The palliative management of fungating malignant wounds--generalising from multiple-case study data using a system of reasoning.

Abstract:

:The project focused on individual experiences, from 45 participants, of living with a fungating wound and the performance of wound dressings in reducing the impact of the wounds on daily living. A case study design was adopted. This posed a key methodological challenge in the form of the contentious epistemological issue, characterised in the literature as the "nomothetic-idiographic dilemma". This issue concerns the nature of knowledge generated from an individual case and its generalisability. A system of reasoning was adopted as the analytic strategy, within a theory-driven evaluation, to abstract general issues from the case study data to construct explanations of symptom control and dressing performance. The latter were generalised beyond the individual cases with the use of theory. This paper focuses on the methodological issues that are inherent in the use of a case study design and the nature of the evidence generated. The system of reasoning is described and illustrated using data from a single participant with advanced uterine cancer and a fungating nodule in the groin.

journal_name

Int J Nurs Stud

authors

Grocott P,Cowley S

doi

10.1016/s0020-7489(00)00098-5

keywords:

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

533-45

issue

5

eissn

0020-7489

issn

1873-491X

pii

S0020-7489(00)00098-5

journal_volume

38

pub_type

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