The article describes how Finnish adults understand health. The data were collected by means of free-form thematic interviews and analyzed on the basis of an interpretive approach, representing the phenomenological research tradition. From the interviewees' responses, there emerged two different types of experiential health knowledge, namely institutional and individual health knowledge. Institutional health knowledgefound expression in thefollowing themes: knowledge about health as normalcy, knowledge about proper health care, knowledge aboutfactors that may cause illness, knowledge about diseases observed in oneself, and knowledge about obtaining help. Individual health knowledge found expression in the following themes: knowledge about being healthy and feeling well, knowledge about how to produce well-being and how to deal with not feeling well, and knowledge about being ill and not feeling well. The results of the study provide conceptual tools for the further analysis of health knowledge from the perspective of people themselves and at the same time deeper knowledge about the ways in which people perceive health and in which they seek to maintain good health.
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References
1.
Anderson, J. M. (1991). The phenomenological perspective. In J. M. Morse (Ed.), Qualitative nursing research: A contemporary dialogue (pp. 25-38). Newbury Park, CA: Sage.
2.
Astedt-Kurki, P. (1992). Terveys, hyva vointi ja hoitotyo kuntalaisten ja sairaanhoitajien kokemana [Health, well-being and nursing as experienced by municipal residents and nurses]. Ph.D. dissertation, Acta Universitatis Tamperensis (Series A, Vol. 349).
3.
Bergum, V. (1991). Being a phenomenological researcher. In J. M. Morse (Ed.), Qualitative nursing research: A contemporary dialogue (pp. 55-71). Newbury Park, CA: Sage.
4.
Drew, N. (1989). The interviewer's experience as data in phenomenological research. Western Journal of Nursing Research, 11, 431-439.
5.
Duffy, M. (1985). Designing nursing research: The qualitative-quantitative debate. Journal of Advanced Nursing, 10, 225-232.
6.
Eriksson, K. (1990). Den mdngdimensionella halsan: En pilotstudie over uppfattningar bland patienter, skolungdomar och larare [Health from different perspectives: A pilot study on health concepts of patients, school-age children and teachers]. Report No. 1, Department of Caring Science, Abo Akademi.
7.
Field, P. , & Morse, J. (1985). Nursing research: The application of qualitative approaches. Rockville, MD: Aspen.
8.
Haggman-Laitila, A. (1987). Terveys ja sairauskdsitteiden merkityssisallot. Master's thesis, University of Tampere, Department of Public Health.
9.
Haggman-Laitila, A. (1992). Terveys ihmisen yksilollisen olemisentavan ilmaisuna: Kuvaileva teoria elamanhallinnan ja terveena olemisen vdlisista merkitysyhteyksista [Health as an expression of a person's individual way of being: A descriptive theory of the meaning connections between life control and being healthy]. Licentiate thesis, Department of Nursing Science, University of Tampere.
10.
Haggman-Laitila, A. , & Kalkas, H. (1988). Health and Illness: A dialectical concept analysis. Scandinavian Journal of Caring Sciences, 2(2), 59-64.
11.
Hanna, K. M. (1989). The meaning of health for graduate nursing students. Journal of Nursing Education, 28(8), 372-376.
12.
Hinds, P. S. (1988). Adolescent hopefulness in illness and health. Advances in Nursing Science, 10(3), 79-88.
13.
Hirsjarvi, S. , & Hurme, H. (1991). Teemahaastattelu (thematic interview). Tampere, Finland: Gaudeamus.
14.
Ik Aheimo, K. , Lahti, P., Ratasvuori-Laine, E., & Rinne, R. (1991). Potilaan oikeudet raportti [Report on patients'rights] (S. Blomster, Ed.). Helsinki: Mental Health Society of Finland.
15.
Kalkas, H. (1991). Pehmeat arvot terveydenhuollossa. Hoitotiede, 3(1), 2-7.
16.
Laitinen, P. (1993). Hoidon laatu yli 75-vuotiaiden potilaiden jaheiddn omaistensatai ldheistensd arvioimana. Gerontologia, 7(1), 47-60.
17.
Leino-Kilpi, H. (1990). Grounded teoriamenetelman kaytosta hoitotieteellisessa tutkimuksessa [The use of grounded theory method in nursing research]. Hoitotiede, 2(3), 199-204.
18.
Liukkonen, A. (1991). Dementoituneen potilaan perushoito laitoksessa [The basic care of demented patients in an institution] (2nd ed., Series C, No. 81). Turku, Finland: University of Turku.
19.
Liukkonen, A. (1992). Hoitajien tiedoitustilaisuuksien sisallosta kuvastuva hoitotyon toimintamalli vanhainkodissa [The contents of daily reports and the nursing practices in two homes for the aged]. Hoitotiede, 4(5), 194-200.
20.
Maenp Ua, E. , & Pietila, A.-M. (1991). Nuorten miesten elintavat, elamanhallintaja itsearvioitu terveys: Esitutkimus valtion tyoterveyshuollon Oulun yksikossa [Living habits, control over life and views on health of young men within the government service occupational health scheme: Pilot study in occupational health clinic in Oulu] (pp. 45-56). Helsinki: Terveyskasvatustutkimuksen vuosikirija.
21.
Ministry of Social Health Care. (1992). Palvelurakennetyoryhman muistio (Report No. 17). Helsinki: Author.
22.
Mitchell, G. J. , & Cody, W. K. (1993). The role of theory in qualitative research. Nursing Science Quarterly, 6(4), 170-178.
23.
Moch, S. D. (1990). Health within the experience of breast cancer. Journal of Advanced Nursing, 15, 1426-1435.
24.
Newman, M. A. (1986). Health as expanding consciousness. St. Louis, MO: C. V. Mosby.
25.
Newman, M. A. (1990). Newman's theory of health as praxis. Nursing Science Quarterly, 3(1), 37-41.
26.
Newman, M. A. , Sime, A. M., & Corcoran-Perry, S. A. (1991). The focus of the discipline of nursing. Advances in Nursing Science, 14(1), 1-6.
27.
Nystrom, A. , & Andersson-Segesten, K. (1990). Peace of mind as an important aspect of old people's health. Scandinavian Journal of Caring Sciences, 4(2), 55-62.
28.
Packalen, L. , & Kiikkala, I. (1992). Iakkaiden pitkiiaikaispotilaiden terveys ja sen edistaminen hoitotyon keinoin [Health promotion of long-term patients by means of nursing strategies]. Hoitotiede, 4(4), 162-170.
29.
Parse, R. R. (1981). Man-living-health: A theory of nursing. New York: Wiley.
30.
Parse, R. R. (1990). Health: A personal commitment. Nursing Science Quarterly, 3(3), 136-140.
31.
Parse, R. R. , Coyne, A. B., & Smith, M. J. (1985). Nursing research: Qualitative methods. Bowie, MD: Brady.
32.
Pender, N. J. (1990). Expressing health through lifestyle patterns. Nursing Science Quarterly, 3(1), 115-122.
33.
Reynolds, C. L. (1988). The measurement of health in nursing research. Advances in Nursing Science, 10(4), 23-31.
34.
Rogers, M. E. (1980). Science of unitary man (tapes 1-6). New York: Media for Nursing.
35.
Rose, J. F. (1990). Psychologic health of women: A phenomenologic study of women's inner strength. Advances in Nursing Science, 12(2), 56-70.
36.
Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27-37.
37.
Stern, P. N. , Allen, L. M., & Moxley, P. A. (1984). Qualitative research: The nurse as grounded theorist. Health Care for Women International, 5, 371-385.
38.
Swanson-Kauffman, K. M. (1986). A combined qualitative methodology for nursing research. Advances in Nursing Science, 8(3), 58-69.
39.
Valtion painatuskeskus . (1987). Suomen terveyspolitiikan pitkan aikavalin tavoite ja toimintaohjelma [Health for all by the year 2000]. Helsinki: Author.
40.
Varto, J. (1992). Laadullisen tutkimuksen metodologia [Qualitative research methodology]. Tampere, Finland: Kirjayhtyma Oy, Tammer-Paino Oy.
41.
Vaskilampi, T. , Kumpusalo, E., & Luova, T. (1988). Vegetaristin muotokuva-tapaustutkimus vegetaristin elintavoista, urasta ja elanmn merkityssishlloista. Sosiaalildaketieteellinen Aikakauslehti, 25(4), 277-287.
42.
Woods, N. F. , Laffrey, S., Duffy, M., Lentz, M. J., Mitchell, E. S., Taylor, D., & Cowan, K. A. (1988). Being healthy: Women's images. Advances in Nursing Science, 11(1), 36-46.
