While healthcare research has examined how social and emotional factors complicate treatment of chronic disease, practitioners often have few resources to assess and address the impact of non-biological influences on patient care. This is especially problematic in patients with Type-I diabetes as the chronic nature of the condition requires the person with the illness to act as their own health-care provider outside of the physicianâs office. It is important for practitioners to understand how patientâs experiences, values, and perceptions shape their health-related activities and how they express their understanding in order to fully engage and assist the person with their own self-care.
Drawing from in-depth interviews with people diagnosed with Type-I diabetes, this paper makes two claims. First, drawing from Narrative theory, this paper demonstrates how participants use narrative storytelling as a medium to communicate their holistic understanding of their illness. Second, this paper uses Sensemaking theory to examine how participants iteratively organize social, emotional, environmental, and experiential elements (including narratives) to construct their understanding.
| Identifer | oai:union.ndltd.org:VANDERBILT/oai:VANDERBILTETD:etd-12042017-115709 |
| Date | 08 December 2017 |
| Creators | VanHouten, Courtney Brianne Akutsu Bright |
| Contributors | Laurie L. Novak, JuLeigh Petty |
| Publisher | VANDERBILT |
| Source Sets | Vanderbilt University Theses |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.vanderbilt.edu/available/etd-12042017-115709/ |
| Rights | restricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Vanderbilt University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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