Striving for normalcy: symptoms and the threat of rejection after lung transplantation

Social Science & Medicine
Annette De Vito DabbsAldo Iacono

Abstract

The purpose of this paper is to describe the psychosocial process of the symptom experience associated with the threat of organ rejection after lung transplantation. A grounded theory approach, including theoretical sampling and constant comparative analyses, was used in a sample of 14 lung transplant recipients who varied in age, gender, underlying lung disease, experience with rejection, and time since transplantation. 'Striving for normalcy' was the core process linking each of the four stages of the symptom experience and interpretation: naïveté, vulnerability, discovery, and insight. Each stage was marked by an initiating event, a predictable symptom response, and a dialectic (an internal struggle between recipients' personal perceptions of the situation and the juxtaposed understandings of the situation that they gleaned from transplant clinicians). Each stage was also labeled with a descriptor of the aspect of striving for normalcy that accounted for the variation in the symptom responses that recipients exhibited, the dialectics they faced, and the exemplars for each stage of the process. During the stage of naïveté, recipients were elated at improvements after transplantation, and often denied or delayed reporting symp...Continue Reading

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Citations

May 5, 2009·Computers, Informatics, Nursing : CIN·Annette De Vito DabbsMary Amanda Dew
Oct 23, 2012·Thoracic Surgery Clinics·Emily M RosenbergerRoger D Yusen
Jan 22, 2009·Journal of Psychosomatic Research·Christiane KuglerKathleen Dracup
May 29, 2009·Clinical Transplantation·Annette DeVito DabbsKenneth R McCurry
Aug 5, 2011·Scandinavian Journal of Caring Sciences·Dagfinn Nåden, Ida Torunn Bjørk
May 19, 2012·Journal of Clinical Nursing·Paul Gill
Jan 1, 2014·Clinical Transplantation·L M FullerA E Holland
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May 22, 2016·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Michelle L Matteson-KomeCynthia Russell
Jan 11, 2017·Journal of Clinical Nursing·Jytte GraarupSelina Kikkenborg Berg
Apr 12, 2012·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Jiayun XuAnnette DeVito Dabbs
Apr 18, 2018·Clinical Transplantation·Lauren Z RynarDaniel F Dilling
Sep 30, 2006·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Mi-Kyung Song, Annette J De Vito Dabbs
Jan 21, 2015·Global Qualitative Nursing Research·Anna ForsbergMadeleine Nilsson

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