Preserving the embodied self: The meaning of technology for people with chronic renal failure
Review TypeNone: Degree-based Submission
Repository Posting Date2020-07-31T20:59:19Z
Author(s)Nagle, Lynn M.
Author DetailsDr. Lynn M. Nagle, PhD, RN, FAAN
Lead Author Sigma AffliationLambda Pi at-Large
Level of EvidencePhenomenology
Research ApproachQualitative Research
CINAHL HeadingsPsychosocial Aspects of Illness; Hemodialysis; Life Experiences; Self Concept; Technology; Psychosocial Aspects of Illness--Evaluation; Hemodialysis--Psychosocial Factors; Life Experiences--Evaluation; Self Concept--Evaluation; Kidney Failure, Chronic
The purpose of this research was to understand the experience and meaning of technology for individuals receiving hemodialysis for the treatment of chronic renal failure. Philosophical hermeneutics provided the framework for interpreting the technology experience of eleven participants in an outpatient facility. The technology of illness care was constituted by providers, the physical environment, hemodialysis, and the mechanisms of care delivery. Being transformed by a reluctant partnering with technology was the constitutive pattern derived from the meanings of the participants' experiences. Three themes reflected the dimensions of their individual and collective experiences (a) coming to terms with loss and limitations, (b) abiding with technology, and (c) enduring the treatment environment. Hermeneutic reflection on the constitutive pattern revealed the occurrence of a reconstitution of the embodied self within the context of the technology of illness care. This was evidenced by the participants' sustained embodiment while being buffeted by the effects of objective disembodiment by the technologies of illness care. The historical and social context of health care delivery provided additional understanding about the embedded meanings of the participants' experiences. Although the context effectively threatened disembodiment, they remained embodied through their active participation, knowledge development, and hope for a different life in the future. These findings bring new understanding to the experience of individuals whose lives became reconstituted by the technology of illness care. Acknowledging the potential disembodiment created in this context provides direction for future research and practice.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9604537; ProQuest document ID: 304302033. The author still retains copyright.
Advisor(s)Ryan, Sheila A.
Degree GrantorUniversity of Rochester
NotesThis 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.
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