Abstract

Over ten million Americans have diabetes mellitus, a chronic metabolic disease with multiple complications. The person with diabetes complications may experience progressive debilitation from such serious conditions as blindness, kidney failure, nerve damage and cardiovascular disease. These complications are progressive and life-threatening, requiring treatments which may be painful, exhausting and often unsuccessful. The patients have multiple tasks to perform in order to cope with this devastating physical illness. They are thrust into a unique emotional experience which has not been investigated by nurses. The experience necessitates drawing upon patients' inner resources. Nursing research into their experience is essential. In an effort to illuminate the experience of the patient with disabling complications of diabetes so that nurses may be better able to assist individuals through the experience, a phenomenological exploration and philosophical analysis of the role of courage was conducted. Courage has been viewed as a virtue, a gift, a potential to be developed. The role of courage in facing certain complications of chronic illness bears exploration. The study of courage and its development, with related nursing implications, may better help the patient to face life and death. The related literature for this study included courage, psychosocial adjustment to diabetes and chronic illness, phenomenology, coping and diabetes pathophysiology and complications. The phenomenological method, an inductive, descriptive research method concerned with the investigation and description of all phenomena, was used. The research design consisted of a qualitative approach, using a small sample of middlescent diabetic patients with disabling complications.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 8715251; ProQuest document ID: 303471070. The author still retains copyright.

Author Details

Patricia Donohue-Porter, PhD, RN

Sigma Membership

Alpha Omega

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Philosophical Enquiry

Research Approach

Qualitative Research

Keywords:

Nursing, Chronic Illness, Courage

Advisor

Barbara Kos-Munson

Degree

PhD

Degree Grantor

Adelphi University

Degree Year

1987

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-03-15

Full Text of Presentation

wf_yes

Share

COinS