Reconceptualization of the uncertainty in illness theory
Humans; Social Values; Cues; Adaptation; Psychological; Models; Psychological Theory; Disease/psychology; Anomie; Concept Formation
The theory of uncertainty in illness has its strongest support among subjects who are experiencing the acute phase of illness or are in a downward illness trajectory (mishel, 1988a). The theory has not addressed the experience of living with continual, constant uncertainty in either a chronic illness or in an illness with a treatable acute phase and possible eventual recurrence. Since uncertainty characterizes many, most prevalent, long-term illness conditions, there is a need to reconceptualize the theory of uncertainty to include the experience of living with continual uncertainty. A close examination of the theoretical statements and the empirical data reported by Mishel resulted in the identification of areas of the theory that could be expanded and reconceptualized. The reconceptualization effort was primarily fueled by questions about the outcome portion of the uncertainty theory. To provide a contest for the expansion and reconceptualization of uncertainty, applicable parts of the theory are summarized below.
1990
Mishel MH
Image--the Journal Of Nursing Scholarship
1990
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1111/j.1547-5069.1990.tb00225.x" target="_blank" rel="noreferrer">10.1111/j.1547-5069.1990.tb00225.x</a>
Uncertainty in illness
Humans; Sick Role; Cognition; Professional-Patient Relations; Adaptation; Psychological; Models; social support; Educational Status; Disease/psychology; Mental Processes
1988
Mishel MH
Image--the Journal Of Nursing Scholarship
1988
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1111/j.1547-5069.1988.tb00082.x" target="_blank" rel="noreferrer">10.1111/j.1547-5069.1988.tb00082.x</a>
Evaluating content validity for children's self-report instruments using children as content experts
Non-U.S. Gov't; PedPal Lit; Extramural Research Support; N.I.H.; Adolescent Adolescent Psychology Child Child Psychology Clinical Nursing Research/methods Humans Neoplasms/nursing/psychologyOncologic NursingPediatric Nursing Psychometrics/methods/standards Research Support
BACKGROUND: The development and evaluation of instruments to index cognitive and emotional processes from the perspectives of children is a priority for pediatric nursing research. OBJECTIVE: To describe the procedures used in employing children as content validity experts in the development of a self-report instrument. METHODS: Following published recommendations for moving from qualitative research to quantitative measurement with adults and for maximizing content validity in self-report instruments, six children aged 8-16 years undergoing treatment for cancer constituted the panel of content experts for review of a measure of children's illness-related uncertainty derived from qualitative interviews. Children were provided with an explanation of the project, an explanation of their role as experts, and explicit instructions on how to evaluate the representativeness of individual items and the total scale. RESULTS: Generally, the children performed the review tasks effectively, although two children (ages 8 and 16 years) had initial difficulty in going beyond their own experience when considering the relevance of individual items. Twenty items were deemed acceptable by at least five out of the six children and two additional items were revised based on their input. DISCUSSION: Employing children as content validity experts adds a critical dimension to establishing psychometrically sound measures for studying the processes affecting the health of children and families.
2005
Stewart JL; Lynn MR; Mishel MH
Nursing Research
2005
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1097/00006199-200511000-00008" target="_blank" rel="noreferrer">10.1097/00006199-200511000-00008</a>