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Developing a Grounded Theory on Adaptation After Lung Transplantation From Intermediate-Term Patient Experiences

Lundmark, Martina LU ; Lennerling, Annette and Forsberg, Anna LU (2019) In Progress in Transplantation 29(2). p.135-143
Abstract

Background: Previous research revealed that it is possible for lung recipients to experience health 1 year posttransplant, despite not being fully recovered. However, an in-depth, long-term perspective on how lung recipients’ health transition evolves over time is lacking. Thus, the aim of this study was to further develop a grounded theory of health transition by exploring the process of change 1 to 3 years after lung transplantation. Methods: The grounded theory method was used prospectively to analyze the narratives of 14 adult lung recipients who were included at their 1-year follow-up and reinterviewed 2 years later. Results: This novel study contributes an in-depth understanding of the adaptation process after lung... (More)

Background: Previous research revealed that it is possible for lung recipients to experience health 1 year posttransplant, despite not being fully recovered. However, an in-depth, long-term perspective on how lung recipients’ health transition evolves over time is lacking. Thus, the aim of this study was to further develop a grounded theory of health transition by exploring the process of change 1 to 3 years after lung transplantation. Methods: The grounded theory method was used prospectively to analyze the narratives of 14 adult lung recipients who were included at their 1-year follow-up and reinterviewed 2 years later. Results: This novel study contributes an in-depth understanding of the adaptation process after lung transplantation. The greatest concern in the 3 years after lung transplantation was adaptation to a new normality, which was achieved by 3 main strategies: compare, accept, and adjust. Adaptation to a new normality involved understanding that one’s previous life no longer exists and that a new way of living requires adaptation. Successful adaptation resulted in the experience of health and well-being, whereas too many symptoms and limitations in everyday life led to difficulties and a profound sense of illness. Conclusions: Lung recipients can experience health, despite symptoms and complications by adapting to a new normality. This individual process begins posttransplant and continues throughout life.

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Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
adaptation, grounded theory, lung transplantation, nursing, posttransplant follow-up, qualitative, recovery
in
Progress in Transplantation
volume
29
issue
2
pages
135 - 143
publisher
SAGE Publications
external identifiers
  • scopus:85063589790
  • pmid:30913986
ISSN
1526-9248
DOI
10.1177/1526924819835823
language
English
LU publication?
yes
id
3a3c15e3-f5ec-450b-b233-387f799885ca
date added to LUP
2019-04-08 14:33:11
date last changed
2024-06-11 08:10:30
@article{3a3c15e3-f5ec-450b-b233-387f799885ca,
  abstract     = {{<p>Background: Previous research revealed that it is possible for lung recipients to experience health 1 year posttransplant, despite not being fully recovered. However, an in-depth, long-term perspective on how lung recipients’ health transition evolves over time is lacking. Thus, the aim of this study was to further develop a grounded theory of health transition by exploring the process of change 1 to 3 years after lung transplantation. Methods: The grounded theory method was used prospectively to analyze the narratives of 14 adult lung recipients who were included at their 1-year follow-up and reinterviewed 2 years later. Results: This novel study contributes an in-depth understanding of the adaptation process after lung transplantation. The greatest concern in the 3 years after lung transplantation was adaptation to a new normality, which was achieved by 3 main strategies: compare, accept, and adjust. Adaptation to a new normality involved understanding that one’s previous life no longer exists and that a new way of living requires adaptation. Successful adaptation resulted in the experience of health and well-being, whereas too many symptoms and limitations in everyday life led to difficulties and a profound sense of illness. Conclusions: Lung recipients can experience health, despite symptoms and complications by adapting to a new normality. This individual process begins posttransplant and continues throughout life.</p>}},
  author       = {{Lundmark, Martina and Lennerling, Annette and Forsberg, Anna}},
  issn         = {{1526-9248}},
  keywords     = {{adaptation; grounded theory; lung transplantation; nursing; posttransplant follow-up; qualitative; recovery}},
  language     = {{eng}},
  month        = {{03}},
  number       = {{2}},
  pages        = {{135--143}},
  publisher    = {{SAGE Publications}},
  series       = {{Progress in Transplantation}},
  title        = {{Developing a Grounded Theory on Adaptation After Lung Transplantation From Intermediate-Term Patient Experiences}},
  url          = {{http://dx.doi.org/10.1177/1526924819835823}},
  doi          = {{10.1177/1526924819835823}},
  volume       = {{29}},
  year         = {{2019}},
}