Monday, November 12, 2012

Nursing Theory: Mishel's Uncertainty in Illness

Mishel's framework is valuable in the sense that it outlines the causes and mechanisms of timidty and identifies how it can interdictly affect the long-suffering. In addition, Mishel's framework promotes management of the negativity of uncertainty.

incertitude can be difficult to manage because of its dual aspects, however. As Brashers (2001, p. 291) points out, "In whatsoever instances, people may want to reduce uncertainty because they arise it threatening. At other times, uncertainty allows people to maintain desire and optimism." Although Mishel recognized that uncertainty can be not just negative but positive, her framework focuses primarily on the negative side of uncertainty, ignoring the fact that in some cases, a persevering's completely positive outlook lies in uncertainty (McCormick, 2002, p. 128). A patient uncertain of whether he has cancer can be passing stressed by that uncertainty. Likewise, if he knows he has cancer and is uncertain of the outcome, he can be stressed. Even if his cancer is in remission, uncertainty over whether it may recur or not can be stressful. On the other hand, a patient that has received a grim prognosis may pose that the only believe he has lies in uncertainty-the uncertain hope that he may miraculously recover; for this patient, uncertainty is both(prenominal) desirable and potentially therapeutic. Thus, although Mishel's theory addresses an important aspect of


Mishel, M.H. (1981). The measurement of uncertainty in illness. nurse Research, 30(5), 258-263. PubMed.gov. Retrieved on January 31, 2010 from: hypertext transfer protocol://www.ncbi.nlm.nih.gov/pubmed/6912987

McCormick, K.M. (2002). A Concept Analysis of Uncertainty in Illness. Wiley InterScience. Journal of Nursing Scholarship, 34(2), 127-131. Retrieved on January 1, 2010 from: http://www3.interscience.wiley.com/cgi-bin/fulltext/118929729/PDFSTART

Bonadonna, R. (2003).
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surmise's opposition on Chronic Illness. Holistic Nursing Practice, (Nov/Dec), 309-319. Retrieved on February 1, 2010 from: http://ovidsp.uk.ovid.com/sp-2.3/ovidweb.cgi?WebLinkFrameset=1&S=FMJDPDMBEIHFJJIOFNELIHBGJAKAAA00&returnUrl=http%3a%2f%2fovidsp.uk.ovid.com%2fsp-2.3%2fovidweb.cgi%3f%26Full%2bText%3dL%257cS.sh.15.16%257c0%257c00004650-200311000-00006%26S%3dFMJDPDMBEIHFJJIOFNELIHBGJAKAAA00&directlink=http%3a%2f%2fgraphics.uk.ovid.com%2fovftpdfs%2fPDHFFNBGIHIOEI00%2ffs043%2fovft%2flive%2fgv021%2f00004650%2f00004650-200311000-00006.pdf&filename=Meditation%27s+Impact+on+Chronic+Illness

In the student's make medical history, a childhood operation was a traumatic event requiring a seven-day stay in the hospital without the ottoman of home and parents, and the impact of uncertainty was all negative and fear-based. The remainder that the ward nurse make in supplying solid hugs and a vision of the future in which recovery would be complete was dramatic. The nurse was, in fact, the only thing that made the situation tolerable, and her kindness has never been forgotten.


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