religion & Health 30, no. 2 (1991): 139–48. http://dx.doi.org/10.1007/bf00988703.

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31

Wang, Lang, Dan Wu, Shufang Wu, Ya Liu, Xiaoxi Tan, Yun Liu, Ziyuan Wu, Qian Wang, and Xiachan He. "The Effect of Narrative Nursing Intervention on Shame in Elderly Patients with Bladder Cancer after Ileal Bladder Replacement: A Cohort Study." Computational and Mathematical Methods in Medicine 2022 (June 30, 2022): 1–9. http://dx.doi.org/10.1155/2022/4299919.

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Background. The standard treatment for bladder cancer (BC) is transurethral resection (TURBt), intravesical chemotherapy, and regular follow-up cystoscopy after surgery. However, some patients experience relapse or progression. Narrative care refers to a nursing model in which nurses put themselves into the patient’s position through communication and listening, thereby alleviating the patient’s negative emotions. This study analyzed narrative nursing interventions in elderly patients with BC after vesicoileal replacement. Objective. To explore the positive stimulating effect of narrative nursing intervention on the sense of shame in elderly patients with bladder cancer (BC) after ileal bladder replacement. Methods. A total of 60 elderly patients with BC who went through ileal replacement of the bladder from February 2019 to April 2021 in our hospital were enrolled. The patients were divided into the control group and the study group by the arbitrary number table method. The former group received routine care, and the latter group received a narrative nursing intervention model. The nursing satisfaction, stigma score, self-care ability score, SAS score, SDS score, and quality of life score were compared. Results. First, we compared the nursing satisfaction. In the research group, 23 cases were very satisfied, 6 cases were satisfied, and 1 case was normal, and the satisfaction rate was 100.00%. In the control group, 13 cases were very satisfied, 8 cases were satisfied, 4 cases were general, and 5 cases were dissatisfied, with a satisfaction rate of 83.33%. The nursing satisfaction of the research group was significantly higher compared to that of the control group ( P < 0.05 ). Secondly, we compared the stigma scores. The stigma scores of the study group at the time of discharge, 1 month, 3 months, and 6 months after discharge were lower compared to those of the control group ( P < 0.05 ). In terms of the scores of self-care ability, the total scores of self-concept, self-care responsibility, self-care knowledge, self-care skills, and self-care ability of the research group were higher compared to those of the control group ( P < 0.05 ). With regard to SAS scores, before nursing, there was no significant difference exhibited ( P > 0.05 ). After nursing, the patient’s SAS score decreased. Compared with the two groups, the SAS scores of the study group at discharge, 1 month, 3 months, and 6 months after discharge were all lower ( P < 0.05 ). In terms of SDS score, there was no significant difference before nursing ( P > 0.05 ). After nursing, the SDS scores of patients decreased. Compared between the two groups, the SDS scores of the study group at the time of discharge, 1 month, 3 months, and 6 months after discharge were lower ( P < 0.05 ). Finally, we compared the life quality scores. Before nursing, there was no significant difference exhibited ( P > 0.05 ). After nursing, the scores of life quality of patients improved. Compared with the two groups, the physical function, psychological function, social function, and healthy self-cognition scores of the research group were all lower compared to those of the control group ( P < 0.05 ). Conclusion. Narrative nursing can reduce anxiety and depression in elderly patients with BC after ileal replacement of the bladder, enhance the quality of life, reduce the patient’s stigma, and play a positive motivating role. This nursing model is worthy of promotion in clinic.
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32

Duffy, Lynne. "Suffering, shame, and silence: The stigma of HIV/AIDS." Journal of the Association of Nurses in AIDS Care 16, no. 1 (January 2005): 13–20. http://dx.doi.org/10.1016/j.jana.2004.11.002.

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33

Scheff, Thomas J. "Shame in Self and Society." Symbolic Interaction 26, no. 2 (May 2003): 239–62. http://dx.doi.org/10.1525/si.2003.26.2.239.

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34

&NA;. "PUTTING A STOP TO SHAME." Nursing 27, no. 4 (April 1997): 46–47. http://dx.doi.org/10.1097/00152193-199704000-00023.

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35

Jin, Xiaohong, Xiaoman Liu, Huiwen Xie, Jie Yu, and Dongmei Gu. "Effect of Narrative Nursing on Family Resilience and Psychosocial Adaptation of Middle-Aged Patients with Breast Cancer." Evidence-Based Complementary and Alternative Medicine 2022 (September 13, 2022): 1–5. http://dx.doi.org/10.1155/2022/5499298.

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Patients with breast cancer frequently experience psychological distress. This study aimed to investigate the effect of narrative nursing on middle-aged patients with breast cancer. In all, 82 patients with breast cancer admitted to the Affiliated Hospital of Nantong University were divided into two groups, namely, the observation group and the control group, by simple random sampling, with 41 cases in each group. The patients in both groups were treated with breast cancer surgery. Additionally, the control group received routine nursing, whereas the observation group received narrative nursing based on the control group. After 8 weeks of nursing, the SAS (self-rating anxiety scale) and SDS (self-rating depression scale) scores in the observation group were lower than those in the control group ( P < 0.01 ). At the same time, the result of family hardiness showed that the patients with narrative nursing performed better in commitment, challenge, and control ( P < 0.01 ). In conclusion, narrative nursing can alleviate the postoperative shame and negative emotions of patients with breast cancer and improve their quality of life.
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36

Merritt, Patti. "Guilt and Shame in Recovering Addicts: A Personal Account." Journal of Psychosocial Nursing and Mental Health Services 35, no. 7 (July 1997): 46–49. http://dx.doi.org/10.3928/0279-3695-19970701-24.

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37

Andershed, Birgitta, and Carina Werkander Harstäde. "Next of kin’s feelings of guilt and shame in end-of-life care." Contemporary Nurse 27, no. 1 (December 2007): 61–72. http://dx.doi.org/10.5172/conu.2007.27.1.61.

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38

Kim, Hae Won. "Factors Associated with Human Papillomavirus related Stigma, Shame, and Intent of HPV Test." Journal of Korean Academy of Nursing 42, no. 2 (2012): 217. http://dx.doi.org/10.4040/jkan.2012.42.2.217.

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39

Adams, Mary. "Motherhood: A Discrepancy Theory." Research and Theory for Nursing Practice 29, no. 2 (2015): 143–57. http://dx.doi.org/10.1891/1541-6577.29.2.143.

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Motherhood is a highly anticipated and positive event for most women. Society has constructed many ideal images of motherhood, giving women standards to live up to, and many times setting them up for disappointment. When this disappointment occurs, an emotional reaction follows, which may be fear, guilt, or shame. However, some women are able to experience this mismatch between an ideal and actual self and adapt with minimal emotional reaction. There was not a nursing theory that described this phenomenon. “Self-Discrepancy: A Theory Relating Self and Affect” (Higgins, 1987), from the psychology discipline provided concepts and definitions that could be used to derive a nursing theory. The derivation resulted in a testable mid-range theory that could have a significant impact on nursing interventions for postpartum mood disorders.
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40

Wertheim, Reut, Ilanit Hasson-Ohayon, Michal Mashiach-Eizenberg, Noam Pizem, Einat Shacham-Shmueli, and Gil Goldzweig. "Hide and “sick”: Self-concealment, shame and distress in the setting of psycho-oncology." Palliative and Supportive Care 16, no. 4 (June 21, 2017): 461–69. http://dx.doi.org/10.1017/s1478951517000499.

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ABSTRACTObjective:Both trait and contextual self-concealment, as well as shame- and guilt-proneness, have previously been found to be associated with psychological distress. However, findings regarding the associations between these variables among patients with cancer and among the spouses of patients with cancer are limited. The aim of the current study was therefore to investigate the relationship between shame-proneness and psychological distress (anxiety and depression) by examining the mediating role of both trait and contextual self-concealment among patients with cancer and among the spouses of patients with cancer.Method:The current study was part of a large-scale cross-sectional study on self-concealment among patients with cancer and spouses of patients with cancer. It was based on two independent subsamples: patients with cancer and spouses of patients with cancer,who were not dyads. A total of 80 patients with cancer and 80 spouses of (other) patients with cancer completed questionnaires assessing shame- and guilt-proneness, trait and contextual self-concealment, anxiety, and depression.Results:Results indicate that spouses reported both greater shame-proneness and anxiety than did patients (main effect of role). Female participants reported greater shame-proneness, higher levels of contextual self-concealment, and greater depression and anxiety than did male participants (main effect of gender). No group differences (role/gender) were found for guilt-proneness and trait self-concealment. Trait and contextual self-concealment partially mediated the relationship between shame-proneness and distress, pointing out the need to further examine additional mediators.Significance of results:Findings suggest that contextual self-concealment and shame-proneness are important variables to consider when assessing distress in the setting of psycho-oncology. Study results may have significant clinical implications regarding the need to identify patients and spouses who are more prone to shame and self-concealment behavior in order to better tailor interventions for them.
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Mantzoukas, Stefanos, Stiliani Kotrotsiou, Manolis Mentis, Athina Paschou, Epaminondas Diamantopoulos, Evangelia Kotrotsiou, and Mary Gouva. "Exploring the Impact of Shame on Health‐Related Quality of Life in Older Individuals." Journal of Nursing Scholarship 53, no. 4 (April 19, 2021): 439–48. http://dx.doi.org/10.1111/jnu.12663.

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42

Satterly, Lamont. "Guilt, Shame, and Religious and Spiritual Pain." Holistic Nursing Practice 15, no. 2 (January 2001): 30–39. http://dx.doi.org/10.1097/00004650-200101000-00006.

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43

Parse, Rosemarie Rizzo. "Dignity: The Ethos of Humanbecoming." Nursing Science Quarterly 31, no. 3 (June 19, 2018): 259–62. http://dx.doi.org/10.1177/0894318418774919.

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The purpose of this paper is to elaborate the ethos of humanbecoming with the core knowings of living quality. This requires describing in more detail the tenets of dignity—reverence, awe, betrayal, and shame—and specifying the tenets further with the newknowings arising from the humanbecoming hermeneutic sciencing of Lives of Others. The author introduces the newly conceptualized paradoxes, revering-betraying and aweing-shaming.
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Milton, Constance L. "Ethical Significance of Being Present With Others During the Pandemic Era." Nursing Science Quarterly 34, no. 1 (December 21, 2020): 20–22. http://dx.doi.org/10.1177/0894318420965213.

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Human presence with others is vital in the healthcare experience for those who are giving and receiving services, especially during the upheaval unfolding concurrently with a pandemic. The author wishes to explore the notion of telepresence, uniquely defined as a potential living quality priority for those experiencing hospitalization and/or isolation from others. The ethical implications will be undergirded utilizing the humanbecoming enduring truths of reverence, betrayal, awe, and shame.
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Jerpseth, Heidi, Ingrid R. Knutsen, Kari T. Jensen, and Kristin Halvorsen. "Mirror of shame: Patients experiences of late‐stage COPD. A qualitative study." Journal of Clinical Nursing 30, no. 19-20 (May 2021): 2854–62. http://dx.doi.org/10.1111/jocn.15792.

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46

Scheff, Thomas. "Goffman on Emotions: The Pride-Shame System." Symbolic Interaction 37, no. 1 (December 17, 2013): 108–21. http://dx.doi.org/10.1002/symb.86.

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47

Ehrmin, Joanne T. "Unresolved Feelings of Guilt and Shame in the Maternal Role With Substance-Dependent African American Women." Journal of Nursing Scholarship 33, no. 1 (March 2001): 47–52. http://dx.doi.org/10.1111/j.1547-5069.2001.00047.x.

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48

Wilkins, Brittany. "Review of Tragic redemption: Healing the guilt and shame." Traumatology 14, no. 1 (March 2008): 149. http://dx.doi.org/10.1037/h0099818.

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49

Im, Sook-Bin, Steven L. Baumann, Mina Ahn, Hyunok Kim, Bock-Hui Youn, MinKyoung Park, and Ok-Ja Lee. "The Experience of Korean Nurses During the Middle East Respiratory Syndrome Outbreak." Nursing Science Quarterly 31, no. 1 (December 13, 2017): 72–76. http://dx.doi.org/10.1177/0894318417741119.

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The authors in this article explore the experiences of eight South Korean nurses during an outbreak of the Middle East Respiratory Syndrome (MERS), which took place in the fall of 2015. These nurses were mandated to remain in isolation in an intensive care unit (ICU) dedicated to the treatment of the patients with the MERS virus for 7 days. Parse’s humanbecoming theory was used to frame the discussion. Three themes found in the nurse’s stories are discussed: feeling hopeless and cut off, feeling shame and overworked, and feeling pride in fulfilling a duty. The nurses discuss how they overcame the difficulties of their situation, which ultimately reinforced their identities as nurses.
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Ridley, Pamela J. "Kaufman's Theory of Shame and Identity in Treating Childhood Sexual Abuse in Adults." Journal of Psychosocial Nursing and Mental Health Services 31, no. 6 (June 1993): 13–17. http://dx.doi.org/10.3928/0279-3695-19930601-11.

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