2.50
Hdl Handle:
http://hdl.handle.net/10755/304386
Category:
Full-text
Type:
Presentation
Title:
Trajectories of Identity Development in Adolescents with Cancer
Author(s):
Stegenga, Kristin; Macpherson, Catherine Fiona
Lead Author STTI Affiliation:
Psi
Author Details:
Kristin Stegenga, PhD, RN, CNS, CPON, kstegenga@cmh.edu; Catherine Fiona Macpherson, PhD, RN, CPON;
Abstract:

Session presented on: Friday, July 26, 2013

Purpose: For adolescents with cancer (AWC), cancer poses a threat not only to their lives, but also to their quality of life (QOL). This threat to QOL results from co-occurring challenges to successful achievement of normal developmental tasks such as identity development. The purpose of this longitudinal qualitative study was to explore salient aspects of adolescent development as influenced by cancer.

Methods: Fifteen AWC participated in up to 4 quarterly interviews over the first year following cancer diagnosis exploring their developmental and cancer-related experiences with the intent of generating knowledge related to adolescent development in cancer. Inductive content analysis and constant comparative method were utilized to identify salient themes within and across timeframes.

Results: The work of adolescent identity development is both challenged and enhanced by cancer from the time of diagnosis. AWC are constantly negotiating and renegotiating their identity, both internally and also the 'face' they allow the world to see. This is both normative and non-normative as they negotiate from the perspectives of their adolescent and their cancer selves. Peer and family relationships, already of importance, must be renegotiated within this context as must key issues of physical appearance and body image, particularly hair loss.

Conclusion: AWC are actively negotiating their present realities as both an adolescent and as a cancer patient while making specific plans for the future. Using longitudinal qualitative methods to understand the progression through the simultaneous tasks of adolescence and cancer provides nurses the opportunity to understand patient trajectories and identify key timepoints for intervention. Findings can guide nurses in optimizing adolescent development through a greater understanding of specific challenges associated with negotiating relationships with peers or how symptoms might affect adherence to medication regimens. Nurses can apply findings to promote the health of AWC around the world as they negotiate this dual dynamic.

Keywords:
Adolescent development; Cancer
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleTrajectories of Identity Development in Adolescents with Canceren
dc.contributor.authorStegenga, Kristinen
dc.contributor.authorMacpherson, Catherine Fionaen
dc.contributor.departmentPsien
dc.author.detailsKristin Stegenga, PhD, RN, CNS, CPON, kstegenga@cmh.edu; Catherine Fiona Macpherson, PhD, RN, CPON;en
dc.identifier.urihttp://hdl.handle.net/10755/304386-
dc.description.abstract<p>Session presented on: Friday, July 26, 2013</p><b><b>Purpose: </b></b> For adolescents with cancer (AWC), cancer poses a threat not only to their lives, but also to their quality of life (QOL). This threat to QOL results from co-occurring challenges to successful achievement of normal developmental tasks such as identity development. The purpose of this longitudinal qualitative study was to explore salient aspects of adolescent development as influenced by cancer. <p><b><b>Methods: </b></b> Fifteen AWC participated in up to 4 quarterly interviews over the first year following cancer diagnosis exploring their developmental and cancer-related experiences with the intent of generating knowledge related to adolescent development in cancer. Inductive content analysis and constant comparative method were utilized to identify salient themes within and across timeframes. <p><b><b>Results: </b> </b>The work of adolescent identity development is both challenged and enhanced by cancer from the time of diagnosis. AWC are constantly negotiating and renegotiating their identity, both internally and also the 'face' they allow the world to see. This is both normative and non-normative as they negotiate from the perspectives of their adolescent and their cancer selves. Peer and family relationships, already of importance, must be renegotiated within this context as must key issues of physical appearance and body image, particularly hair loss. <p><b><b>Conclusion: </b> </b>AWC are actively negotiating their present realities as both an adolescent and as a cancer patient while making specific plans for the future. Using longitudinal qualitative methods to understand the progression through the simultaneous tasks of adolescence and cancer provides nurses the opportunity to understand patient trajectories and identify key timepoints for intervention. Findings can guide nurses in optimizing adolescent development through a greater understanding of specific challenges associated with negotiating relationships with peers or how symptoms might affect adherence to medication regimens. Nurses can apply findings to promote the health of AWC around the world as they negotiate this dual dynamic.en
dc.subjectAdolescent developmenten
dc.subjectCanceren
dc.date.available2013-10-22T20:34:50Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:34:50Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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