An examination of the relations amongst power, uncertainty, self-transcendence, and quality of life in breast cancer survivors
Arlene T. Farren, RN; PhD; AOCN, CTN-A, CNE
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The investigator examined the relations amongst Power, Uncertainty, Self-transcendence, and Quality of Life in breast cancer survivors. The theoretical rationale linked the theories of Barrett, Mishel, and Reed with Ferrans' conceptual model of Quality of Life from the perspective of Rogers' Science of Unitary Human Beings (SUHB). The variables were operationalized using: Quality of Life Index-Cancer Version (QLI-CV), Power as Knowing Participation in Change Tool, Version II (PKPCT), Mishel's Uncertainty in Illness Scale-Community Form (MUIS-C), and the Self-Transcendence Scale (STS). Following human subjects protection approvals, a correlational, cross-sectional study with purposive sampling was conducted and 104 women participated. The results revealed (a) moderate to strong, statistically significant intercorrelations amongst the variables, (b) multiple regression analyses indicated Uncertainty and Self-Transcendence contributed 39% of the variance in Quality of Life, and (c) Power and Uncertainty explained 17% of the variance in Quality of Life and 18% in Self-Transcendence but no moderating relations were found. On ancillary analyses, mediating relations were found: (a) Self-Transcendence mediated the relation of both Power and Uncertainty to Quality of Life, and (b) Power mediated the relation of Uncertainty and Self-Transcendence. Six demographic factors (use of complementary modalities, household income, education, medication use, and current support group) were found to be important. The researcher concluded that (a) all study variables are related human field pattern manifestations of relevance to women in the intermediate stage of breast cancer survivorship, and (b) there is preliminary support for the theoretical linkages posited by the investigator. The implications of the study lie in the areas of theory, research, and practice. Recommendations for future study are presented.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3289579; ProQuest document ID: 305278366. The author still retains copyright.
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