umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Balancing intrusive illness: the experiences of people with musculoskeletal problems
Umeå University, Faculty of Medicine, Nursing.
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of the present thesis was to explore and describe the health experiences of men and women with musculoskeletal problems. The specific aims of the four papers were: (I) to explore the experience of illness and wellness among ambulance personnel with musculoskeletal symptoms; (II) to explore the experience of illness and wellness among female health care personnel with musculoskeletal symptoms; (III) to explore the experience of bodily illness among people with musculoskeletal problems in the neck-shoulder region, and; (IV) to investigate the symptoms described by people with non-specific neck-shoulder problems, to investigate the method of development of neck-shoulder questionnaires that assesses pain and other symptoms, to analyse the content and items of these questionnaires, and to compare the findings.

The overall findings show that the occupationally active men and women with MSDs were “striving for balance” (I-II), that the disease course of chronic neck-shoulder disorders was characterised by “uncontrollable fluctuations” (III), and that most neck-shoulder questionnaires had a low correspondence to the variety of symptoms experienced during this course (IV). In the process of striving for balance (I-II), the informants’ health experiences were not a state of either wellness or illness, but of both, in varying degrees at different times. The balancing started when illness became too intrusive, and was a process of minimising the impact of illness by accepting and handling it, while attaining and maintaining wellness to feel well enough. When striving for balance, the interviewees kept on working to continue being nurtured at the same time as they made different efforts directed at minimising the impact of their illness. For both men and women, illness was characterised by disembodiment, vulnerability, and exhaustion. The illness experiences were counterbalanced by wellness, where some differences could be recognised between the men and the women. Study III further explored the experiences of bodily illness, focusing on people with chronic musculoskeletal disorders in the neck-shoulder region. The course of the disorder was described as characterised by uncontrollable fluctuations, and it usually developed from insidious symptoms to a state of constant discomfort. The participants experienced calmer periods during the course, but intermittent events of increasing illness were always lying in wait, with periodic moments of consuming intensity. In the interviews included in study IV a variety of symptoms were expressed, which indicated a bodily, mental, and emotional engagement, which included more general and more severe symptoms than are usually related to neck-shoulder disorders. Few of the questionnaires were developed using the experiences of the affected. Taken as a whole, did the questionnaires cover many of the symptoms of the interviewees, but each individual questionnaire only included a few. The fluctuations and nuances of symptoms were rarely considered. The correspondence between individual questionnaires and the experiences of those affected was most often low. This thesis reveals other aspects of health than just bodily experiences as important among occupationally active people with MSDs. It also provides a description of the disease course, and an indication of possibilities for improvement of neck-shoulder questionnaires.

Place, publisher, year, edition, pages
Umeå: Omvårdnad , 2007. , 62 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1106
Keyword [en]
musculoskeletal problems, health experiences, illness, wellness, grounded theory, content analysis, balancing, disease course, uncontrollable fluctuations, symptoms
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Caring Sciences
Identifiers
URN: urn:nbn:se:umu:diva-1150ISBN: 978-91-7264-335-2 (print)OAI: oai:DiVA.org:umu-1150DiVA: diva2:140386
Public defence
2007-06-01, Aulan, Vårdvetarhuset, Umeå, 13:00 (English)
Opponent
Supervisors
Available from: 2007-05-15 Created: 2007-05-15 Last updated: 2009-09-25Bibliographically approved
List of papers
1. Striking a balance: health experiences of male ambulance personnel with musculoskeletal symptoms a grounded theory.
Open this publication in new window or tab >>Striking a balance: health experiences of male ambulance personnel with musculoskeletal symptoms a grounded theory.
2007 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, Vol. 44, no 5, 770-779 p.Article in journal (Refereed) Published
Keyword
Adaptation; Psychological, Adult, Ambulances, Attitude of Health Personnel, Attitude to Health, Burnout; Professional/etiology/psychology, Emergency Medical Technicians/*psychology, Humans, Job Satisfaction, Male, Men/*psychology, Middle Aged, Models; Psychological, Musculoskeletal Diseases/etiology/prevention & control/*psychology, Narration, Nursing Methodology Research, Occupational Diseases/etiology/prevention & control/*psychology, Questionnaires, Retirement, Self Care/methods/psychology, Self Concept, Sick Leave, Sick Role, Sweden
Identifiers
urn:nbn:se:umu:diva-6780 (URN)doi:10.1016/j.ijnurstu.2006.02.007 (DOI)16600239 (PubMedID)
Available from: 2008-06-27 Created: 2008-06-27 Last updated: 2009-09-25Bibliographically approved
2. Striving for balance: a grounded theory study of health experiences of nurses with musculoskeletal problems.
Open this publication in new window or tab >>Striving for balance: a grounded theory study of health experiences of nurses with musculoskeletal problems.
2007 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, Vol. 44, no 8, 1379-1390 p.Article in journal (Refereed) Published
Keyword
Chronic illness, Musculoskeletal problems, Nurses, Occupational health, Qualitative research
Identifiers
urn:nbn:se:umu:diva-6718 (URN)doi:10.1016/j.ijnurstu.2006.07.009 (DOI)16973167 (PubMedID)
Available from: 2007-12-18 Created: 2007-12-18 Last updated: 2009-09-25Bibliographically approved
3. When the body makes itself heard: The experience of bodily illness among people with neck-shoulder problems
Open this publication in new window or tab >>When the body makes itself heard: The experience of bodily illness among people with neck-shoulder problems
2008 (English)In: Advances in Physiotherapy, ISSN 1403-8196, Vol. 10, no 2, 85-94 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore the experience of bodily illness among people with musculoskeletal disorders (MSDs) in the neck/shoulder region. The study had a grounded theory approach, with constant comparisons and simultaneous data collection and analysis. Initially, parts of interviews about health experiences related to MSDs previously performed among men and women with musculoskeletal symptoms in the neck/shoulder and/or back were analysed. Next, complementary semi-structured interviews among men and women with neck/shoulder problems were performed, focusing on the experience of bodily illness, until saturation was reached. The results describe the experiences of bodily illness among people with MSDs in the neck/shoulder region as being characterized by uncontrollable fluctuations. The experiences are presented as a model of the disease course as experienced by the affected. The process usually developed from a beginning with insidious symptoms to a state of constant discomfort. Along the line of this development, periods of intermittent events of increasing illness occurred with peaks of consuming intensity. A variety of different symptoms was present during the process, which are presented in this paper. An increased knowledge of the disease course can be useful in prevention and treatment as communication about the disorder can be more specific.

Keyword
Bodily illness; disease course; experience; fluctuations; grounded theory; inside perspective; neck/shoulder disorders; process; qualitative method; symptoms
Identifiers
urn:nbn:se:umu:diva-19118 (URN)10.1080/14038190701760627 (DOI)
Available from: 2009-03-04 Created: 2009-03-04 Last updated: 2009-09-25
4. How well do neck-shoulder questionnaires capture the experiences of those who suffer of neck-shoulder problems?: a comparison between questionnaires and interviews
Open this publication in new window or tab >>How well do neck-shoulder questionnaires capture the experiences of those who suffer of neck-shoulder problems?: a comparison between questionnaires and interviews
(English)Manuscript (Other (popular science, discussion, etc.))
Identifiers
urn:nbn:se:umu:diva-2406 (URN)
Available from: 2007-05-15 Created: 2007-05-15 Last updated: 2010-01-14Bibliographically approved

Open Access in DiVA

fulltext(1380 kB)997 downloads
File information
File name FULLTEXT01.pdfFile size 1380 kBChecksum SHA-1
2ef1e8677fdf06c547848a831ff6d56813d18356281d8dd54e707d5272704e7cd9777f12
Type fulltextMimetype application/pdf

By organisation
Nursing
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 997 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 2466 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf