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Papers by Carole A Winston

Research paper thumbnail of Teaching North, Teaching South: Differences that Make a Difference

. Issues confronted include student expectations/instructor expectations; instructor's presentati... more . Issues confronted include student expectations/instructor expectations; instructor's presentation (e.g., style of dress, speech pattern and temp; interpersonal communication style); myths and half-truths about "Southern hospitality" and "Northern rudeness."

Research paper thumbnail of African American Grandmothers Parenting Grandchildren Orphaned by AIDS: Grieving and Coping with Loss

Illness, Crisis, & Loss, 2003

... Carole A. Winston University of North Carolina at Charlotte ... While some scholars have disc... more ... Carole A. Winston University of North Carolina at Charlotte ... While some scholars have discounted the possibility of the retention of any element of African cul-ture among people of African descent in the United States (Elkins 1976; Frazier 1939; Moynihan 1965), it is also widely ...

Research paper thumbnail of Overcoming Barriers to Access and Utilization of Hospice and Palliative Care Services in African-American Communities

Omega Journal of Death and Dying, Feb 1, 2005

While there is ample evidence to support the need for hospice and palliative care services for Af... more While there is ample evidence to support the need for hospice and palliative care services for African Americans, only 8% of patients who utilize those services are from African-American communities. The underutilization of end-of-life and palliative care can be attributed to several barriers to service access including incompatibility between hospice philosophy and African-American religious, spiritual, and cultural beliefs; health care disparities; distrust of the medical establishment; physician influence; financial disincentives, and hospice admission criteria. Suggestions for dismantling barriers to care access include developing culturally competent professionals in the health and human services, expanding the philosophy of hospice to include spiritual advisors from client communities, and funding national initiatives to promote improved access to health care at all stages in the life cycle of members of all underserved communities.

Research paper thumbnail of African American grandmothers parenting AIDS orphans: Concomitant grief and loss

American Journal of Orthopsychiatry, 2003

Research paper thumbnail of Overcoming Barriers to Access and Utilization of Hospice and Palliative Care Services in African-American Communities

OMEGA: The Journal of Death and Dying, 2005

While there is ample evidence to support the need for hospice and palliative care services for Af... more While there is ample evidence to support the need for hospice and palliative care services for African Americans, only 8% of patients who utilize those services are from African-American communities. The underutilization of end-of-life and palliative care can be attributed to several barriers to service access including incompatibility between hospice philosophy and African-American religious, spiritual, and cultural beliefs; health care disparities; distrust of the medical establishment; physician influence; financial disincentives, and hospice admission criteria. Suggestions for dismantling barriers to care access include developing culturally competent professionals in the health and human services, expanding the philosophy of hospice to include spiritual advisors from client communities, and funding national initiatives to promote improved access to health care at all stages in the life cycle of members of all underserved communities.

Research paper thumbnail of African American grandmothers parenting AIDS orphans: Concomitant grief and loss

American Journal of Orthopsychiatry, 2003

Research paper thumbnail of African American Grandmothers Parenting AIDS Orphans: Grieving and Coping

Qualitative Social Work, 2006

Research paper thumbnail of Self-Help for Grandmothers Parenting Again

Journal of Social Distress and The Homeless, 1999

Increasingly, grandmothers are parenting grandchildren in homes where parental presence is sporad... more Increasingly, grandmothers are parenting grandchildren in homes where parental presence is sporadic or nonexistent. A disproportionate percentage of African American grandparents fall in this category. The author reviews the literature on the African American grandmother in the context of the African American family and describes a practice model for service provision to those women who seek support as they “parent again.”

Research paper thumbnail of Teaching North, Teaching South: Differences that Make a Difference

. Issues confronted include student expectations/instructor expectations; instructor's presentati... more . Issues confronted include student expectations/instructor expectations; instructor's presentation (e.g., style of dress, speech pattern and temp; interpersonal communication style); myths and half-truths about "Southern hospitality" and "Northern rudeness."

Research paper thumbnail of African American Grandmothers Parenting Grandchildren Orphaned by AIDS: Grieving and Coping with Loss

Illness, Crisis, & Loss, 2003

... Carole A. Winston University of North Carolina at Charlotte ... While some scholars have disc... more ... Carole A. Winston University of North Carolina at Charlotte ... While some scholars have discounted the possibility of the retention of any element of African cul-ture among people of African descent in the United States (Elkins 1976; Frazier 1939; Moynihan 1965), it is also widely ...

Research paper thumbnail of Overcoming Barriers to Access and Utilization of Hospice and Palliative Care Services in African-American Communities

Omega Journal of Death and Dying, Feb 1, 2005

While there is ample evidence to support the need for hospice and palliative care services for Af... more While there is ample evidence to support the need for hospice and palliative care services for African Americans, only 8% of patients who utilize those services are from African-American communities. The underutilization of end-of-life and palliative care can be attributed to several barriers to service access including incompatibility between hospice philosophy and African-American religious, spiritual, and cultural beliefs; health care disparities; distrust of the medical establishment; physician influence; financial disincentives, and hospice admission criteria. Suggestions for dismantling barriers to care access include developing culturally competent professionals in the health and human services, expanding the philosophy of hospice to include spiritual advisors from client communities, and funding national initiatives to promote improved access to health care at all stages in the life cycle of members of all underserved communities.

Research paper thumbnail of African American grandmothers parenting AIDS orphans: Concomitant grief and loss

American Journal of Orthopsychiatry, 2003

Research paper thumbnail of Overcoming Barriers to Access and Utilization of Hospice and Palliative Care Services in African-American Communities

OMEGA: The Journal of Death and Dying, 2005

While there is ample evidence to support the need for hospice and palliative care services for Af... more While there is ample evidence to support the need for hospice and palliative care services for African Americans, only 8% of patients who utilize those services are from African-American communities. The underutilization of end-of-life and palliative care can be attributed to several barriers to service access including incompatibility between hospice philosophy and African-American religious, spiritual, and cultural beliefs; health care disparities; distrust of the medical establishment; physician influence; financial disincentives, and hospice admission criteria. Suggestions for dismantling barriers to care access include developing culturally competent professionals in the health and human services, expanding the philosophy of hospice to include spiritual advisors from client communities, and funding national initiatives to promote improved access to health care at all stages in the life cycle of members of all underserved communities.

Research paper thumbnail of African American grandmothers parenting AIDS orphans: Concomitant grief and loss

American Journal of Orthopsychiatry, 2003

Research paper thumbnail of African American Grandmothers Parenting AIDS Orphans: Grieving and Coping

Qualitative Social Work, 2006

Research paper thumbnail of Self-Help for Grandmothers Parenting Again

Journal of Social Distress and The Homeless, 1999

Increasingly, grandmothers are parenting grandchildren in homes where parental presence is sporad... more Increasingly, grandmothers are parenting grandchildren in homes where parental presence is sporadic or nonexistent. A disproportionate percentage of African American grandparents fall in this category. The author reviews the literature on the African American grandmother in the context of the African American family and describes a practice model for service provision to those women who seek support as they “parent again.”