2.50
Hdl Handle:
http://hdl.handle.net/10755/163355
Category:
Abstract
Type:
Presentation
Title:
Building Alliances: Exploring States of Uncertainty
Author(s):
Penrod, Janice; Hupcey, Judith E.; McGonigle, Dee
Author Details:
Janice Penrod, PhD, RN, Assistant Professor, Penn State University School of Nursing, University Park, Pennsylvania, USA, email: jlp198@psu.edu; Judith E. Hupcey, EdD, CRNP; Dee McGonigle, PhD, RNC, FACCE
Abstract:
Purpose: Variations in health present innumerable opportunities for adults to face uncertainty based in situational and existential concerns. Preliminary work revealed that the concept of uncertainty assumed dominance in varied health-related contexts, from transitions in care settings to determining how to best intervene in complex care situations. The purpose of this project was to advance theoretical understanding of states of uncertainty to enable more targeted intervention strategies, particularly in end-of-life care. Background: The investigation started with a multidisciplinary concept analysis (nursing, medicine, anthropology, sociology, and psychology) to determine the state of the science surrounding the concept of uncertainty. The findings of the analysis revealed that the prevailing conceptualization was highly probabilistic, and did not account for more existential forms of uncertainty (in which establishing probability is not relevant). Methods (Design, Participants, Setting, Data Collection, Analytic approach): Given this understanding, concept advancement processes included a phenomenology of living with uncertainty followed by a grounded theory study of uncertainty manifested during caregiving at the end of life. Results: From the phenomenological investigation, types and modes of uncertainty were determined. The existential forms of uncertainty were clarified. The grounded theory produced clearer understanding of the trajectory of caregiving with major shifts in the characteristics of uncertainty experienced over time. Conclusions and Implications: This work started with the multidisciplinary literature in an effort to integrate what was known of uncertainty for nursing application. Subsequent studies were based in nursing, but grew to embrace a more interdisciplinary perspective. Strategies to determine the most promising paths for building collaborative relationships with multidisciplinary partners in the context of end-of-life care are highlighted to promote a deeper understanding of interdisciplinary end-of-life care. [Symposium presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBuilding Alliances: Exploring States of Uncertaintyen_GB
dc.contributor.authorPenrod, Janiceen_US
dc.contributor.authorHupcey, Judith E.en_US
dc.contributor.authorMcGonigle, Deeen_US
dc.author.detailsJanice Penrod, PhD, RN, Assistant Professor, Penn State University School of Nursing, University Park, Pennsylvania, USA, email: jlp198@psu.edu; Judith E. Hupcey, EdD, CRNP; Dee McGonigle, PhD, RNC, FACCEen_US
dc.identifier.urihttp://hdl.handle.net/10755/163355-
dc.description.abstractPurpose: Variations in health present innumerable opportunities for adults to face uncertainty based in situational and existential concerns. Preliminary work revealed that the concept of uncertainty assumed dominance in varied health-related contexts, from transitions in care settings to determining how to best intervene in complex care situations. The purpose of this project was to advance theoretical understanding of states of uncertainty to enable more targeted intervention strategies, particularly in end-of-life care. Background: The investigation started with a multidisciplinary concept analysis (nursing, medicine, anthropology, sociology, and psychology) to determine the state of the science surrounding the concept of uncertainty. The findings of the analysis revealed that the prevailing conceptualization was highly probabilistic, and did not account for more existential forms of uncertainty (in which establishing probability is not relevant). Methods (Design, Participants, Setting, Data Collection, Analytic approach): Given this understanding, concept advancement processes included a phenomenology of living with uncertainty followed by a grounded theory study of uncertainty manifested during caregiving at the end of life. Results: From the phenomenological investigation, types and modes of uncertainty were determined. The existential forms of uncertainty were clarified. The grounded theory produced clearer understanding of the trajectory of caregiving with major shifts in the characteristics of uncertainty experienced over time. Conclusions and Implications: This work started with the multidisciplinary literature in an effort to integrate what was known of uncertainty for nursing application. Subsequent studies were based in nursing, but grew to embrace a more interdisciplinary perspective. Strategies to determine the most promising paths for building collaborative relationships with multidisciplinary partners in the context of end-of-life care are highlighted to promote a deeper understanding of interdisciplinary end-of-life care. [Symposium presentation]en_GB
dc.date.available2011-10-27T11:06:03Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:06:03Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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