The Experience of Recurrent Breast Cancer: A Case Study
Review TypeNone: Degree-based Submission
Review StatusNot Applicable (See Review Type)
Repository Posting Date2019-03-29T14:39:29Z
Author(s)Maliski, Sally Louise
Author DetailsSally L. Maliski, RN, PhD, FAAN
Lead Author Sigma AffliationDelta
Level of EvidenceGrounded Theory
Research ApproachMixed/Multi Method Research
CINAHL HeadingsBreast Neoplasms -- Psychosocial Factors; Recurrence -- Psychosocial Factors; Life Experiences; Breast Neoplasms; Recurrence
The purposes of this study were to describe, in-depth, the experience of recurrent breast cancer and to explore methodologies consistent with a conceptual orientation based in the Complex Nonlinear Dynamical Systems perspective and transitions. A single case study, longitudinal design was used. Eleven interviews were conducted over a three-month period. Daily Symptom Distress Scale scores and bi-weekly Mishel Uncertainty in Illness Scale scores were obtained. Interviews were analyzed using narrative analysis based on coherence structure, and scores were graphed individually for the entire time period and for each interview period. Based on the results of the analyses, it was concluded that the time following the diagnosis of breast cancer recurrence was one of biographical disruption for the individual participating in the study. Critical points in the interviews were identified that marked the beginning of a new biography that the woman came to narrate. Furthermore, the recurrence experience was different than the initial experience in many ways. The graphs of quantitative data showed some areas of correspondence with the interview analysis, but not consistently so. The graphs were interpreted within the context of the narrative analysis. The three major findings to emerge were (1) diagnosis of recurrent breast cancer was a disruptive event followed by a period of disorganization and subsequent reorganization, (2) a sense of anticipated "againness" was perceived as making the second time harder, and (3) methodologies selected were useful in the investigation of this complex phenomena of transition from a Complex Nonlinear Dynamical Systems perspective.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9818379; ProQuest document ID: 304367118. The author still retains copyright.
Degree GrantorThe University of North Carolina at Chapel Hill
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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