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Common to all of these system issues is the theme of fatigue, both visual and mental.
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In practice, the resulting domains were in accordance with the conceptual dimensions found in the qualitative phase, including the notion that the sub-dimensions were part of a single, supraordinate theme of 'neurological fatigue'.
Themes related to sources of fatigue within each of the five primary components of the SEIPS work system were identified, along with barriers and facilitators to nurses' experiences and strategies for coping with fatigue.
Three main themes were identified: (1) The effects of fatigue were multi-dimensional with participants expressing feelings of being 'drained' (physical), 'upset' (emotional) and experiencing 'low-mood' (psychological); (2) The most commonly reported self-management strategy for fatigue was a balanced combination of activity (exercise) and rest.
All ten patients agreed that the areas covered by the 52 items were sufficient to capture all of their own personal experiences of fatigue, and no additional themes emerged from the interviews.
A commonly observed theme in the literature is the co-occurrence of fatigue with other centrally mediated symptoms such as pain, unrefreshing sleep, affective symptoms, and the influence of psychosocial variables.
The theme "Thoughts About Fatigue" discusses beliefs concerning fatigue that are fatigue enhancing.
A theme that was unique to patients with AxSpA was a description of fatigue as a sense of freezing of the body.
(v) Descriptions and concepts were reviewed by the other co-author (LG) which led to the development of overarching themes or topic areas that seek to represent a cohesive interpretation of participants' experience of fatigue.
As the series expands (Smart's Palace is the eleventh) Shipley acknowledges feeling "a bit of fatigue with Eccentric Soul … they do become variations on a theme.
Qualitative analysis of 40 MS patient interviews had previously contributed to a coherent definition of fatigue, and a potential 52 item set representing the salient themes.
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