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Western Journal of Nursing Research
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Uncertainty and Its Antecedents in Patients With A trial Fibrillation

Younhee Kang

College of Nursing Science, Ewha Womans University, Seoul, Korea

Barbara J. Daly

Frances Payne Bolton School of Nursing, Case Western Reserve University

Jeong-Sun Kim

College of Nursing Science, Ewha Womans University, Seoul, Korea

The aim of this descriptive, correlational, and cross-sectional survey was to explore uncertainty in patients with atrial fibrillation and to examine the relationships between uncertainty and its antecedents, including education, social support, and perceived seriousness of illness in patients newly diagnosed with atrial fibrillation. The theoretical framework of the study was Mishel’s middle-range nursing theory of uncertainty in illness. A convenience sample of 81 participants recruited from two academic medical centers over 10 months was interviewed. Uncertainty was moderately high in patients with atrial fibrillation compared to other clinical populations. Among antecedents of uncertainty, higher education was significantly associated with less uncertainty (= -.21 to -.25). Except for tangible support, persons with greater social supports perceived less uncertainty (= -.25 to -.27), and individuals with greater perceived seriousness of illness reported greater uncertainty (= .30 to .33).

Key Words: uncertainty • perceived seriousness of illness • social support • education • atrial fibrillation

Western Journal of Nursing Research, Vol. 26, No. 7, 770-783 (2004)
DOI: 10.1177/0193945904265815
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