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Labeled as lucky: contradictions between what women and healthcare professionals experience regarding the need for help after the early stages of gynecological cancer

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@article{60aeb445e0c74d7388998f87b7ae6e0b,
title = "Labeled as lucky: contradictions between what women and healthcare professionals experience regarding the need for help after the early stages of gynecological cancer",
abstract = "PURPOSE: To explore how participants perceived a nurse-led, person-centered intervention, Guided Self-Determination Gynecological Cancer (GSD-GYN-C) and how participants felt it influenced the challenges they faced and their rehabilitation after gynecological cancer surgery.METHODS: Participants were invited from a previously conducted randomized trial where GSD-GYN-C improved physical quality of life in the intervention group. Ten semi-structured interviews were conducted, transcribed, and analyzed using thematic analysis.RESULTS: Three central themes were identified: (1) {"}labeled as the lucky ones,{"} which describes a contrast between the women's perceived problems and the healthcare professionals' tendency to stress their luck in being treated early and cured with no particular problems in sight, leading to an unintended delay in their rehabilitation process; (2) {"}personal reflections pave the way for change,{"} which shows how new problem-solving skills were mobilized when reflection sheets and dialogue on GSD-GYN-C provided new insight into their situation and the feeling of being taken seriously; and (3) {"}emerging relational competence,{"} which describes the new skills the women developed in interacting with family, friends, colleagues, and healthcare professionals.CONCLUSIONS: As a supplement to usual care, GSD-GYN-C remedied a tendency among healthcare professionals to underestimate problems in the early stages of gynecological cancer, and GSD-GYN-C involved the women in their rehabilitation process characterized by active problem-solving in relationships with other people.",
keywords = "Empowerment, Guided self-determination, Gynecological cancer, Nurse-led intervention, Rehabilitation, Self-management",
author = "Thisted, {Lise Bjerrum} and Vibeke Zoffmann and Olesen, {Mette Linnet}",
year = "2020",
month = "2",
doi = "10.1007/s00520-019-04882-2",
language = "English",
volume = "28",
pages = "907--916",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer",
number = "2",

}

RIS

TY - JOUR

T1 - Labeled as lucky

T2 - contradictions between what women and healthcare professionals experience regarding the need for help after the early stages of gynecological cancer

AU - Thisted, Lise Bjerrum

AU - Zoffmann, Vibeke

AU - Olesen, Mette Linnet

PY - 2020/2

Y1 - 2020/2

N2 - PURPOSE: To explore how participants perceived a nurse-led, person-centered intervention, Guided Self-Determination Gynecological Cancer (GSD-GYN-C) and how participants felt it influenced the challenges they faced and their rehabilitation after gynecological cancer surgery.METHODS: Participants were invited from a previously conducted randomized trial where GSD-GYN-C improved physical quality of life in the intervention group. Ten semi-structured interviews were conducted, transcribed, and analyzed using thematic analysis.RESULTS: Three central themes were identified: (1) "labeled as the lucky ones," which describes a contrast between the women's perceived problems and the healthcare professionals' tendency to stress their luck in being treated early and cured with no particular problems in sight, leading to an unintended delay in their rehabilitation process; (2) "personal reflections pave the way for change," which shows how new problem-solving skills were mobilized when reflection sheets and dialogue on GSD-GYN-C provided new insight into their situation and the feeling of being taken seriously; and (3) "emerging relational competence," which describes the new skills the women developed in interacting with family, friends, colleagues, and healthcare professionals.CONCLUSIONS: As a supplement to usual care, GSD-GYN-C remedied a tendency among healthcare professionals to underestimate problems in the early stages of gynecological cancer, and GSD-GYN-C involved the women in their rehabilitation process characterized by active problem-solving in relationships with other people.

AB - PURPOSE: To explore how participants perceived a nurse-led, person-centered intervention, Guided Self-Determination Gynecological Cancer (GSD-GYN-C) and how participants felt it influenced the challenges they faced and their rehabilitation after gynecological cancer surgery.METHODS: Participants were invited from a previously conducted randomized trial where GSD-GYN-C improved physical quality of life in the intervention group. Ten semi-structured interviews were conducted, transcribed, and analyzed using thematic analysis.RESULTS: Three central themes were identified: (1) "labeled as the lucky ones," which describes a contrast between the women's perceived problems and the healthcare professionals' tendency to stress their luck in being treated early and cured with no particular problems in sight, leading to an unintended delay in their rehabilitation process; (2) "personal reflections pave the way for change," which shows how new problem-solving skills were mobilized when reflection sheets and dialogue on GSD-GYN-C provided new insight into their situation and the feeling of being taken seriously; and (3) "emerging relational competence," which describes the new skills the women developed in interacting with family, friends, colleagues, and healthcare professionals.CONCLUSIONS: As a supplement to usual care, GSD-GYN-C remedied a tendency among healthcare professionals to underestimate problems in the early stages of gynecological cancer, and GSD-GYN-C involved the women in their rehabilitation process characterized by active problem-solving in relationships with other people.

KW - Empowerment

KW - Guided self-determination

KW - Gynecological cancer

KW - Nurse-led intervention

KW - Rehabilitation

KW - Self-management

U2 - 10.1007/s00520-019-04882-2

DO - 10.1007/s00520-019-04882-2

M3 - Journal article

VL - 28

SP - 907

EP - 916

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

IS - 2

ER -

ID: 57751516