Cardiovascular disease (CVD) and sustained high blood glucose as prediabetes are an established comorbidity. People's experience in reconciling these long‐term conditions requires deeper appreciation if nurses are to more effectively support person‐centred care for people who have them. Our analysis explores the initial experience of people admitted to hospital with CVD who then find they also have sustained high blood glucose. Our methodology is informed by the philosophy of Gadamer and applies interpretive description to develop an interpretation of participant experiences. (...) The major theme emerging from participant interviews was the ‘invisible disequilibrium’ characterised by three subthemes: ‘losing equilibrium’, ‘becoming embattled’ and ‘evolving illness’. This study examines CVD and prediabetes in conjunction with the Gadamerian notion of the ‘whole’, as being in a social and emotional world in which illness is also a component part. We explore how participants lived within an ‘invisible disequilibrium’, with prediabetes frequently remaining unnoticed, while CVD was manifest. To identify multiple conditions and support effective intervention to manage them as part of person‐centric care, nursing practice should explore the ‘whole’ of the person's experience, value people’s knowledge as potential indicators of complex illness, thereby reducing the risk of accelerating complex illness. (shrink)

This article uses a case-study of the relationship between the British suffrage organization, the Women's Social and Political Union, and its equivalent on the Irish side, the Irish Women's Franchise League, in order to illuminate some consequences of the colonial relationship between Britain and Ireland. As political power was located within the British state, and the British feminist movement enjoyed superior resources, the Irish movement was at a disadvantage. This was compounded by serious internal divisions within the Irish movement — (...) a product of the dispute over Ireland's constitutional future — which prevented the Franchise League, sympathetic to the nationalist demand for independence — from establishing a strong presence in the North. The consequences of the British movement organizing in Ireland, in particular their initiation of a militant campaign in the North, are explored in some detail, using evidence provided by letters from the participants. British intervention was clearly motivated from British-inspired concerns rather than from any solidarity with the situation of women in Ireland, proving to be disastrous for the Irish, accentuating their deep-rooted divisions. The overall argument is that feminism cannot be viewed in isolation from other political considerations. This case-study isolates the repercussions of Britain's imperial role for both British and Irish movements: ostensibly with a common objective but in reality divided by their differing response to the constitutional arrangement between the two countries. For this reason, historians of Irish feminist movements must give consideration to the importance of the ‘national question’ and display a more critical attitude towards the role played by Britain in Irish affairs. (shrink)