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Title: Specialist nursing for people with multiple sclerosis affected by fatigue : a case study inquiry
Author: Warner, Richard
ISNI:       0000 0004 2747 8987
Awarding Body: University of the West of England, Bristol
Current Institution: University of the West of England, Bristol
Date of Award: 2014
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Aim The aim of the study was to explore how specialist nursing affected the experience of fatigue for people with multiple sclerosis. Methodology This mixed method case study is a single embedded revelatory approach designed to investigate specialist nurse interaction with patients with multiple sclerosis who experience fatigue. The convenience sample of one nurse and two patients constitutes the case. The case is bounded by purposively sampling data which were collected by the use of: interview, observation, reflective diaries. Assessment tools were also used for fatigue, depression, disability and the impact of MS, and actigraphy recording of patient activity. Participants completed key measurements and interview at three monthly intervals during the one year study period. Other data collection was organised to reflect the frequency of nurse patient consultations. The critical social theory of Jurgen Habermas and specifically his theories of moral consciousness and communicative action were used to aid interpretation of data. Conclusions Actigraphy demonstrated that overall level of physical activity for both patients was similar despite differences in fatigue experience. Differences occurred in how patients: (i) Chose to utilise the level of physical activity available to them; (ii) The sense of meaning that they constructed around their experience of fatigue and (iii) The adoption of self management techniques.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available