Functional status from the patient's perspective: The challenge of preserving personal integrity
Article first published online: 15 JAN 1999
Copyright © 1999 John Wiley & Sons, Inc.
Research in Nursing & Health
Volume 22, Issue 1, pages 67–77, February 1999
How to Cite
Leidy, N. K. and Haase, J. E. (1999), Functional status from the patient's perspective: The challenge of preserving personal integrity. Res. Nurs. Health, 22: 67–77. doi: 10.1002/(SICI)1098-240X(199902)22:1<67::AID-NUR8>3.0.CO;2-D
- Issue published online: 15 JAN 1999
- Article first published online: 15 JAN 1999
- Manuscript Accepted: 16 SEP 1998
- Manuscript Received: 5 SEP 1997
- National Institutes of Health. Grant Number: Z01 NR00008-01 HRHI
- functional status;
- chronic obstructive pulmonary disease;
- qualitative methods
The purpose of this naturalistic, qualitative study was to describe the meaning of functional performance from the perspective of patients themselves. Twelve men and women with moderate to severe chronic obstructive pulmonary disease (COPD) participated in unstructured, tape-recorded interviews. The essential structure of the experience of finding purpose and meaning through activity was derived through an adaptation of Colaizzi's phenomenological method and the consensus dialogue approach to concept clarification. Results suggest people who are ill face an ongoing challenge of preserving their personal integrity, defined as a satisfying sense of wholeness, as they encounter a variety of physical changes that can interfere with day-to-day activity. Qualities most salient to integrity are a sense of effectiveness, or “being able,” and of connectedness, or “being with.” Identifying personal integrity as a motivating and explanatory factor in day-to-day activity performance may be an important consideration in designing effective intervention programs to improve capacity, strengthen performance, and enhance quality of life. © 1999 John Wiley & Sons, Inc. Res Nurs Health 22: 67–77, 1999.