Adaptation of the Illness Trajectory Theory to Describe the Work of Transitional Cancer Survivorship
Identifieur interne : 003712 ( Pmc/Corpus ); précédent : 003711; suivant : 003713Adaptation of the Illness Trajectory Theory to Describe the Work of Transitional Cancer Survivorship
Auteurs : Rachel Klimmek ; Jennifer WenzelSource :
- Oncology nursing forum [ 0190-535X ] ; 2012.
Abstract
Although frameworks for understanding survivorship continue to evolve, most are abstract and do not address the complex context of survivors’ transition following treatment completion. The purpose of this theory adaptation was to examine and refine the Illness Trajectory Theory, which describes the work of managing chronic illness, to address transitional cancer survivorship.
CINAHL, PubMed, and relevant Institute of Medicine reports were searched for survivors’ experiences during the year following treatment.
Using an abstraction tool, sixty-eight articles were selected from the initial search (N>700). Abstracted data were placed into
Derivation resulted in a framework describing “the work of transitional cancer survivorship” (TCS work). TCS work is defined as survivor tasks, performed alone or with others, to carry out a plan of action for managing one or more aspects of life following primary cancer treatment. Theoretically, survivors engage in 3 reciprocally-interactive lines of work: (1) illness-related; (2) biographical; and (3) everyday life work. Adaptation resulted in refinement of these domains and the addition of survivorship care planning under “illness-related work”.
Understanding this process of work may allow survivors/co-survivors to better prepare for the post-treatment period. This adaptation provides a framework for future testing and development. Validity and utility of this framework within specific survivor populations should also be explored.
Url:
DOI: 10.1188/12.ONF.E499-E510
PubMed: 23107863
PubMed Central: 3664233
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PMC:3664233Le document en format XML
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose/Objectives</title>
<p id="P1">Although frameworks for understanding survivorship continue to evolve, most are abstract and do not address the complex context of survivors’ transition following treatment completion. The purpose of this theory adaptation was to examine and refine the Illness Trajectory Theory, which describes the work of managing chronic illness, to address transitional cancer survivorship.</p>
</sec>
<sec id="S2"><title>Data Sources</title>
<p id="P2">CINAHL, PubMed, and relevant Institute of Medicine reports were searched for survivors’ experiences during the year following treatment.</p>
</sec>
<sec id="S3"><title>Data Synthesis</title>
<p id="P3">Using an abstraction tool, sixty-eight articles were selected from the initial search (N>700). Abstracted data were placed into <italic>a priori</italic>
categories refined according to recommended procedures for theory derivation, followed by expert review.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Derivation resulted in a framework describing “the work of transitional cancer survivorship” (TCS work). TCS work is defined as survivor tasks, performed alone or with others, to carry out a plan of action for managing one or more aspects of life following primary cancer treatment. Theoretically, survivors engage in 3 reciprocally-interactive lines of work: (1) illness-related; (2) biographical; and (3) everyday life work. Adaptation resulted in refinement of these domains and the addition of survivorship care planning under “illness-related work”.</p>
</sec>
<sec id="S5"><title>Implications for Nursing</title>
<p id="P5">Understanding this process of work may allow survivors/co-survivors to better prepare for the post-treatment period. This adaptation provides a framework for future testing and development. Validity and utility of this framework within specific survivor populations should also be explored.</p>
</sec>
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<title-group><article-title>Adaptation of the Illness Trajectory Theory to Describe the Work of Transitional Cancer Survivorship</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Klimmek</surname>
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<contrib contrib-type="author"><name><surname>Wenzel</surname>
<given-names>Jennifer</given-names>
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<aff id="A1">Johns Hopkins University School of Nursing</aff>
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<pub-date pub-type="nihms-submitted"><day>25</day>
<month>4</month>
<year>2013</year>
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<pub-date pub-type="ppub"><month>11</month>
<year>2012</year>
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<pub-date pub-type="pmc-release"><day>26</day>
<month>5</month>
<year>2013</year>
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<volume>39</volume>
<issue>6</issue>
<fpage>E499</fpage>
<lpage>E510</lpage>
<abstract><sec id="S1"><title>Purpose/Objectives</title>
<p id="P1">Although frameworks for understanding survivorship continue to evolve, most are abstract and do not address the complex context of survivors’ transition following treatment completion. The purpose of this theory adaptation was to examine and refine the Illness Trajectory Theory, which describes the work of managing chronic illness, to address transitional cancer survivorship.</p>
</sec>
<sec id="S2"><title>Data Sources</title>
<p id="P2">CINAHL, PubMed, and relevant Institute of Medicine reports were searched for survivors’ experiences during the year following treatment.</p>
</sec>
<sec id="S3"><title>Data Synthesis</title>
<p id="P3">Using an abstraction tool, sixty-eight articles were selected from the initial search (N>700). Abstracted data were placed into <italic>a priori</italic>
categories refined according to recommended procedures for theory derivation, followed by expert review.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Derivation resulted in a framework describing “the work of transitional cancer survivorship” (TCS work). TCS work is defined as survivor tasks, performed alone or with others, to carry out a plan of action for managing one or more aspects of life following primary cancer treatment. Theoretically, survivors engage in 3 reciprocally-interactive lines of work: (1) illness-related; (2) biographical; and (3) everyday life work. Adaptation resulted in refinement of these domains and the addition of survivorship care planning under “illness-related work”.</p>
</sec>
<sec id="S5"><title>Implications for Nursing</title>
<p id="P5">Understanding this process of work may allow survivors/co-survivors to better prepare for the post-treatment period. This adaptation provides a framework for future testing and development. Validity and utility of this framework within specific survivor populations should also be explored.</p>
</sec>
</abstract>
<kwd-group><kwd>breast cancer</kwd>
<kwd>coping</kwd>
<kwd>financial aspects</kwd>
<kwd>quality of life</kwd>
<kwd>survivorship</kwd>
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<funding-group><award-group><funding-source country="United States">National Institute of Nursing Research : NINR</funding-source>
<award-id>F31 NR012330 || NR</award-id>
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</front>
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