A narrative analysis of the integration of CPAP into one life: I am not yet convinced that CPAP is for me, for life

2.50
Hdl Handle:
http://hdl.handle.net/10755/163359
Category:
Abstract
Type:
Presentation
Title:
A narrative analysis of the integration of CPAP into one life: I am not yet convinced that CPAP is for me, for life
Author(s):
Sawyer, Amy M.; Huss-Ashmore, Rebecca
Author Details:
Amy M. Sawyer, R.N., M.Sc.N., Doctoral Student, Clinical Nurse Specialist, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA, email: asawyer@nursing.upenn.edu; Rebecca Huss-Ashmore, Ph.D.
Abstract:
Purpose: Obstructive sleep apnea (OSA) is effectively treated with CPAP. Studies indicate 30-60% of patients do not adhere to CPAP. Outcomes are limited by nonadherence. Exploratory post-hoc case study analysis aims to describe the integration of CPAP into the life of an African American OSA patient to gain perspective on the treatment experience. Theoretical Framework: The application of self-efficacy in identifying predictors of CPAP use derives from social cognitive theory. Enhancing our understanding of self-efficacy as it relates to ethnic/sociocultural factors may suggest the role that patient preferences have in health disparities. Methods (Design, Sample, Setting, Measures, Analysis): A post-hoc analysis, using a linguistic approach to examine the structure and meaning of interview responses after one week of CPAP treatment was employed. The interview was conducted at a sleep center in an urban, tertiary medical center. Responses were textually formatted in lines, strophes, and stanzas. James Gee's analysis of structure was used for thematic and linguistic interpretation. Results: The narrative has three segments: my sleep, my life and health, and the CPAP. The story suggests that he uses CPAP but has questions and concerns about its use, how CPAP relates to his lifelong health status, and difficulty making CPAP a part of his daily life. The linguistic analysis of sentence structure provides evidence of unspoken challenges, even avoidance, of CPAP. A disconnect exists between the patient as a person with a "disease" and risk perception, acknowledgement of the diagnosis, and his perceived confidence to use CPAP. Conclusions and Implications: The story told by a new CPAP user provides an innovative perspective on adherence to CPAP. The story, as heard without narrative analysis, is consistent with stories shared between patients and providers in sleep centers worldwide. It is important not only to listen to patients' stories, but also examine stories for contextual meaning to contribute to our understanding of adherence and disparities. [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.titleA narrative analysis of the integration of CPAP into one life: I am not yet convinced that CPAP is for me, for lifeen_GB
dc.contributor.authorSawyer, Amy M.en_US
dc.contributor.authorHuss-Ashmore, Rebeccaen_US
dc.author.detailsAmy M. Sawyer, R.N., M.Sc.N., Doctoral Student, Clinical Nurse Specialist, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA, email: asawyer@nursing.upenn.edu; Rebecca Huss-Ashmore, Ph.D.en_US
dc.identifier.urihttp://hdl.handle.net/10755/163359-
dc.description.abstractPurpose: Obstructive sleep apnea (OSA) is effectively treated with CPAP. Studies indicate 30-60% of patients do not adhere to CPAP. Outcomes are limited by nonadherence. Exploratory post-hoc case study analysis aims to describe the integration of CPAP into the life of an African American OSA patient to gain perspective on the treatment experience. Theoretical Framework: The application of self-efficacy in identifying predictors of CPAP use derives from social cognitive theory. Enhancing our understanding of self-efficacy as it relates to ethnic/sociocultural factors may suggest the role that patient preferences have in health disparities. Methods (Design, Sample, Setting, Measures, Analysis): A post-hoc analysis, using a linguistic approach to examine the structure and meaning of interview responses after one week of CPAP treatment was employed. The interview was conducted at a sleep center in an urban, tertiary medical center. Responses were textually formatted in lines, strophes, and stanzas. James Gee's analysis of structure was used for thematic and linguistic interpretation. Results: The narrative has three segments: my sleep, my life and health, and the CPAP. The story suggests that he uses CPAP but has questions and concerns about its use, how CPAP relates to his lifelong health status, and difficulty making CPAP a part of his daily life. The linguistic analysis of sentence structure provides evidence of unspoken challenges, even avoidance, of CPAP. A disconnect exists between the patient as a person with a "disease" and risk perception, acknowledgement of the diagnosis, and his perceived confidence to use CPAP. Conclusions and Implications: The story told by a new CPAP user provides an innovative perspective on adherence to CPAP. The story, as heard without narrative analysis, is consistent with stories shared between patients and providers in sleep centers worldwide. It is important not only to listen to patients' stories, but also examine stories for contextual meaning to contribute to our understanding of adherence and disparities. [Symposium presentation]en_GB
dc.date.available2011-10-27T11:06:08Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:06:08Z-
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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