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A concept analysis of uncertainty in illness
1University of Manitoba Faculty of Nursing, Winnipeg, Canada. kim.mccormick@shaw.ca
Summary
Illness uncertainty is a neutral cognitive state, not an emotional outcome. Key attributes include ambiguity and unpredictability, distinct from loss of control.
Area of Science:
- Nursing
- Psychology
- Health Sciences
Background:
- Uncertainty in illness is a significant aspect of the patient experience.
- Existing models may not fully capture the complexity of illness uncertainty.
Purpose of the Study:
- To critically examine the concept of uncertainty in illness.
- To propose an alternative model for understanding the uncertainty in the illness experience.
Main Methods:
- A comprehensive literature review was conducted.
- Morse's concept analysis methodology guided the appraisal of existing literature.
Main Results:
- Illness uncertainty stems from ambiguity, vagueness, unpredictability, unfamiliarity, inconsistency, and lack of information.
- The core attributes of uncertainty are probability, temporality, and perception.
- Loss of personal control is frequently and incorrectly equated with uncertainty.
Conclusions:
- Uncertainty is a multidimensional concept and a neutral cognitive state, separate from its emotional consequences.
- Further research is required to elucidate the relationship between uncertainty, loss of control, and psychosocial outcomes.