Living with chronic illness in adults: a concept analysis

  1. Ambrosio, L. 1
  2. Senosiain García, J.M. 1
  3. Riverol Fernández, M. 2
  4. Anaut Bravo, S. 3
  5. Díaz De Cerio Ayesa, S. 5
  6. Ursúa Sesma, M.E. 6
  7. Caparrós, N. 4
  8. Portillo, M.C. 1
  1. 1 Universidad de Navarra
    info

    Universidad de Navarra

    Pamplona, España

    ROR https://ror.org/02rxc7m23

  2. 2 Clínica Universitaria de Navarra
    info

    Clínica Universitaria de Navarra

    Pamplona, España

    ROR https://ror.org/03phm3r45

  3. 3 Universidad Pública de Navarra
    info

    Universidad Pública de Navarra

    Pamplona, España

    ROR https://ror.org/02z0cah89

  4. 4 Universidad de La Rioja
    info

    Universidad de La Rioja

    Logroño, España

    ROR https://ror.org/0553yr311

  5. 5 Parkinson Association of Navarre, Pamplona, Spain
  6. 6 San Juan Primary Health Centre, Pamplona, Spain
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Revue:
Journal of Clinical Nursing

ISSN: 0962-1067

Année de publication: 2015

Volumen: 24

Número: 17-18

Pages: 2357-2367

Type: Article

DOI: 10.1111/JOCN.12827 PMID: 25951949 SCOPUS: 2-s2.0-84940437973 WoS: WOS:000360455600002 GOOGLE SCHOLAR

D'autres publications dans: Journal of Clinical Nursing

Résumé

Aims and objectivesTo report an analysis of the concept of Living with chronic illness in adults, using Rodger's evolutionary analytical methodology. BackgroundIn the literature, several qualitative studies exist that address the question of Living with chronic illness from the adult patient's perspective. However, the lack of clarity and consensus among the existing studies renders this concept ambiguous when it is analysed in depth. DesignA narrative review. MethodsA systematic search has been carried out on electronic databases such as Medline (PubMed), Cinahl (Ebsco), Cochrane Library, PsycINFO (Ovid), Embase, Cuiden, Dialnet and Scielo. This was limited to articles published in either Spanish or English, from 2003-2013. ResultsLiving with chronic illness is a complex, dynamic, cyclic and multidimensional process, and involves the development of five different attributes: Acceptance, Coping, Self-management, Integration and Adjustment. Depending on how these attributes operate, there are four different ways of living which can result from the process of Living with chronic illness: (1) Disavowal, (2) False Normality, (3) The New Normal and (4) Disruption. ConclusionsThis paper contributes to the understanding of the concept Living with chronic illness'. Findings in this analysis have to be evaluated with caution and further research is needed on this topic to confirm them. Also, more studies in evaluating how patients live a long-term condition are recommended to foster patient-centred care. Relevance to clinical practiceFindings generated from this concept analysis can raise awareness of Living with chronic illness so that this process could be assessed in a correct and uniform way in the clinical community and improved when needed.