Lois Magnussen

University of Hawaiʻi at Hilo, Hilo, Hawaii, United States

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Publications (20)8.86 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: In Hawaii, 20% of women have been victims of intimate partner violence (IPV). Although disaggregated data specific to Native Hawaiians or Pilipinos (The official Filipino language recognizes both Filipino (Filipina) and Pilipino (Pilipina) as terms for the citizens of the country. Participants in this study chose to use the terms Pilipino (Pilipina). Retrieved from: www.pilipino-express.com/history-a-culture/in-other-words) are limited, greater than 70% of women murdered in Hawaii as a result of IPV are Pilipino or native Hawaiian. A consortium was formed to assist Native Hawaiian and Pilipino women addressing abuse and strengthening support from the community. A quasi-experimental community-based participatory research study was designed to assess a community "talkstory" intervention for IPV. "Talkstory" refers to informal gatherings considered to be a laid-back conversation involving a "reciprocal exchange of thoughts, ideas, feelings about self, and other issues" (Affonso et al., 1996. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 25, 738). This article describes the development of an intervention to address IPV in Hawaii and presents the findings obtained from the pilot studies. Results from the pilot study were used to modify the proposed "talkstory" intervention, revise the data collection tools, and provide the program developers with insights into how the community viewed IPV. The most significant change was an increased perception of their awareness, knowledge, and confidence to address IPV following the intervention. Copyright © 2014 Elsevier Ltd. All rights reserved.
    Evaluation and Program Planning 12/2014; · 0.90 Impact Factor
  • Jan Shoultz, Lois Magnussen, Mary F. Oneha
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    ABSTRACT: Purposes/Aims The purpose of this community based participatory research (CBPR) intervention is to determine if community owned, community led “talkstory” groups lead to increased awareness of intimate partner Violence (IPV), understanding of the impact of gender role expectations, and increased community leadership to prevent and address IPV. Rationale/Conceptual Basis/ Background Violence between intimate partners results in significant health consequences that are both physical and psychological and impact individuals within households and across communities. In Hawaii murders from IPV are highest among Native Hawaiian and Pilipina women. Funding for IPV has focused on tertiary services from legal, health and social service professionals. Yet in previous studies women did not rely on traditional victim services or health care providers, but sought support and safety from their families, friends and other community members to prevent and intervene early when relationships were difficult. Critical Social Theory (CST) serves as the theoretical framework that guides this gender based intervention. The intent of this theory is to “challenge conventional assumptions and social arrangements and to move beyond the ‘what is’ to the ‘what could be”. The CBPR approach is consistent with CST as it combines research and community capacity-building strategies. Results of the pilot testing will be presented. Methods The quasi experimental intervention includes 5 talkstory sessions over 7 months. Pre and post testing during the pilot intervention was conducted to determine changes in the following measures: 1) Perceptions of the Acceptability of Violence; 2) Awareness, Knowledge, and Confidence regarding IPV; 3) Perception of the Capacity to Address IPV in the Community; and 4) Utilization/Outcomes. The entire intervention will include eight experimental groups (4 for Native Hawaiians and 4 for Pilipinos) and eight control groups matched for age, gender and ethnicity. Results Pilot findings include the following: The twenty participants tended to find violence unacceptable at the beginning and following the intervention. Their perception of their own awareness, knowledge and confidence to address IPV varied between individuals following the intervention. Participants consistently asked for additional training that would include both knowledge and specific skills to use as they conduct additional “talkstory” sessions in their community. Implications Knowledge and confidence among the participants led to identification of leaders who are engaged in further training to conduct the community intervention. Shared leadership for the research is an important element of the CBPR approach. Capacity building and empowerment developed via questioning taken-for-granteds, reflective participatory dialogue, consciousness-raising, and, ultimately, action to redress power imbalances. These changes, while empowering community participants in the research process, also place an obligation on the community partners to take action consistent with the participants’ voices, and to critically reflect on traditional rules, practices, structures, and assumptions which have guided perceptions of IPV and resulting interventions in communities.
    2014 Western Institute of Nursing Annual Communicating Nursing Research Conference; 04/2013
  • Jan Shoultz, Lois Magnussen, Mary F. Oneha
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    ABSTRACT: Purpose/Aims: The aim of this Community Based Participatory Research (CBPR) inquiry was to motivate system engagement and strengthen responsive support for Native Hawaiian and Filipina women and girls to prevent and address abuse in their intimate relationships. A Consortium for Health Safety and Support (CHSS) was formed to serve an identified geographic area on Oahu, Hawaii. Intimate partner violence (IPV) is a complex health and social issue affecting women around the world, yet intervention strategies are based on Western notions of family life. Services do not take into account the unique perspectives of different cultures which may lead to barriers that prevent women from receiving effective care. Annually in the US, IPV is responsible for 40 – 50% of murders of women. An estimated $5.6 billion is spent on health care for more than 2.5 million injuries. The long-term purpose of the CBPR course of research is development of a culturally appropriate, community participatory, and gender focused prevention intervention for IPV. Rationale/ Conceptual Basis/ Background: Critical social theory (CST) is the theoretical framework for this course of research. The intent of CST is to “challenge conventional assumptions and social arrangements.” CBPR is consistent with the perspective of CST. An expected outcome of CBPR is the attainment of new knowledge that guides actions, increases the relevancy of studies, leading to a deeper understanding. Methods: A prior cross sectional, descriptive study collected both qualitative and quantitative data from peoples representing the following cultural groups: Native Hawaiians, Filipinos, Chuukese, and Samoan. Five common themes identified across the four cultural groups included: Living within a Collective; Cultural Protective Factors; Cultural Barriers to Helpseeking; Gender Specific Roles; and Belonging to a Place. The common themes served as the framework for CHSS activities, including the development of a current intervention and a community based strategic action plan. Results: Focus areas from a community health needs assessment completed through the CHSS identified the following strategic action plan to address IPV: a) Community ownership of “talk story” discussion groups to learn about IPV and support or provide places of safety that are gender based and culturally specific to support women and girls; b) Strengthen linkages to build capacity with other coalitions or organizations within the targeted community to further identify natural helpers; c) Identify the need for specialized services; and d) Identify strategic best practices for service providers regarding IPV. Implications: The focus of this presentation is the current intervention to engage community members and community based organizations in creating and owning a system of support for women and girls within the community to prevent and address interpersonal violence. This complex issue which is mediated within families and communities is best addressed with their full participation.
    2013 Western Institute of Nursing Annual Communicating Nursing Research Conference; 04/2012
  • Lois Magnussen, Karol Richardson, Jan Shoultz
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    ABSTRACT: Purpose/Aims: The aim of this Community Based Participatory Research (CBPR) study was to answer, "What are the cultural perceptions, responses and needs of women from selected groups in Hawaii (Chuukese (Micronesian), Ilocano (Filipino), Native Hawaiian, and Samoan) regarding Intimate Partner Violence (IPV)?" The long-term purpose of the research is development of culturally appropriate prevention and interventions for IPV. Rationale/ Conceptual Basis/ Background: Critical social theory (CST) is the theoretical framework for this research. The intent of the theory is to challenge conventional assumptions and social arrangements. CBPR is consistent with the perspective of CST. An expected outcome of CBPR is the attainment of new knowledge that guides actions, increases the relevancy of studies, leading to a deeper understanding. IPV is a complex health and social issue affecting women around the world. Annually in the US, IPV is responsible for 40 50% of murders of women. An estimated $5.6 billion is spent on health care for more than 2.5 million injuries. Unfortunately, Hawaii, a State with a culturally diverse population, frequently has the highest annual national average for DV murders per capita. Differences in cultural perspectives may lead to barriers that prevent women from receiving effective care. Prevention and intervention strategies have traditionally been based on Western notions of family and family life. Methods: This cross sectional, descriptive study collected qualitative and quantitative data from 55 women. Individual interviews were conducted with women who had experienced IPV. Focus groups were conducted with other women from the same cultures who might or might not have experienced IPV. Three tools were used: two qualitative semi-structured interview guides and a quantitative tool. Inclusion criteria included women 18 years and older from each cultural group. Analysis of qualitative data used content analysis. Quantitative data was analyzed with descriptive methods. Results: This presentation focuses on the need for nurses to make transitions from the Western dominated approaches to prevention and intervention for IPV. Common themes identified in studies from the four cultural groups will be used to frame the discussion. Implications: These findings provide a basis for meeting the needs of women from these cultural groups. Currently, IPV prevention and interventions are based on a model of care that necessitates disruption of the family. Women want alternatives that allow safety and prevent injuries beyond having to move to a shelter. They seek help consistent with their cultural roles and priorities. Their perceptions, responses, and needs provide guidance for culturally sensitive approaches to prevention, intervention and policy development. Building on traditional protective factors may offer solutions for IPV that are culturally relevant and effective. The challenge for nurses is to recognize that change may be needed in their own perspective and the systems that support them to transition to culturally appropriate care. NIH/NINR 1 R15 NR009424-01A2
    2012 Western Institute of Nursing Annual Communicating Nursing Research Conference; 04/2011
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    ABSTRACT: This paper presents the findings from a community based participatory research (CBPR) study that investigated the interface between culture and intimate partner violence (IPV) for women in selected cultural groups in Hawaii: Native Hawaiian, Filipino, Samoan, and Chuukese. The research question was, "What are the cultural perceptions, responses, and needs regarding IPV of selected individuals and groups served through a variety of programs that are affiliated with the three participating Community Health Centers (CHCs)?" This cross sectional, descriptive study collected both qualitative and quantitative data. Individual interviews were conducted with women who had experienced IPV. Focus groups were also conducted with other women from the same culture. Five common themes were identified across the four cultural groups: Living within a Collective; Cultural Protective Factors; Cultural Barriers to Helpseeking; Gender Specific Roles; and Belonging to a Place. The outcome from this study is increased knowledge that will be used to develop culturally appropriate interventions. Specific findings from each cultural group have been published. The purpose of this paper is to present common perceptions and responses to IPV from the four groups and suggest interventions based on the findings. Implications for practice are presented.
    Hawaii medical journal 01/2011; 70(1):9-15.
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    Mary F Oneha, Lois Magnussen, Jan Shoultz
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    ABSTRACT: Using a community based participatory approach, individual interviews and focus groups were conducted with Native Hawaiian women to understand their cultural perceptions, responses, and needs regarding intimate partner violence (IPV). Semi-structured interview guides were used for both interviews. The overriding theme derived from content analysis is that IPV "starts in the home," it is learned in the family and in the community. Visible injuries requiring emergency care is commonly perceived as IPV. The response to IPV included a primary theme of "defend the collective." Intimate partner violence is understood to be a "family matter," dealt within the family or by oneself. Native Hawaiian women who participated in this study sought to re-connect or establish relationships with self, others, spirit, natural elements, cultural practices, and community. Responding to IPV requires an understanding of cultural perceptions, responses, and needs of Native Hawaiians, with implications for families and communities. The needs expressed by Native Hawaiian participants reflect what they need to access "health." Implications for health care providers require understanding how best to facilitate an individual's access to "health" vs. access to "health care."
    Californian journal of health promotion. 12/2010; 8(1):72-81.
  • Jan Shoultz, Lois Magnussen
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    ABSTRACT: Purpose: The purpose of this community based participatory research (CBPR) study was to examine cultural perceptions, responses, and actions recommended by Samoan women about Intimate Partner Violence (IPV). Conceptual Basis: Critical Social Theory provided the conceptual basis for the study. Methods: This descriptive study collected both quantitative and qualitative data. The CBPR team of academic and clinical investigators included Samoan women who are staff at the community health center (CHC). All members of the research team prepared for the study by participating in training sessions. The bilingual Samoan research team members recruited participants for the focus group and individual interviews, translated the instruments and transcripts, facilitated the focus group or individual interview, and participated in the analysis of data. Focus group sessions were conducted with Samoan women who may or may not have experienced IPV and taped and transcribed into Samoan and back translated into English and validated with the participants. Individual interviews were conducted with 5 women who had experienced IPV. Findings were validated with the women. Demographic data were also collected. Quantitative data included responses to the Acceptability of Violence Survey. Quantitative analysis included frequencies, means and standard deviations. Content analysis was used to determine themes from the qualitative data. Results: Samoan women clearly identified IPV and were aware that it occurs in their cultural group. They identified multiple responses of individual women, families and communities to IPV. In Samoa there was a formalized process for addressing this problem that has been disrupted by migration to Hawaii. In both Hawaii and Samoa the systematic cultural response to violence begins at the family level. In Samoa if the abuse continued beyond the ability of the family to control the perpetrator, the Chief would become involved. In Hawaii the pastor of a church may be asked to assist the family instead of a Chief. Samoan women in Hawaii are now utilizing the additional option of calling the police. Nurses and others at the CHC were seen as significant sources of support and information for the women and their families. Implications: Samoan families have a rich tradition of a collective response to IPV. With migration, some protective factors have been disrupted. Nurses and others working with Samoan women and their families have the potential of providing support, classes, and services at the CHC and with other groups in the community to develop culturally appropriate IPV services for Samoan women and their families. This can improve quality of care and reduce health disparities, a significant challenge for health systems.
    2011 Western Institute of Nursing Annual Communicating Nursing Research Conference; 04/2010
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    ABSTRACT: Interpersonal violence (IPV) is a complex issue effecting women worldwide. Reported rates of IPV vary widely from one cultural group to another (Magnussen et al., 2004 ; Tjaden & Thoennes, 2000 ). This paper presents a community based participatory research (CBPR) study of the perceptions, responses, and needs of Filipina women regarding IPV. Data was collected by using interviews and focus groups. The women believed that it was their responsibility to keep the family intact regardless of IPV and did not realize that IPV has a significant negative impact on the mental health and well-being of both women and their children. Immigrant Filipino women may be particularly at risk of IPV.
    Issues in Mental Health Nursing 01/2010; 31(1):54-61.
  • Mary Frances Oneha, Lois Magnussen, Jan Shoultz
    Issues in Mental Health Nursing 05/2009; 30(4):279-80.
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    ABSTRACT: The purpose of this study was to examine cultural perceptions, awareness, responses, and actions recommended about IPV by Samoan women served by a Community Health Center (CHC). THEORETICAL FOUNDATION: This investigation is a part of a series of exploratory community based participatory research (CBPR) studies based on critical social theory. This qualitative study was conducted using focus groups with Samoan women served by a health center. Analysis of qualitative data was accomplished using content analysis. Demographic data were analyzed using descriptive methods. Eight Samoan women, 18 years and older participated in the focus groups. The instruments were translated from English to Samoan and back translated into English. The facilitators conducted an initial focus group and a validation group with the same participants. Sessions were taped and transcribed in Samoan and back translated into English. The women clearly identified IPV and were aware that it occurs in their cultural group. They identified multiple responses of individual women, families, and communities to IPV. In Samoa there was a formalized process for addressing this problem that has been changed in Hawai'i. The CHCs are viewed as an important resource for the families and can be a source of interventions. Health care providers should be aware of differences between Western notions of independence and the ideals of interdependence held by specific cultural groups. The CHC personnel have raised questions about the appropriateness of using tools that were developed for use with Western women with immigrant women.
    Journal of Community Health 07/2008; 33(6):389-94. · 1.28 Impact Factor
  • Lois Magnussen, Mary Jane Amundson, Nancy Smith
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    ABSTRACT: This phenomenological study examined the impact of culture on the lived experience of women who were victims of intimate partner violence (IPV). The analysis of the data, using the method of Colaizzi, yielded three theme clusters: "living in misery", "enduring terror and sadness", and "no happy ending". They revealed the essential structure of living in a violent situation. The women, from diverse cultural backgrounds, had similar individual responses to violence. Although on a societal level, responses to violence are unique, the results revealed that women's responses were very personal and common across cultures, demonstrating their fundamental humanness. This finding underscores the importance of providing caring, individual support when working with victims of IPV, even though various cultures might perceive IPV differently. An ecological model for understanding the responses to IPV includes both individual and group perspectives related to IPV and the factors that influence the behavior of both women and men.
    Nursing and Health Sciences 07/2008; 10(2):125-30. · 0.85 Impact Factor
  • Lois Magnussen
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    ABSTRACT: E-learning technologies in education use adult learning theories that view the educator as a facilitator of learning and an assessor of outcomes. The change to this technology requires a shift in the focus of a course from the educator to the subject. The experience of one faculty member involved in an implementation of an online program is used to demonstrate the application of Fink's principles of significant learning in the virtual environment. Fink urged faculty to create learning-centered courses, as opposed to content-centered courses. The taxonomy of six course components he proposed as necessary to significant learning are foundational knowledge, application, integration, human dimension, caring, and learning how to learn. Fink's taxonomy of significant learning can be used as a framework to focus course planning and assessment of student outcomes as courses are adapted to a Web-based environment.
    Journal of Nursing Education 03/2008; 47(2):82-6. · 0.76 Impact Factor
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    ABSTRACT: This qualitative study examined Chuukese women's views about Intimate Partner Violence (IPV). Focus groups were conducted in Chuukese. Themes emerged from content analysis. Migration may disrupt protective cultural practices. Cultural norms place the responsibility for family peace on the women who perceive that IPV is closely linked with marital infidelity. Understanding cultural practices is important in addressing IPV.
    Hawaii medical journal 11/2007; 66(10):268-71.
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    ABSTRACT: Although research on intimate partner violence (IPV) categorizes populations broadly; there is great diversity within the broad categories of Asian and Pacific Islanders. This paper reviewed the literature published between 1996 and 2005 focused on the intersection of IPV and culture within specific cultures in the State of Hawai'i. The current research literature related to IPV against women and these specific populations is summarized.
    Hawaii medical journal 06/2007; 66(5):129-33.
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    ABSTRACT: Partnerships between communities and academic institutions have been vital in addressing complex health and psychosocial issues faced by culturally diverse and hard-to-reach populations. Community-based participatory research (CBPR) has been suggested as a strategy to develop trust and build on the strengths of partners from various settings to address significant health issues, particularly those persistent health issues that reveal disparities among minority populations. There have been many challenges to developing these partnerships in the United States. The purpose of this paper is to discuss approaches and solutions used by this research team in response to the challenges they have faced in using CBPR. The team uses CBPR to understand and support the process of disclosure of intimate partner violence (IPV) within the context of the community health centers that provide services for multicultural and multi-lingual populations. While CBPR provides a route to develop trust and build on the strengths of partners from various settings, there are multiple challenges that arise when partnering organizations present with different infrastructures, missions, resources and populations served. Examples of common challenges and solutions from the literature and from the team's experience will be discussed. Implications for partners, partnerships, practice and research will be explored.
    Journal of Interprofessional Care 04/2006; 20(2):133-44. · 1.36 Impact Factor
  • Lois Magnussen, Joanne Itano, Nancy McGuckin
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    ABSTRACT: One of the most effective ways for nurses to demonstrate professionalism is to be involved in public policy, advocating for issues of public interest that contribute to healthcare improvements. Faculty designed a program to provide nursing students an opportunity to develop legislative advocacy skills by serving as legislative interns. The authors describe the process by which the project was implemented.
    Nurse Educator 01/2005; 30(3):109-12. · 0.67 Impact Factor
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    ABSTRACT: The goals of this study were (a) to gather data regarding the documentation of disclosure of battering in primary care settings and (b) to collect demographic data, including ethnicity, of women who disclose intimate partner violence (IPV) in primary care settings in Hawaii. We conducted a retrospective chart review focusing on documentation of IPV in four community health centers on Oahu. The review included 337 charts. The data were analyzed using descriptive statistics. Of the 337 records reviewed, IPV was reported in 31 (9.1%). Documentation of reported IPV differed among members of the various ethnic groups seen in the clinics. Practitioners should develop a common area for documenting reports of IPV. The level and depth of resources available within the setting and the community may affect providers' willingness to screen for IPV.
    Journal of the American Academy of Nurse Practitioners 12/2004; 16(11):502-12. · 0.87 Impact Factor
  • Lois Magnussen, Mary Jane Amundson
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    ABSTRACT: The purpose of the present qualitative study was to describe and explicate the experience of being a nursing student. A convenience sample of 12 nursing students from a variety of backgrounds at a public university were interviewed using an interview guide with open-ended questions. Their stories provided an insight into the satisfactions, challenges and stresses faced by students. Four major theme clusters emerged from the data: (i) meeting conflicting demands; (ii) feeling overworked; (iii) feeling unprepared and; (iv) seeking respect and support from one's faculty. These identified themes corroborate the findings of other researchers who have studied the student experience. Student's stories provide insights into the current educational environment, which can assist faculties to understand the impact of their pedagogical approaches. This information is particularly important in light of the current worldwide nursing shortage.
    Nursing and Health Sciences 01/2004; 5(4):261-7. · 0.85 Impact Factor
  • W. K. TAYLOR, L. MAGNUSSEN, M. J. AMUNDSON
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    ABSTRACT: In this phenomenological study, battered women from a multiethnic population in Hawaii provided descriptions of their lived experiences. Colaizzi's method was used to identify three major theme clusters that emerged from the data, reflecting how the women organized their stories: (a) painting the whole picture, (b) describing the violence, and (c) living with the consequences. Each major theme was further broken down into subthemes that described how it felt to live in an abusive situation. In reviewing the impact of culture, there were more similarities than differences among cultures.
    Violence Against Women 05/2001; 7(5):563-585. · 1.33 Impact Factor
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Publication Stats

135 Citations
8.86 Total Impact Points

Institutions

  • 2006–2013
    • University of Hawaiʻi at Hilo
      Hilo, Hawaii, United States
  • 2005–2011
    • University of Hawaiʻi at Mānoa
      • • School of Nursing and Dental Hygiene
      • • Department of Nursing
      Honolulu, HI, United States
  • 2004
    • Honolulu University
      Honolulu, Hawaii, United States