The experience of recurrent breast cancer: A case study
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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.
This 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.
This 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.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Grounded Theory |
Research Approach | Mixed/Multi Method Research |
Keywords | Breast Cancer; Symptom Distress; Patient Experience |
CINAHL Subject(s) | Breast Neoplasms--Psychosocial Factors; Recurrence--Psychosocial Factors; Life Experiences; Breast Neoplasms; Recurrence |
Grantor | The University of North Carolina at Chapel Hill |
Advisor | Germino, Barbara |
Level | PhD |
Year | 1997 |
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