The author gratefully acknowledges funding for the project from the Canadian Nurses Foundation, and the contribution and support of the co-investigators, Dr. Sally Thorne, Dr. Sonia Acorn, Connie Canam, Dr. Carol Jillings, Gloria Joachim, and Marilyn Dewis.
The Shifting Perspectives Model of Chronic Illness
Article first published online: 23 APR 2004
Journal of Nursing Scholarship
Volume 33, Issue 1, pages 21–26, March 2001
How to Cite
Paterson, B. L. (2001), The Shifting Perspectives Model of Chronic Illness. Journal of Nursing Scholarship, 33: 21–26. doi: 10.1111/j.1547-5069.2001.00021.x
- Issue published online: 23 APR 2004
- Article first published online: 23 APR 2004
- Accepted for publication October 14, 2000.
- chronic illness;
- qualitative research
Purpose: To present the Shifting Perspectives Model of Chronic Illness, which was derived from a metasynthesis of 292 qualitative research studies.
Design: The model was derived from a metasynthesis of qualitative research about the reported experiences of adults with a chronic illness. The 292 primary research studies included a variety of interpretive research methods and were conducted by researchers from numerous countries and disciplines.
Methods: Metastudy, a metasynthesis method developed by the author in collaboration with six other researchers consisted of three analytic components (meta-data-analysis, metamethod, and metatheory), followed by a synthesis component in which new knowledge about the phenomenon was generated from the findings.
Findings: Many of the assumptions that underlie previous models, such as a single, linear trajectory of living with a chronic disease, were challenged. The Shifting Perspectives Model indicated that living with chronic illness was an ongoing and continually shifting process in which an illness-in-the-foreground or wellness-in-the-foreground perspective has specific functions in the person's world.
Conclusions: The Shifting Perspectives Model helps users provide an explanation of chronically ill persons' variations in their attention to symptoms over time, sometimes in ways that seem ill-advised or even harmful to their health. The model also indicates direction to health professionals about supporting people with chronic illness.