Transitional experiences of women with breast cancer within the first year following diagnosis
Lisa McCann
Authors: Lisa McCann , MSc, BSc (Hons), Research Assistant, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nicola Illingworth , PhD, MSc ASR, BA (Hons), Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Yvonne Wengström , PhD, OCN, Professor of Cancer Care, Deputy Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Gill Hubbard , PhD, MSc, PG Cert, BA, Senior Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nora Kearney , MSc, RGN, Professor of Cancer Care, Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling, Stirling, UK
Search for more papers by this authorNicola Illingworth
Authors: Lisa McCann , MSc, BSc (Hons), Research Assistant, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nicola Illingworth , PhD, MSc ASR, BA (Hons), Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Yvonne Wengström , PhD, OCN, Professor of Cancer Care, Deputy Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Gill Hubbard , PhD, MSc, PG Cert, BA, Senior Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nora Kearney , MSc, RGN, Professor of Cancer Care, Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling, Stirling, UK
Search for more papers by this authorYvonne Wengström
Authors: Lisa McCann , MSc, BSc (Hons), Research Assistant, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nicola Illingworth , PhD, MSc ASR, BA (Hons), Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Yvonne Wengström , PhD, OCN, Professor of Cancer Care, Deputy Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Gill Hubbard , PhD, MSc, PG Cert, BA, Senior Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nora Kearney , MSc, RGN, Professor of Cancer Care, Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling, Stirling, UK
Search for more papers by this authorGill Hubbard
Authors: Lisa McCann , MSc, BSc (Hons), Research Assistant, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nicola Illingworth , PhD, MSc ASR, BA (Hons), Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Yvonne Wengström , PhD, OCN, Professor of Cancer Care, Deputy Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Gill Hubbard , PhD, MSc, PG Cert, BA, Senior Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nora Kearney , MSc, RGN, Professor of Cancer Care, Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling, Stirling, UK
Search for more papers by this authorNora Kearney
Authors: Lisa McCann , MSc, BSc (Hons), Research Assistant, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nicola Illingworth , PhD, MSc ASR, BA (Hons), Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Yvonne Wengström , PhD, OCN, Professor of Cancer Care, Deputy Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Gill Hubbard , PhD, MSc, PG Cert, BA, Senior Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nora Kearney , MSc, RGN, Professor of Cancer Care, Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling, Stirling, UK
Search for more papers by this authorLisa McCann
Authors: Lisa McCann , MSc, BSc (Hons), Research Assistant, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nicola Illingworth , PhD, MSc ASR, BA (Hons), Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Yvonne Wengström , PhD, OCN, Professor of Cancer Care, Deputy Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Gill Hubbard , PhD, MSc, PG Cert, BA, Senior Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nora Kearney , MSc, RGN, Professor of Cancer Care, Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling, Stirling, UK
Search for more papers by this authorNicola Illingworth
Authors: Lisa McCann , MSc, BSc (Hons), Research Assistant, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nicola Illingworth , PhD, MSc ASR, BA (Hons), Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Yvonne Wengström , PhD, OCN, Professor of Cancer Care, Deputy Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Gill Hubbard , PhD, MSc, PG Cert, BA, Senior Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nora Kearney , MSc, RGN, Professor of Cancer Care, Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling, Stirling, UK
Search for more papers by this authorYvonne Wengström
Authors: Lisa McCann , MSc, BSc (Hons), Research Assistant, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nicola Illingworth , PhD, MSc ASR, BA (Hons), Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Yvonne Wengström , PhD, OCN, Professor of Cancer Care, Deputy Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Gill Hubbard , PhD, MSc, PG Cert, BA, Senior Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nora Kearney , MSc, RGN, Professor of Cancer Care, Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling, Stirling, UK
Search for more papers by this authorGill Hubbard
Authors: Lisa McCann , MSc, BSc (Hons), Research Assistant, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nicola Illingworth , PhD, MSc ASR, BA (Hons), Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Yvonne Wengström , PhD, OCN, Professor of Cancer Care, Deputy Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Gill Hubbard , PhD, MSc, PG Cert, BA, Senior Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nora Kearney , MSc, RGN, Professor of Cancer Care, Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling, Stirling, UK
Search for more papers by this authorNora Kearney
Authors: Lisa McCann , MSc, BSc (Hons), Research Assistant, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nicola Illingworth , PhD, MSc ASR, BA (Hons), Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Yvonne Wengström , PhD, OCN, Professor of Cancer Care, Deputy Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Gill Hubbard , PhD, MSc, PG Cert, BA, Senior Research Fellow, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling; Nora Kearney , MSc, RGN, Professor of Cancer Care, Director Cancer Care Research Centre, Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling, Stirling, UK
Search for more papers by this authorAbstract
Aims and objectives. To explore the experiences of 12 women with breast cancer, involved in a large longitudinal qualitative study designed to explore the experiences of people with cancer within the first year following diagnosis.
Background. To understand experiences of breast cancer further as a chronic illness, this study draws on biographically informed and embodied perspectives of chronic illness.
Design. Qualitative, longitudinal study.
Method. Interviews were conducted at three time-points within the first year following diagnosis with 12 women with breast cancer. Drawing on the constant comparative method, a descriptive and thematic approach to data analysis was adopted. To move beyond the descriptive level, we drew on the concepts of biographical disruption and embodiment to further explore and explain the disruption that was evident in these women’s lives as a result of their diagnosis.
Results. Two key concepts emerged from the data: ‘Identity Transition: moving between health and illness’ and ‘Making the Transition to the Future? Living with breast cancer and moving on’. Identity transition emerged as a result of the changes and adaptations participants were required to make as a result of their diagnosis. Making the transition to the future emerged as a result of the challenges these women faced living with cancer.
Conclusions. This study showed that the longitudinal exploration of the experiences of cancer within the first year following diagnosis provides a vital understanding of the impact cancer can have on one’s identity from the moment of diagnosis onwards.
Relevance to clinical practice. This study has implications for cancer services because it highlights the need for interventions that support people to both successfully manage the experience of cancer diagnosis and treatment and equip themselves with the necessary techniques to negotiate transitions towards the future and living with cancer.
References
- Andersen B, Shapiro CL, Farra WB, Crespin T & Wells-DiGrego S (2005) Psychological responses to cancer recurrence: a controlled prospective study. Cancer 104, 1540–1547.
- Boehmke MM & Dickerson SS (2006) The diagnosis of breast cancer: transition from health to illness. Oncology Nursing Forum 33, 1121–1127.
- Breast Cancer Care (2008) Available at: http://www.breastcancercare.org.uk (accessed 13 August 2008).
- Bury M (1982) Chronic illness as biographical disruption. Sociology of Health & Illness 4, 167–182.
- Bury M (1991) The sociology of chronic illness: a review of research and prospects. Sociology of Health & Illness 13, 451–468.
- Bury M (1997) Health and Illness in a Changing Society. Routledge, London.
- Bury M (2001) Illness narratives: fact or fiction? Sociology of Health & Illness 23, 263–285.
- Cancer Research UK (2009) CancerStats Key Facts on Breast Cancer, Available at: http://info.cancerresearchuk.org/cancerstats/types/breast/ (accessed 12 May 2009).
- CancerBackup (2004) Understanding cancer of the breast. Ashford Colour Press, Great Britain.
- Charmaz K (1983) Loss of self: a fundamental form of suffering in the chronically ill. Sociology of Health & Illness 5, 168–195.
- Charmaz K (1994) Identity dilemmas of chronically ill men. The Sociological Quarterly 35, 269–288.
- Charmaz K (1995) The body, identity and self: adapting to impairment. The Sociological Quarterly 36, 657–680.
-
Charmaz K (2002) Stories and silences: disclosures and self in chronic illness.
Qualitative Inquiry
8, 302–338.
10.1177/107780040200800307 Google Scholar
- Cimprich B & Martinez-Ramos G (2002) Age at diagnosis and quality of life in breast cancer survivors. Cancer Practice 10, 85–93.
- Department of Health (2007) Cancer Reform Strategy. Available at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/dh_081006 (accessed 13 August 2008).
- Glaser BG & Strauss A (1967) The discovery of grounded theory: strategies for qualitative research. Aldine Publishing Company, Chicago.
-
Harmer V (2007) Aromatase inhibitors’use in breast cancer.
Practice Nursing
18, 93–97.
10.12968/pnur.2007.18.2.22805 Google Scholar
- Kaiser K (2008) The meaning of the survivor identity for women with breast cancer. Social Science & Medicine 67, 79–87.
- Kendall M, Boyd K, Campbell C, Cormie P, Fife S, Thomas K, Weller D & Murray SA (2006) How do people with cancer wish to be cared for in primary care? Serial discussion groups of patients and carers Family Practice 23, 644–650.
- Koch T & Kralik D (2001) Chronic illness: reflections on a community-based action research programme. Journal of Advanced Nursing 36, 23–31.
- Kralik D (2002) The quest for ordinariness: transition experienced by midlife women living with chronic illness. Journal of Advanced Nursing 39, 146–154.
- Kralik D & Van Loon A (2007) Understanding transition in chronic illness. Australian Nursing Journal 15, 29.
- Kralik D, Koch T, Price K & Howard N (2004) Chronic illness self-management: taking action to create order. Journal of Clinical Nursing 13, 259–267.
- Kralik D, Visentin K & Van Loon A (2006) Transition: a literature review. Journal of Advanced Nursing 55, 320–329.
- Little M, Paul K, Jordens CFC & Sayers EJ (2002) Survivorship and discourses of identity. Psychooncology 11, 170–178.
- Mathieson CM & Stam HJ (1995) Renegotiating identity: cancer narratives. Sociology of Health & Illness 17, 283–306.
- Montazeri A (2008) Health related quality of life in breast cancer patients: a bibliographic review of the literature from 1974 to 2007. Journal of Experimental & Clinical Cancer Research 27, 32.
- Ritchie G, Spencer L & O’Connor W (2003) Carrying out qualitative analysis. In Qualitative Research Practice ( J Ritchie & J Lewis eds). Sage, London.
- Shaha M, Cox CL, Talman K & Kelly D (2008) Uncertainty in breast, prostate and colorectal cancer: implications for supportive care. Journal of Nursing Scholarship 40, 60–67.
- Sheppard LA & Ely S (2008) Breast Cancer and Sexuality. The Breast Journal 14, 176–181.
- Shibuya K, Mathers CD, Boschi-Pinto C, Lopez A & Murray C (2002) Global and regional estimates of cancer mortality and incidence by site: II. results for the global burden of disease. BMC Cancer 2, 1–27.
- Shilling C (1993) The body and social theory. Sage, London.
- Thomas-MacLean R (2005) Beyond dichotomies of health and illness: life after breast cancer. Nursing Inquiry 12, 200–209.
- Tritter JQ & Calnan M (2002) Cancer as a chronic illness? Reconsidering categorization and exploring experience. European Journal of Cancer Care 11, 161–165.
- Wengström Y (2008) Are women with breast cancer receiving sufficient education and information about their treatment? Nature Clinical Practice. Oncology 5, 62–63.
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