African American Women's Recollected Experiences of Adherence to Breast Cancer Treatment.

Purpose/Objectives: To explore African American women's recollected experiences of breast cancer treatment. Research Approach: Qualitative description and narrative analysis. Setting: South Carolina Oncology Associates, an outpatient oncology clinic serving rural and urban populations. Participants:...

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Publicado en:Oncology Nursing Forum Vol. 44; no. 2; pp. 217 - 225
Autores principales: Heiney, Sue P., Messias, DeAnne K. Hilfinger, Felder, Tisha M., Phelps, Kenneth W., Quinn, Jada C.
Formato: research tables/charts Journal Article
Publicado: Oncology Nursing Society Mar2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2017
      vid: 44
      iid: 2
      pid: 12496
      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
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        10.1188/17.ONF.217-224
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        atl: African American Women's Recollected Experiences of Adherence to Breast Cancer Treatment.
      aug:
        au:
          Heiney, Sue P.
          Messias, DeAnne K. Hilfinger
          Felder, Tisha M.
          Phelps, Kenneth W.
          Quinn, Jada C.
        affil: Dunn-Shealy professor of nursing in the College of Nursing at the University of South Carolina
      sug:
        subj:
          African Americans United States
          Cancer Patients
          Patient Compliance
          Breast Neoplasms Therapy
          Qualitative Studies
          Narratives Evaluation
          Decision Making
          Feminist Critique
          Human
          Semi-Structured Interview
          Thematic Analysis
          Trust
          Rural Population
          South Carolina
          Survivors
          Professional-Patient Relations
          Urban Population
          Interview Guides
          United States
          Descriptive Research
          Patient Attitudes Evaluation
          Multidisciplinary Care Team
          Research Subject Recruitment
          Female
          Adult
          Middle Age
          Aged
          Field Notes
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: Purpose/Objectives: To explore African American women's recollected experiences of breast cancer treatment. Research Approach: Qualitative description and narrative analysis. Setting: South Carolina Oncology Associates, an outpatient oncology clinic serving rural and urban populations. Participants: 16 African American women with breast cancer previously enrolled in the control arm (n = 93) of a completed randomized, controlled trial. Methodologic Approach: Feminist narrative analysis of in-depth individual interviews. Findings: The authors identified three themes within the African American breast cancer survivors' recollected experiences of treatment adherence: Embarking With Trust, Moving on Down the Road, and Being Actively Involved in Decision Making. Interpretation: Although little evidence was presented of shared decision making with providers, patients were committed to completing the prescribed therapies. The narratives highlighted the value of in-depth examination of patients' perspectives, particularly among minority and underserved groups. With the exception of voicing personal choice of surgical treatment, the women trusted providers' recommendations with a resolve to "just do it." Although trust may enhance treatment adherence, it may also reflect power differentials based on gender, race, education, and culture. Implications for Nursing: Nurses should listen to patients describe their experience with cancer treatment and compare the themes from this study with their patients' story. This comparison will help nurses support patients through various aspect of diagnosis and treatment.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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