Rachel Johnson-Koenke1,2, Sara Horton-Deutsch1,3, Faith Pratt-Hopp4, Jacqueline Jones1, Kathleen S Oman1. 1. University of Colorado Anschutz Medical Campus, College of Nursing, Aurora. 2. Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, Colorado. 3. University of San Francisco, San Francisco, California. 4. Wayne State University, Detroit, Michigan.
Abstract
Background: Illness narratives for veterans living with heart failure (HF) have been largely unexplored, yet HF is a significant and impactful illness affecting the lives of many veterans. Methods: This study used narrative inquiry to explore the domains of psychosocial adjustments using the model of adjustment to illness, including self-schema, world schema, and meaning. Results: Five illness narratives of veterans living with HF were cocreated and explored domains which were found across all the narratives explored in this study. Emergent themes included: uniqueness of the veteran experience and the social, historical, and cultural context of narrator and researcher. Conclusions: Veterans living with HF are a unique population who experience changes in their self-schema, world schema, and meaning through their illness experience. These findings have important implications for interdisciplinary health care research and clinical practice, providing important insight into how people live with chronic illness.
Background: Illness narratives for veterans living with heart failure (HF) have been largely unexplored, yet HF is a significant and impactful illness affecting the lives of many veterans. Methods: This study used narrative inquiry to explore the domains of psychosocial adjustments using the model of adjustment to illness, including self-schema, world schema, and meaning. Results: Five illness narratives of veterans living with HF were cocreated and explored domains which were found across all the narratives explored in this study. Emergent themes included: uniqueness of the veteran experience and the social, historical, and cultural context of narrator and researcher. Conclusions: Veterans living with HF are a unique population who experience changes in their self-schema, world schema, and meaning through their illness experience. These findings have important implications for interdisciplinary health care research and clinical practice, providing important insight into how people live with chronic illness.
Authors: Craig D Blinderman; Peter Homel; J Andrew Billings; Russell K Portenoy; Sharon L Tennstedt Journal: J Pain Symptom Manage Date: 2008-01-22 Impact factor: 3.612
Authors: John S Rumsfeld; Edward Havranek; Frederick A Masoudi; Eric D Peterson; Philip Jones; Joseph F Tooley; Harlan M Krumholz; John A Spertus Journal: J Am Coll Cardiol Date: 2003-11-19 Impact factor: 24.094