Survivalising among homeless people with tuberculosis : a grounded theory study

Whoolery, Magdalena (2008) Survivalising among homeless people with tuberculosis : a grounded theory study. ["eprint_fieldopt_thesis_type_phd" not defined] thesis, Buckinghamshire New University.

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Tuberculosis (TB) continues to be one of the world’s most devastating and deadly diseases. Its reach is not confined to developing countries, but is manifest in pockets of high infection in cities like London, and among vulnerable groups such as the homeless. To date, the majority of research on TB in London has been quantitative, and little has drawn on the experiences of homeless people living with the disease. A qualitative Grounded Theory study was undertaken to provide insight into the experience of being homeless with TB in London. The Grounded Theory approach was utilised to systematically collect and analyse data from 16 in-depth interviews of homeless people with TB at three Central London TB/chest clinics. The result is the emergence of the theory of Survivalising, which reveals a basic social process experienced by homeless people with TB, with four distinct social patterns: Zoning-out, Bottoming-out, Self-realisation and Healing. Zoning-out relates to the daily quest to survive the harsh realities of social exclusion. Personal health is neglected, overshadowed by the desire for inner escape. Bottoming-out represents a personal crisis point where individuals are no longer able to view themselves, or the world, in the same way - creating a catalyst for positive change. Self-realisation sees a new conceptual order accepted, fundamental attitudes toward life and living transformed and interest in seeking health and social services increased. Healing is about fixing a fractured existence, rebuilding relationships, restoring health and building a new and better life. Adherence to TB treatment becomes a high priority. The results of this study contribute to the overall body of research knowledge on TB, and provide a theory to augment our understanding of the homeless-TB experience. Survivalising enables health professionals and policy makers to conceptualise and deliver appropriate TB care, according to the unique requirements of individuals.

Item Type: Thesis (["eprint_fieldopt_thesis_type_phd" not defined])
Divisions: ?? BucksNewUniversity ??
Depositing User: ULCC Admin
Date Deposited: 23 Oct 2015 15:06
Last Modified: 11 Dec 2017 19:19

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