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The experience of living with rheumatoid arthritis: A qualitative metasynthesis
Author(s) -
Parenti Giulia,
Tomaino Silvia Caterina Maria,
Cipolletta Sabrina
Publication year - 2020
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.15428
Subject(s) - psycinfo , qualitative research , scopus , medicine , grounded theory , psychological intervention , medline , checklist , critical appraisal , thematic analysis , relevance (law) , normality , psychology , applied psychology , clinical psychology , nursing , alternative medicine , psychiatry , sociology , social science , pathology , political science , law , cognitive psychology
Aims and objectives To develop a model of understanding of how rheumatoid arthritis (RA) affects daily life based on a third‐order interpretation of qualitative findings. Background Rheumatoid arthritis is a chronic condition subject to a progressive deterioration of joints, limiting the ability to move and causing severe impairment in patients' lives. Design A qualitative metasynthesis. Methods CINHAL, ProQuest, PsycINFO, PubMed, SCOPUS and Web of Science databases were searched for relevant studies applying appropriate criteria. Screening and selection of studies were performed following the PRISMA guidelines and the PRISMA checklist was completed. Thirty‐eight qualitative articles were retrieved: in total, 17 were excluded for failing to meet inclusion criteria, and 21 were considered for synthesis. Data analysis followed a third‐order interpretation of data for synthesising qualitative research. Results Findings led to the creation of a model consisting of two overarching categories: “rheumatoid arthritis impact on life domains” and “Confronting the illness,” and two cross‐sectional codes: “Health” and “Independence and normality.” Conclusion This meta‐study provides a model that is both inclusive of participants' own viewpoint and solidly grounded in a health psychology model. Relevance to clinical practice The model can be highly informative for both practitioners and researchers in developing tailored interventions of support and prevention.