Constructing the process of healthcare decision-making by adolescent athletes post sport-related concussion
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Jeanette F. Green, PhD, APRN, CPNP-PC, PMHS
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Sport-related concussion (SRC) is associated with short- and long-term health consequences. Current recommendations require immediate removal of an athlete suspected of injury, relying symptom self-reporting. Many SRC are unreported resulting in continued play despite symptoms, a risk for subsequent injury. The purpose of this dissertation was to explore influential factors and pivotal decision points within the process of health decision-making (DM) of adolescent athletes post-SRC. Twelve semistructured interviews were conducted with predominantly white high school athletes. Grounded theory methodology was used to examine salient concepts within athletes’ DM process. Data were coded and analyzed using dimensional analysis with explanatory model iterations appraised by participants. SRC DM occurred within the context of sport culture, an environment in which athletes expect to push through pain. Participants distinguished between “hurt” or “injured”, influencing decisions to remove themselves from athletic events and report symptoms. Those who perceived themselves to be hurt, not injured, continued play. Hurt athletes made sense of symptoms through crucial conversation with a trusted person. Concussion knowledge influenced weighing options, a pivotal point in the DM process. The central perspective, dark cloud, influenced the process post-SRC. Limitations included lack of participant diversity. Practice implications suggest a need to revise concussion knowledge strategies, decision-support for cognitively impaired athletes, as well as enhanced models of concussion care. Future directions from this research include exploring perspectives of minority athletes, longitudinal research, and examination of unintended consequences of prolonged rest for recovering athletes.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10408933; ProQuest document ID: 1876881528. 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.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Grounded Theory |
Research Approach | Qualitative Research |
Keywords | Traumatic Brain Injuries; Adolescents; Symptom Management; Symptom Reporting; Concussion Knowledge |
Grantor | University of Florida |
Advisor | Pieper, Pam; Elder, Jennifer; Young, Mary Ellen; Smith-Adcock, Sondra |
Level | PhD |
Year | 2016 |
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