The role of courage in the experience of patients with diabetes complications
Patricia Donohue-Porter, Ph.D RN
- Sigma Affiliation
- Alpha Omega
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Donohue-Porter, Patricia by View
Popular Works for Donohue-Porter, Patricia by Download
Over ten million Americans have diabetes mellitus, a chronic metabolic disease with multiple complications. The person with diabetes complications may experience progressive debilitation from such serious conditions as blindness, kidney failure, nerve damage and cardiovascular disease. These complications are progressive and life-threatening, requiring treatments which may be painful, exhausting and often unsuccessful. The patients have multiple tasks to perform in order to cope with this devastating physical illness. They are thrust into a unique emotional experience which has not been investigated by nurses. The experience necessitates drawing upon patients' inner resources. Nursing research into their experience is essential. In an effort to illuminate the experience of the patient with disabling complications of diabetes so that nurses may be better able to assist individuals through the experience, a phenomenological exploration and philosophical analysis of the role of courage was conducted. Courage has been viewed as a virtue, a gift, a potential to be developed. The role of courage in facing certain complications of chronic illness bears exploration. The study of courage and its development, with related nursing implications, may better help the patient to face life and death. The related literature for this study included courage, psychosocial adjustment to diabetes and chronic illness, phenomenology, coping and diabetes pathophysiology and complications. The phenomenological method, an inductive, descriptive research method concerned with the investigation and description of all phenomena, was used. The research design consisted of a qualitative approach, using a small sample of middlescent diabetic patients with disabling complications. These patients were interviewed in home settings. The transcripts of these patient interviews were subjected to thematic analysis in order to generate descriptive profiles of the meaning of courage for these patients. Five theme categories were derived which described the various dimensions of courage in the experience of the patients: philosophical, health care, physical, psychological, and interpersonal. The study of courage was found to have an impact on the practice of nursing and implications were drawn for improved nursing intervention for this group of patients.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 8715251; ProQuest document ID: 303471070. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Evidence Level||Philosophical Enquiry|
|Research Approach||Qualitative Research|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
The relationships among emotion regulation, role stress, and psychological distress in surrogate decision makers of the chronically critically ill patients Variath, Mary NjalianBackground: Advancement in technologies has contributed to patients surviving critical illness, but continuing to live with chronically critically ill conditions. A majority of such patients experience transient or persistent ...
Allard, Patricia; Cipher, Daisha J.; Eades, Tamara L.; Porter, Marlene T.; Rogers, Meagan R.; Urban, Regina WilderNavigating the year-long transition to competent professional practice as a new graduate nurse (NGN) is cognitively, emotionally, and physically demanding. This session addresses the NGN experience with stress, anxiety, ...
Bressler, Toby; Hagan, Teresa L.; Xu, Jiayun (2017-07-06)Background: Palliative care refers to interdisciplinary patient and family-centered care that optimizes quality of life by anticipating, preventing, and alleviating suffering across the continuum of a patient’s ...
Kohlbry, Pamela; Daugherty, JoAnn; Gorzeman, Joy A.; Parker, Joseph A. (2017-07-20)The purpose of this presentation is to describe the opportunity for leadership of the Clinical Nurse Leader (CNL) in transitional care. Leadership in transitional care is often missing resulting in any number of healthcare ...
Brown, Beverley E. Blair; Risher, Carrie Riley; Kent, PatriciaType-2 Diabetes Mellitus is a serious,chronic condition that must be managed properly. Lowering hemoglobin A1C (HbA1c) levels to less than 7% has been shown to reduce vascular complications. Nurse Practitioner (NP) students ...