The use of home invasive mechanical ventilation (HIMV) has risen over the past ten years due to improved health outcomes, transitioning more complex care to the home, and evidence supports the benefits of this therapy. In order to plan care for this population, it is important to understand issues that affect an individual’s quality of life (QoL). Previous research provided mixed results, limited guidance of factors that affect QoL, and lacked a theoretical framework that lends questions to validity.

The first manuscript, Home Invasive Mechanical Ventilation Users’ Quality of Life: A Review of Literature, provides a literature review of available research focused on HIMV and QoL. The second manuscript, Response Shift Theory: A Deep Dive, reviews available research on Response Shift Theory (RST) in order to provide in-depth understanding of concepts presented within the theory. The third manuscript, Home Invasive Mechanical Ventilator User Quality of Life: Is Response Shift Theory Supported?, reports a single critical case study design to understand if RST was supported by qualitative data obtained from an HIMV user. The purposes of this study were to determine the extent that RST explains QoL in a user of HIMV, how RST concepts explain QoL and why RST concepts do not explain QoL. This dissertation portfolio opens the door to creating interventions and assessment techniques that affect QoL for HIMV users.

Date of publication

Fall 12-10-2018

Document Type




Persistent identifier


Committee members

Dr. Beth Mastel-Smith, Dr. Gloria Duke, Vihn Nguyen, JD


Doctorate of Philosophy in Nursing

Included in

Nursing Commons