2.50
Hdl Handle:
http://hdl.handle.net/10755/157796
Type:
Presentation
Title:
Beyond Setting: Meaning of Home as Context for Dealing With Chronic Illness
Abstract:
Beyond Setting: Meaning of Home as Context for Dealing With Chronic Illness
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Marshall, Elaine, Ph.D., R.N.
P.I. Institution Name:Georgia Southern University, School of Nursing
Title:Professor & Endowed Chair
Contact Address:Box 8158, Statesboro, GA, 30461, USA
Contact Telephone:801 358-8009
In the past fifty years, a significant portion of health care for people with chronic illness has shifted from hospital to home. Though research in health care usually locates patients and families within some setting such as home or hospital, home as a substantive theoretical construct is largely absent. It is often no more than background artifact. The lack of theoretical definition of home, as well as the neglect of home as an essential theoretical element or dynamic research variable, has precluded the development of effective interventions or policy to help people manage chronic illness. Aim of the study: The purpose of this theoretical work is to analyze the concept of home and its meaning as it pertains to individuals and families dealing with chronic illness. It represents a foundation work to develop practice theory that includes the concept of home as a useful substantive variable rather than simply as a demographic descriptor. Method. Using search terms of "home," "meaning of home," "place," and "chronic illness," the following databases were employed: MEDLINE, CINAHL, PsycInfo, Social Sciences Abstracts, and Family & Society Studies Worldwide. Works were limited to those published from 1980 to 2008 in peer-reviewed journals. Articles were divided according to theoretical works and empirical studies, and graphically portrayed according to characteristics. Each was then analyzed according to whether or how the concept of home was defined and how it was used. Through methods of critical appraisal, the concept was analyzed from the articles. Because of the nature of the concept and its portrayal in the literature, themes were also synthesized from the works. Results. The concept of home was analyzed as both place and existential experience. In addition, related themes included the significance of home as place for healing, discourses of formal versus informal care, medicalization of the home in formal caregiving, shifts in costs of care, when home is not a haven, silent shadows of gender or age of patients and caregivers, and cultural perspectives of the meaning of home in managing chronic illness. Conclusions. The work is a beginning effort to define the concept of home and to systematically review the use of the concept in research related to the management of chronic illness. Definition and themes that emerge from this study provide the seminal foundation to launch a metasynthesis of qualitative studies on the meaning of home, to develop useful practice theory, and subsequently to design and test appropriate interventions for nursing practice improve health and manage chronic illness.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBeyond Setting: Meaning of Home as Context for Dealing With Chronic Illnessen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157796-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Beyond Setting: Meaning of Home as Context for Dealing With Chronic Illness</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Marshall, Elaine, Ph.D., R.N.</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Georgia Southern University, School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor & Endowed Chair</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Box 8158, Statesboro, GA, 30461, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">801 358-8009</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">elainemarshall@georgiasouthern.edu, elaine_marshal</td></tr><tr><td colspan="2" class="item-abstract">In the past fifty years, a significant portion of health care for people with chronic illness has shifted from hospital to home. Though research in health care usually locates patients and families within some setting such as home or hospital, home as a substantive theoretical construct is largely absent. It is often no more than background artifact. The lack of theoretical definition of home, as well as the neglect of home as an essential theoretical element or dynamic research variable, has precluded the development of effective interventions or policy to help people manage chronic illness. Aim of the study: The purpose of this theoretical work is to analyze the concept of home and its meaning as it pertains to individuals and families dealing with chronic illness. It represents a foundation work to develop practice theory that includes the concept of home as a useful substantive variable rather than simply as a demographic descriptor. Method. Using search terms of "home," "meaning of home," "place," and "chronic illness," the following databases were employed: MEDLINE, CINAHL, PsycInfo, Social Sciences Abstracts, and Family & Society Studies Worldwide. Works were limited to those published from 1980 to 2008 in peer-reviewed journals. Articles were divided according to theoretical works and empirical studies, and graphically portrayed according to characteristics. Each was then analyzed according to whether or how the concept of home was defined and how it was used. Through methods of critical appraisal, the concept was analyzed from the articles. Because of the nature of the concept and its portrayal in the literature, themes were also synthesized from the works. Results. The concept of home was analyzed as both place and existential experience. In addition, related themes included the significance of home as place for healing, discourses of formal versus informal care, medicalization of the home in formal caregiving, shifts in costs of care, when home is not a haven, silent shadows of gender or age of patients and caregivers, and cultural perspectives of the meaning of home in managing chronic illness. Conclusions. The work is a beginning effort to define the concept of home and to systematically review the use of the concept in research related to the management of chronic illness. Definition and themes that emerge from this study provide the seminal foundation to launch a metasynthesis of qualitative studies on the meaning of home, to develop useful practice theory, and subsequently to design and test appropriate interventions for nursing practice improve health and manage chronic illness.</td></tr></table>en_GB
dc.date.available2011-10-26T20:12:46Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:12:46Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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