Turbulent Waiting With Intensified Connections: The Family Experience of Neutropenia

2.50
Hdl Handle:
http://hdl.handle.net/10755/165467
Category:
Abstract
Type:
Presentation
Title:
Turbulent Waiting With Intensified Connections: The Family Experience of Neutropenia
Author(s):
Krumwiede, N.; Meiers, S.; Bliesmer, M.; Eggenberger, S.; Murray, S.
Author Details:
N. Krumwiede, Minnesota State University, Mankato, Minnesota, USA; S. Meiers; M. Bliesmer; S. Eggenberger; S. Murray
Abstract:
Symptom of Chemotherapy-induced Neutropenia continues to impact oncology nursing practice. Purpose: Minimal research exists regarding how the family understands and manages chemotherapy-induced neutropenia. Dose intensity chemotherapy protocols for cancer treatment have increased and as a result, chemotherapy-induced neutropenia is a potentially life threatening event of treatment. The family’s understanding of the treatment protocol, symptom identification, and symptom management can be a major factor in the adherence to treatment. This research explored how families understand and manage the experience of chemotherapy-induced neutropenia. Theoretical/Scientific Framework: Research was guided by a framework of family systems theory and symbolic interactionism. Methods: A qualitative cross-sectional approach with grounded theory methodology analyzed the social process surrounding neutropenia. Theoretic sampling of seven families (21 individuals) with a patient diagnosed with neutropenia (ANC < 500 mm3) were interviewed in their homes. The semi-structured interviews resulted in 432 pages of data text. Data Analysis: A constant comparative analysis approach was used by the interdisciplinary research team to identify similarities, differences, and relationships between categories. A core category, the central phenomenon around which all other categories were integrated, was identified. Attention was directed toward establishing rigor in this study through the measures of transferability, credibility, dependability, and confirmability. Findings and Implications: Turbulent waiting and intensified connections was identified as the core category. Families responded by protecting the neutropenic member with family caring strategies: family inquiry, family vigilance, and family balancing. The process of turbulent waiting with intensified connection led families to new ways of understanding themselves. Families described the experience of neutropenia as a time of heightened awareness with an increased sense of vulnerability. The family’s sense of integrity was reframed to include an enhanced capacity for caring and a recognized ability to protect their vulnerable family member. The need for nurses to support family caring strategies during this process was illuminated. Nursing awareness of turbulent waiting and the need for connection promotes excellence in family cancer care. Findings contribute to theory development regarding the family cancer experience and suggest the need for design and testing of an intervention protocol constructed from the perspective of the family-professional partnership.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
29th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Anaheim, California, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleTurbulent Waiting With Intensified Connections: The Family Experience of Neutropeniaen_GB
dc.contributor.authorKrumwiede, N.en_US
dc.contributor.authorMeiers, S.en_US
dc.contributor.authorBliesmer, M.en_US
dc.contributor.authorEggenberger, S.en_US
dc.contributor.authorMurray, S.en_US
dc.author.detailsN. Krumwiede, Minnesota State University, Mankato, Minnesota, USA; S. Meiers; M. Bliesmer; S. Eggenberger; S. Murrayen_US
dc.identifier.urihttp://hdl.handle.net/10755/165467-
dc.description.abstractSymptom of Chemotherapy-induced Neutropenia continues to impact oncology nursing practice. Purpose: Minimal research exists regarding how the family understands and manages chemotherapy-induced neutropenia. Dose intensity chemotherapy protocols for cancer treatment have increased and as a result, chemotherapy-induced neutropenia is a potentially life threatening event of treatment. The family&rsquo;s understanding of the treatment protocol, symptom identification, and symptom management can be a major factor in the adherence to treatment. This research explored how families understand and manage the experience of chemotherapy-induced neutropenia. Theoretical/Scientific Framework: Research was guided by a framework of family systems theory and symbolic interactionism. Methods: A qualitative cross-sectional approach with grounded theory methodology analyzed the social process surrounding neutropenia. Theoretic sampling of seven families (21 individuals) with a patient diagnosed with neutropenia (ANC &lt; 500 mm3) were interviewed in their homes. The semi-structured interviews resulted in 432 pages of data text. Data Analysis: A constant comparative analysis approach was used by the interdisciplinary research team to identify similarities, differences, and relationships between categories. A core category, the central phenomenon around which all other categories were integrated, was identified. Attention was directed toward establishing rigor in this study through the measures of transferability, credibility, dependability, and confirmability. Findings and Implications: Turbulent waiting and intensified connections was identified as the core category. Families responded by protecting the neutropenic member with family caring strategies: family inquiry, family vigilance, and family balancing. The process of turbulent waiting with intensified connection led families to new ways of understanding themselves. Families described the experience of neutropenia as a time of heightened awareness with an increased sense of vulnerability. The family&rsquo;s sense of integrity was reframed to include an enhanced capacity for caring and a recognized ability to protect their vulnerable family member. The need for nurses to support family caring strategies during this process was illuminated. Nursing awareness of turbulent waiting and the need for connection promotes excellence in family cancer care. Findings contribute to theory development regarding the family cancer experience and suggest the need for design and testing of an intervention protocol constructed from the perspective of the family-professional partnership.en_GB
dc.date.available2011-10-27T12:19:04Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:19:04Z-
dc.conference.date2004en_US
dc.conference.name29th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationAnaheim, California, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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