Kontakt 2021, 23(4):274-280 | DOI: 10.32725/kont.2021.049

Lived experience of outpatients with Parkinson's disease: an interpretative phenomenological analysisNursing - Original article

Martina Tomagová *, Ivana Bóriková, Martina Lepiešová, Jana Nemcová, Ivan Farský, Mária Zanovitová
Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Department of Nursing, Martin, Slovak Republic

Introduction: The chronic, degenerative and progressive character of Parkinson's disease (PD) is reflected in the living experience of patients - and it also has an impact on their dignity.

Aim: The aim of the study was to increase the understanding of the lived experience of outpatients with PD and its impact on their dignity.

Methods: The study design is explorative using interpretative phenomenological analysis (IPA). Semi-structured interviews were held with 11 participants with PD between February-May 2018. Interviews were conducted as individual face-to-face interviews, in privacy with no involvement of family members according to the interview protocol. Data analysis was performed according to IPA process using the ATLAS.ti 8.0 program.

Results: Our study identified five themes that reflect the lived experience of outpatients with PD: Me and my Parkinson's: losses, acceptance and coping; The Need to Remain Self-sufficient versus the Fear of Dependence; How Do Others See Me: Scorn versus Acceptance; Lack of Information versus the Need to Be Informed; Lack of Respect versus the Accommodating Approach of Healthcare Professionals. We discovered their impact on dignity, especially in the areas concerning autonomy, self-esteem, self-worth, identity, respect, and other people's appreciation.

Conclusions: Patients with PD are confronted with many serious changes on a daily basis, which significantly influence their dignity. This fact must be known and respected by health care professionals when providing patient-oriented care.

Keywords: Dignity; Health care; Interpretative Phenomenological Analysis; Lived experience; Parkinson's disease
Grants and funding:

This research is supported by VEGA grant 1/0090/17: Dignity of patients with neurological disease in the context of healthcare: interpretative phenomenological approach.

Conflicts of interest:

The authors have no conflict of interests to declare.

Received: July 6, 2021; Revised: September 21, 2021; Accepted: November 4, 2021; Prepublished online: November 11, 2021; Published: December 6, 2021  Show citation

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Tomagová M, Bóriková I, Lepiešová M, Nemcová J, Farský I, Zanovitová M. Lived experience of outpatients with Parkinson's disease: an interpretative phenomenological analysis. Kontakt. 2021;23(4):274-280. doi: 10.32725/kont.2021.049.
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References

  1. Ambrosio L, García JMS, Fernández MR, Bravo SA, De Cerio Ayesa SD, Caparrós N, et al. (2015). Living with chronic illness in adults: a concept analysis. J Clin Nurs 24(17-18): 2357-2367. DOI: 10.1111/jocn.12827. Go to original source... Go to PubMed...
  2. Baillie L (2009). Patient dignity in an acute hospital setting: a case study. Int J Nurs Stud 46(1): 23-37. DOI: 10.1016/j.ijnurstu.2008.08.003. Go to original source... Go to PubMed...
  3. Bonner N, Bozzi S, Morgan L, Mason B, Peterschmitt MJ, Fischer TZ, et al. (2020). Patients' experiences of Parkinson's disease: a qualitative study in glucocerebrosidase and idiopathic Parkinson's disease. J Patient Rep Outcomes 4(1): 65-79. DOI: 10.1186/s41687-020-00230-9. Go to original source... Go to PubMed...
  4. Bush EJ, Singh RL, Hidecker MC, Carrico CP (2018). Parkinson's disease support groups in Rural America: barriers, resources, and opportunities. TQR 23(6): 1381-1400. DOI: 10.46743/2160-3715/2018.3312. Go to original source...
  5. Eatough V, Shaw K (2019). "It's like having an evil twin": an interpretative phenomenological analysis of the lifeworld of a person with Parkinson's disease. J Res Nurs 24(1-2): 49-58. DOI: 10.1177/1744987118821396. Go to original source... Go to PubMed...
  6. Eccles FJR, Murray C, Simpson J (2011). Perceptions of cause and control in people with Parkinson's disease. Disabil Rehabil 33(15-16):1409-20. DOI: 10.3109/09638288.2010.533241. Go to original source... Go to PubMed...
  7. Fine RL (2010). Keeping the patient at the center of patient and family-centered care. J Pain Symptom Manage 40(4): 621-625. DOI: 10.1016/j.jpainsymman.2010.06.008. Go to original source... Go to PubMed...
  8. Haahr A, Brincks J, Sørensen D (2017). Coping with Parkinson's disease in everyday life: a systematic review protocol. JBI Database System Rev Implement Rep 15(5): 1288-1297. DOI: 10.11124/JBISRIR-2016-002989. Go to original source... Go to PubMed...
  9. Hammarlund CS, Westergren A, Åström I, Edberg AK, Hagell P (2018). The impact of living with Parkinson's disease: balancing within a web of needs and demands. Parkinsons Dis 29(7): 1-8. DOI: 10.1155/2018/4598651. Go to original source... Go to PubMed...
  10. Hellqvist C, Dizdar N, Hagell P, Berterö C, Sund-Levander M (2018). Improving self-management for persons with Parkinson's disease through education focusing on management of daily life: patients' and relatives' experience of the Swedish National Parkinson School. J Clin Nurs 27(19-20): 3719-3728. DOI: 10.1111/jocn.14522. Go to original source... Go to PubMed...
  11. Gibson G, Kierans C (2017). Ageing, masculinity and Parkinson's disease: embodied perspectives. Sociol Health Illn 39(4): 532-546. DOI: 10.1111/1467-9566.12508. Go to original source... Go to PubMed...
  12. Ishii M, Okuyama K (2017). Characteristics associated with freezing of gait in actual daily living in Parkinson's disease. J Phys Ther Sci 29(12): 2151-2156. DOI: 10.1589/jpts.29.2151. Go to original source... Go to PubMed...
  13. Jacobs H, Heberlein I, Vieregge A, Vieregge P (2001). Personality traits in young patients with Parkinson´s disease. Acta Neurol Scand 103(2): 82-87. DOI: 10.1034/j.1600-0404.2001.103002082.x. Go to original source... Go to PubMed...
  14. Kang MY, Ellis-Hill C (2015). How do people live life successfully with Parkinson's disease? J Clin Nurs 24(15-16): 2314-2322. DOI: 10.1111/jocn.12819. Go to original source... Go to PubMed...
  15. Kalia LV, Lang E (2015). Parkinson's disease. Lancet 386(9996): 896-912. DOI: 10.1016/S0140-6736(14)61393-3. Go to original source... Go to PubMed...
  16. Lin YP, Watson R, Tsai YF (2013). Dignity in care in the clinical setting: a narrative review. Nurs Ethics 20(2): 168-177. DOI: 10.1177/0969733012458609. Go to original source... Go to PubMed...
  17. Maffoni M, Giardini A, Pierobon A, Ferrazzoli D, Frazzitta G (2017). Stigma experienced by Parkinson's disease patients: a descriptive review of qualitative studies. Parkinsons Dis 24 (1): 1-7. DOI: 10.1155/2017/7203259. Go to original source... Go to PubMed...
  18. Matiti MR (2015). Learning to promote patient dignity: an inter-professional approach. Nurse Educ Pract 15(2): 108-110. DOI: 10.1016/j.nepr.2015.01.005. Go to original source... Go to PubMed...
  19. Nazzal MS, Khalil H (2017). Living with Parkinson's disease: a Jordanian perspective. Scand J Occup Ther 24(1): 74-82. DOI: 10.1080/11038128.2016.1234643. Go to original source... Go to PubMed...
  20. Perepezko K, Hinkle JT, Shepard MD, Fischer N, Broen MPG, Leentjens AFG et al. (2019). Social role functioning in Parkinson's disease: a mixed-methods systematic review. Int J Geriatr Psychiatry 34(8): 1128-1138. DOI: 10.1002/gps.5137. Go to original source... Go to PubMed...
  21. Pietkiewicz I, Smith JA (2014). A practical guide to using interpretative phenomenological analysis in qualitative research psychology. CPPJ 20(1): 7-14. DOI: 10.14691/CPPJ.20.1.7. Go to original source...
  22. Shapira AL, Handzel R, Korczyn AD (2017). The lived experience of Parkinson's disease: A content analysis of Parkinson's patients' blogs. IMAJ 19(11): 685-690. Go to PubMed...
  23. Sheehy TL, McDonough MH, Zauber S (2017). Social comparisons, social support, and self-perceptions in-group exercise for people with Parkinson's disease. J Appl Sport Psychol 29 (3): 285-303. DOI: 10.1080/10413200.2016.1266711. Go to original source...
  24. Simpson J, McMillan H, Reeve D (2013). Reformulating psychological difficulties in people with Parkinson's disease: the potential of a social relational approach to disablism. Parkinsons Dis 2013: 608562. DOI: 10.1155/2013/608562. Go to original source... Go to PubMed...
  25. Smith JA, Osborn M (2015) Interpretative phenomenological analysis as a useful methodology for research on the lived experience of pain. Br J Pain 9(1): 41-42. DOI: 10.1177/2049463714541642. Go to original source... Go to PubMed...
  26. Smith JA, Flowers P, Larkin M (2009). Interpretative phenomenological analysis. Theory, method and research. London: SAGE, 225 p.
  27. Smith LJ, Shaw RL (2017). Learning to live with Parkinson's disease in the family unit: an interpretative phenomenological analysis of well-being. Med Health Care Philos 20: 13-21. DOI: 10.1007/s11019-016-9716-3. Go to original source... Go to PubMed...
  28. Soleimani MA, Negarandeh R, Bastani F, Greysen R (2014). Disrupted social connectedness in people with Parkinson's disease. Br J Community Nurs 19(3): 136-141. DOI: 10.12968/bjcn.2014.19.3.136. Go to original source... Go to PubMed...
  29. Soundy A, Stubbs B, Roskel C (2014). The experience of Parkinson's disease: a systematic review and meta-ethnography. Sci World J 2014: 613592. DOI: 10.1155/2014/613592. Go to original source... Go to PubMed...
  30. Stocchi F, Martínez-Martin P, Reichmann H (2014). Quality of life in Parkinson's disease - patient, clinical and research perspectives. Eur Neurol Rev 9(1): 12-18. DOI: 10.17925/ENR.2014.09.01.12. Go to original source...
  31. Tod AM, Kennedy F, Stocks AJ, McDonnell A, Ramaswamy B, Wood B, et al. (2016). Good-quality social care for people with Parkinson's disease: a qualitative study. BMJ Open 6(2): e006813. DOI: 10.1136/bmjopen-2014-006813. Go to original source... Go to PubMed...
  32. Tranvåg O, Synnes O, McSherry W (2016). Stories of dignity within healthcare. Research, narratives and theories. Keswick: M&K Publishing, 370 p.
  33. Tsiouris KM, Gatsios D, Rigas G, Miljkovic D, Seljak BK, Bohanec M, et al. (2017). PD_Manager: an mHealth platform for Parkinson's disease patient management. Health Technol Lett 4(3): 102-108. DOI: 10.1049/htl.2017.0007. Go to original source... Go to PubMed...
  34. Valcarenghi RV, Alvarez AM, Santos SSC, Siewert JS, Nunes SFL, Tomasi AVR (2018). The daily lives of people with Parkinson's disease. Rev Bras Enferm 71(2): 272-279. DOI: 10.1590/0034-7167-2016-0577. Go to original source... Go to PubMed...
  35. van Gennip IE, Pasman HRW, Oosterveld-Vlug MG, Willems DL, Onwuteaka-Philipsen BD (2013). The development of a model of dignity in illness based on qualitative interviews with seriously ill patients. Int J Nurs Stud 50(8): 1080-1089. DOI: 10.1016/j.ijnurstu.2012.12.014. Go to original source... Go to PubMed...
  36. van Gennip IE, Pasman HRW, Oosterveld-Vlug MG, Willems DL, Onwuteaka-Philipsen BD (2015). Dynamics in the sense of dignity over the course of illness: a longitudinal study into the perspective of serious ill patients. Int J Nurs Stud 52(11): 1694-1704. DOI: 10.1016/j.ijnurstu.2015.06.010. Go to original source... Go to PubMed...
  37. Vescovelli F, Sarti D, Ruini C (2018). Subjective and psychological well-being in Parkinson's disease: a systematic review. Acta Neurol Scand 138(1): 12-23. DOI: 10.1111/ane.12946. Go to original source... Go to PubMed...
  38. Žiaková K, Čáp J, Miertová M, Gurková E, Kurucová R (2020). An interpretative phenomenological analysis of dignity in people with multiple sclerosis. Nurs Ethics 27(3): 686-700. DOI: 10.1177/0969733019897766. Go to original source... Go to PubMed...

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