WOMEN'S PERCEPTIONS OF THE EFFECTS OF BREAST CANCER ON THE SELF: A META-SYNTHESIS OF THE QUALITATIVE LITERATURE 1990-2003

2.50
Hdl Handle:
http://hdl.handle.net/10755/165499
Category:
Abstract
Type:
Presentation
Title:
WOMEN'S PERCEPTIONS OF THE EFFECTS OF BREAST CANCER ON THE SELF: A META-SYNTHESIS OF THE QUALITATIVE LITERATURE 1990-2003
Author(s):
Bertero, Carina; Wilmoth, Margaret
Author Details:
Carina Bertero, PhD, RN, Linkoping University, Linkoping, Sweden; Margaret Wilmoth, PhD, MSS, RN
Abstract:
Research from a variety of disciplines and perspectives report effects of breast cancer treatment on women, but the literature lacks synthesis of the qualitative literature on this topic. A meta-synthesis of the literature may identify cross-cultural effects of treatment on women’s sense of ‘Self’. A meta-synthesis of the multidisciplinary qualitative research on the effects of breast cancer on the ‘Self’ was undertaken to discover deeper meanings of the breast cancer experience and possible presence of cross-cultural similarities. The Hermeneutical phenomenological approach used to conduct this meta-synthesis stimulated new understandings of complex phenomena. Sample: Inclusion criteria: research done in the qualitative paradigm between 1990-2003 on the keywords breast cancer and intimate relationship, togetherness, intimacy, sexuality, self-esteem and self. The search engines PubMed, Medline, CINAHL and PsycInfo identified 445 manuscripts. Use of a Primary Appraisal format and application of exclusion criteria resulted in 36 manuscripts for analysis that included women from Asian, European and American cultures. Exclusion criteria: research done solely in the quantitative paradigm, non-research articles and research on women with benign breast lesions or undergoing genetic testing for BRCA1 gene. A hermeneutical approach was used in analyzing and re-interpreting findings using the framework of ‘Experience of Breast Cancer on the Self’. Rigor to ensure credibility and dependability was applied. Breast cancer impacts four aspects of the Self regardless of culture, marital status, race or age. These are an ‘Awareness of Mortality’, ‘Living with an Uncertain Certainty’, ‘Attachment Validation’ and ‘Redefinition of the Self’. Women desire information and support throughout their lives as they learn to live with breast cancer. They struggle to reach a deeper level of understanding about what impact breast cancer and treatment has on their ‘Self as Woman’. These needs are consistent across cultures, thus bringing into question the current emphasis on identifying cultural-specific responses to this chronic illness. Adherence to current standards of nursing practice would facilitate women in their journey. Future areas of research include increased multi-cultural and multidisciplinary studies to enhance universal understanding about the process of living with breast cancer and its impact on a woman’s ‘Self’.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
30th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Orlando, Florida, 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.titleWOMEN'S PERCEPTIONS OF THE EFFECTS OF BREAST CANCER ON THE SELF: A META-SYNTHESIS OF THE QUALITATIVE LITERATURE 1990-2003en_GB
dc.contributor.authorBertero, Carinaen_US
dc.contributor.authorWilmoth, Margareten_US
dc.author.detailsCarina Bertero, PhD, RN, Linkoping University, Linkoping, Sweden; Margaret Wilmoth, PhD, MSS, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/165499-
dc.description.abstractResearch from a variety of disciplines and perspectives report effects of breast cancer treatment on women, but the literature lacks synthesis of the qualitative literature on this topic. A meta-synthesis of the literature may identify cross-cultural effects of treatment on women’s sense of ‘Self’. A meta-synthesis of the multidisciplinary qualitative research on the effects of breast cancer on the ‘Self’ was undertaken to discover deeper meanings of the breast cancer experience and possible presence of cross-cultural similarities. The Hermeneutical phenomenological approach used to conduct this meta-synthesis stimulated new understandings of complex phenomena. Sample: Inclusion criteria: research done in the qualitative paradigm between 1990-2003 on the keywords breast cancer and intimate relationship, togetherness, intimacy, sexuality, self-esteem and self. The search engines PubMed, Medline, CINAHL and PsycInfo identified 445 manuscripts. Use of a Primary Appraisal format and application of exclusion criteria resulted in 36 manuscripts for analysis that included women from Asian, European and American cultures. Exclusion criteria: research done solely in the quantitative paradigm, non-research articles and research on women with benign breast lesions or undergoing genetic testing for BRCA1 gene. A hermeneutical approach was used in analyzing and re-interpreting findings using the framework of ‘Experience of Breast Cancer on the Self’. Rigor to ensure credibility and dependability was applied. Breast cancer impacts four aspects of the Self regardless of culture, marital status, race or age. These are an ‘Awareness of Mortality’, ‘Living with an Uncertain Certainty’, ‘Attachment Validation’ and ‘Redefinition of the Self’. Women desire information and support throughout their lives as they learn to live with breast cancer. They struggle to reach a deeper level of understanding about what impact breast cancer and treatment has on their ‘Self as Woman’. These needs are consistent across cultures, thus bringing into question the current emphasis on identifying cultural-specific responses to this chronic illness. Adherence to current standards of nursing practice would facilitate women in their journey. Future areas of research include increased multi-cultural and multidisciplinary studies to enhance universal understanding about the process of living with breast cancer and its impact on a woman’s ‘Self’.en_GB
dc.date.available2011-10-27T12:19:44Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:19:44Z-
dc.conference.date2005en_US
dc.conference.name30th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationOrlando, Florida, 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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