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Constructions of chronic illness

S Wellard1

  • 1School of Nursing, Faculty of Health and Behavioural Sciences, Deakin University, Burwood, Victoria, Australia. sellard@deakin.edu.au

International Journal of Nursing Studies
|August 8, 1998
PubMed
Summary

Research on chronic illnesses is expanding across many fields, focusing on individual experiences and effects. Dominant discourses in nursing, such as normalization and individualism, shape the understanding and practice related to chronic illness.

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Area of Science:

  • Multidisciplinary research on chronic illnesses.
  • Social sciences, psychology, and nursing perspectives.

Background:

  • Growing academic and clinical interest in chronic illnesses.
  • Shift from purely medical focus to broader psychosocial impacts.
  • Individuals' experiences are central to chronic illness research.

Purpose of the Study:

  • To explore dominant perspectives in chronic illness discourse.
  • To identify privileged discourses within nursing practice.
  • To analyze the influence of normalization, individualism, and science.

Main Methods:

  • Analysis of current constructions of chronic illness.
  • Exploration of discourse in nursing practice.
  • Qualitative examination of dominant perspectives.

Main Results:

  • Normalization, individualism, and science emerge as dominant discourses.
  • These discourses shape the understanding of chronic illness in nursing.
  • Focus on individual variations from the 'norm' is prevalent.

Conclusions:

  • Nursing practice is heavily influenced by dominant chronic illness discourses.
  • Critical examination of these discourses is needed.
  • Understanding these perspectives is key to improving chronic illness care.

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