Reintegration for Post-treatment Cancer Survivors: A Concept Analysis

2019 ◽  
Vol 38 (3) ◽  
pp. 300-317
Author(s):  
Michelle L. Ore ◽  
Karen J. Foli
Keyword(s):  
Cancer Survivors ◽  
Concept Analysis ◽  
Post Treatment ◽  
Illness Experience ◽  
Holistic Care ◽  
Clear Understanding ◽  
Environmental Aspects ◽  
Social Emotional ◽  
Self Identity ◽  
Definition Of

Background: Cancer survivors who have completed active treatments experience challenges in the survivorship phase of cancer care. Survivors transitioning through an illness experience negotiate former roles and relationships and reevaluate their self-identity. Reintegration of post-treatment cancer survivors has not been analyzed; however, nurses with a clear understanding of reintegration influence holistic care. Purpose: The goal of this artricle is to provide a theoretical definition of the concept of reintegration for cancer survivors post-treatment. The definition is derived and supported from a multidisciplinary literature review. Method: The discussion was organized using the Walker and Avant approach to concept analysis. Findings: This concept analysis defined reintegration as a dynamic process involving the reorganization of former performance roles concurrent with the reevaluation of personal abilities. Survivors are involved in creating a new normal and post-treatment cancer survivor identity. Reintegration is characterized by transitional phases that may be cyclical and evolve with time. Finally, desired outcomes are based on perceived subjective and objective criteria of importance and are strengthened through multidimensional supportive networks. Conclusion: Incorporating the physical, social, emotional, spiritual, and community/environmental aspects of the cancer survivorship experience enhances reintegration.

Teachers’ multidimensional role towards meaningful learning: the potential value of interdisciplinary environments

2018 ◽  
Vol 6 (2) ◽  
pp. 179-187
Author(s):  
Denise Levy ◽  
Telma Martins Peralta ◽  
Loreny Pozzi ◽  
Izi Pozzi De Tovar
Keyword(s):  
Learning Environment ◽  
Meaningful Learning ◽  
Pedagogical Practice ◽  
Social Emotional ◽  
Self Identity ◽  
Interdisciplinary Work ◽  
Social Lives ◽  
Academic Knowledge ◽  
Definition Of ◽  
Object Of Study

The definition of “interdisciplinary learning environment” gives rise to different interpretations. This article presents and discusses interdisciplinarity in pedagogical practice for the construction of meaningful learning, strengthening the construction of knowledge in personal, scientific and social spheres. Case studies respectively show: the contribution of interdisciplinary work to self-identity and subjective constitution in early childhood; interdisciplinary work in an informal learning environment as a facilitating element towards scientific knowledge consolidation; and the university’s interdisciplinary work in social projects for building a fairer society. In the light of neuroscience, the article discusses aspects of cognitive and social-emotional developments, as well as the approximations and estrangements between the object of study and the epistemic subject. In the so-called Society of Information, the multidimensional character of the teacher’s work becomes a necessity and a challenge, since it is the school’s role to form citizen-students, developing competences to increase students´ academic knowledge and extend it to their personal, professional and social lives.

scholarly journals Therapeutic Presencing in Nursing

2017 ◽  
Vol 7 (2) ◽  
Author(s):  
Jestoni Dulva Maniago
Keyword(s):  
Concept Analysis ◽  
Operational Definition ◽  
Clear Understanding ◽  
Research Needs ◽  
Nursing Research ◽  
Systematic Analysis ◽  
Theoretical Relationship ◽  
Definition Of

This paper provides an operational definition of therapeutic presencing as a first step in the systematic analysis of the concept. The Wilsonian method of concept analysis provided the framework for the analysis. The researcher identifies themes explicated from the concept of therapeutic presencing to develop a clear understanding of the concept to nursing. Model cases illustrate the concept further. The result shows that Being, Receiving, Influencing and Participating are the themes most associated with the concept. Moreover, immersion, congruence and empathy were described as the qualities of therapeutic presencing in nursing. Further nursing research needs to test the theoretical relationship between concept of therapeutic presencing and outcome variables.

Medicine and Empathy in Contemporary British Fiction

2017 ◽  
Author(s):  
Anne Whitehead
Keyword(s):  
Feminist Theory ◽  
Medical Humanities ◽  
Illness Experience ◽  
Contemporary Fiction ◽  
Theoretical Argument ◽  
Cultural Relations ◽  
Night Time ◽  
British Fiction ◽  
Definition Of ◽  
Relations Of Power

This book offers a critique of the dominant understanding and deployment of empathy in the mainstream medical humanities. Drawing on feminist theory, it positions empathy not as something that one has or lacks, and needs to accrue, but as something that one does and that is embedded within structural, institutional and cultural relations of power. It aims to provide a critically informed definition of empathy, drawing on phenomenology, in order to counter the vagueness of the term as it has often been used. It questions, too, the assumption that empathy is limited to the clinical relation, looking to a broader and more encompassing definition of the ‘medical’. Combining theoretical argument with literary case studies of Mark Haddon’s The Curious Incident of the Dog in the Night-Time, Pat Barker’s Life Class, Ian McEwan’s Saturday, Aminatta Forna’s The Memory of Love and Kazuo Ishiguro’s Never Let Me Go, this book contends that contemporary fiction is not a vehicle for accessing another’s illness experience, but itself engages critically with the question of empathy and its limits. The volume marks a key contribution to the rapidly evolving field of the critical medical humanities.

¿Quién soy yo? Reflexiones teórico sistémicas acerca de la indentidad individual

2017 ◽  
Vol 1 (1) ◽  
pp. 15-31
Author(s):  
Francisco Xavier Morales
Keyword(s):  
Identity Construction ◽  
Social Systems ◽  
Social Contexts ◽  
Individual Identity ◽  
Contemporary Society ◽  
Self Identity ◽  
Moral Communication ◽  
Identity Based ◽  
Definition Of ◽  
The Individual

The problem of identity is an issue of contemporary society that is not only expressed in daily life concerns but also in discourses of politics and social movements. Nevertheless, the I and the needs of self-fulfillment usually are taken for granted. This paper offers thoughts regarding individual identity based on Niklas Luhmann’s systems theory. From this perspective, identity is not observed as a thing or as a subject, but rather as a “selfillusion” of a system of consciousness, which differentiates itself from the world, event after event, in a contingent way. As concerns the definition  of contents of self-identity, the structures of social systems define who is a person, how he or she should act, and how much esteem he or she should receive. These structures are adopted by consciousness as its own identity structures; however, some social contexts are more relevant for self-identity construction than others. Moral communication increases the probability that structure appropriation takes place, since the emotional element of identity is linked to the esteem/misesteem received by the individual from the interactions in which he or she participates.

scholarly journals Survivors’ Dilemma: Young Adult Cancer Survivors’ Perspectives of Work-Related Goals

2021 ◽  
pp. 216507992110126
Author(s):  
Lauren Victoria Ghazal ◽  
John Merriman ◽  
Sheila Judge Santacroce ◽  
Victoria Vaughan Dickson
Keyword(s):  
Content Analysis ◽  
Young Adult ◽  
Cancer Survivors ◽  
Cancer Diagnosis ◽  
Financial Toxicity ◽  
Self Identity ◽  
Work Related ◽  
Young Adult Cancer Survivors ◽  
Adult Cancer Survivors ◽  
Young Adult Cancer

Background: Young adult cancer survivors have significant work-related challenges, including interruptions to education and employment milestones, which may affect work-related goals (WRGs). The study purpose was to explore posttreatment perspectives of WRGs in a sample of young adult hematologic cancer survivors. Methods: This qualitative descriptive study used social media to recruit eligible cancer survivors (young adults working or in school at the time of cancer diagnosis). Data were collected through telephone semi-structured interviews and analyzed using directed content analysis, followed by thematic content analysis to identify themes. Findings: The sample ( N = 40) were mostly female (63.5%), White (75%), and diagnosed with Hodgkin lymphoma (57.5%); most worked in professional (40%) or health care (23%) roles. The overarching theme, “Survivors’ Dilemma,” highlights a changed perspective on work-related fulfillment and financial obligations, capturing survivors’ decision-making process regarding work. Three subthemes illustrated questions that participants contemplated as they examined how their WRGs had changed: (a) Self-identity: Do I want to do this work? (b) Perceived health and work ability: Can I do this work? and (c) Financial toxicity: Can I afford to/not to do this work? Conclusions/Application to Practice: Participants experienced a state of dilemma around their WRGs, weighing areas around self-identity, perceived health and work ability, and financial toxicity. Findings suggest occupational health nurses should be aware of challenges surrounding WRGs, including how goals may change following a cancer diagnosis and treatment, and the potential stressors involved in the Survivors’ Dilemma. Occupational health nurses should assess for these issues and refer young survivors to employee and financial assistance programs, as necessary.

Institutional betrayal in nursing: A concept analysis

2021 ◽  
pp. 096973302199244
Author(s):  
Katherine C Brewer
Keyword(s):  
Organizational Behavior ◽  
Moral Distress ◽  
Well Being ◽  
Concept Analysis ◽  
Ethical Culture ◽  
Negative Events ◽  
Moral Standards ◽  
Conceptual Clarity ◽  
Definition Of ◽  
Conceptual Relationships

Background: Ethical relationships are important among many participants in healthcare, including the ethical relationship between nurse and employer. One aspect of organizational behavior that can impact ethical culture and moral well-being is institutional betrayal. Research aim: The purpose of this concept analysis is to develop a conceptual understanding of institutional betrayal in nursing by defining the concept and differentiating it from other forms of betrayal. Design: This analysis uses the method developed by Walker and Avant. Research context: Studies were reviewed using health literature databases with no date restrictions. Ethical considerations: Analysis was conducted using established guidelines for ethical research. Findings: Although institutional betrayal is a concept applied in the literature, there was a paucity of studies exploring the concept within nursing. Examples of the concept in the literature include violation of trust between organization (i.e. employer) and nurse, such as provision of inadequate workplace protections, ineffective or hostile management, and gaslighting of those who experience negative events. Examples of institutional betrayal have become more visible during the COVID-19 pandemic. Discussion: A conceptual definition of institutional betrayal is a deep violation of trust or confidence or violation of moral standards committed by an institution toward a nurse. This definition incorporates experiences and issues suggested by the literature. Outcomes are likely negative, including impacts on nurse psychological and workplace well-being. This concept likely fits within a framework of ethical workplaces and has conceptual relationships with moral distress and moral resilience. Further studies can help qualitatively explore and empirically measure this concept. Conclusion: In the pursuit of improving the ethical culture of healthcare workplaces, this concept can provide meaningful insight into organizational behavior and its consequences. Naming and describing the concept can promote conceptual clarity and equip researchers, nurses, and leaders to identify and mitigate the issue.

scholarly journals Spiritual nursing care: A concept analysis

Curationis ◽  
2012 ◽  
Vol 35 (1) ◽  
Author(s):  
Lydia V. Monareng
Keyword(s):  
Nursing Care ◽  
Concept Analysis ◽  
Operational Definition ◽  
The Body ◽  
Empirical Literature ◽  
Spiritual Needs ◽  
Optimal Care ◽  
Health Crisis ◽  
Group Interviews ◽  
Definition Of

Although the concept ‘spiritual nursing care’ has its roots in the history of the nursing profession, many nurses in practice have difficulty integrating the concept into practice. There is an ongoing debate in the empirical literature about its definition, clarity and application in nursing practice. The study aimed to develop an operational definition of the concept and its application in clinical practice. A qualitative study was conducted to explore and describe how professional nurses render spiritual nursing care. A purposive sampling method was used to recruit the sample. Individual and focus group interviews were audio-taped and transcribed verbatim. Trustworthiness was ensured through strategies of truth value, applicability, consistency and neutrality. Data were analysed using the NUD*IST power version 4 software, constant comparison, open, axial and selective coding. Tech’s eight steps of analysis were also used, which led to the emergence of themes, categories and sub-categories. Concept analysis was conducted through a comprehensive literature review and as a result ‘caring presence’ was identified as the core variable from which all the other characteristics of spiritual nursing care arise. An operational definition of spiritual nursing care based on the findings was that humane care is demonstrated by showing caring presence, respect and concern for meeting the needs not only of the body and mind of patients, but also their spiritual needs of hope and meaning in the midst of health crisis, which demand equal attention for optimal care from both religious and nonreligious nurses.

scholarly journals What is professionalism in occupational therapy? A concept analysis

2021 ◽  
pp. 000841742199437
Author(s):  
Alexandra Lecours ◽  
Nancy Baril ◽  
Marie-Josée Drolet
Keyword(s):  
Occupational Therapy ◽  
Professional Identity ◽  
Cultural Influences ◽  
Occupational Therapists ◽  
Concept Analysis ◽  
Operational Definition ◽  
Analysis Design ◽  
Definition Of ◽  
Over Time ◽  
Extract Information

Background. Professionalism has been given different definitions over time. These are, commonly theoretical and difficult to operationalize. Purpose. This study aimed to provide an operational definition of the concept of professionalism in occupational therapy. Method. Based on a concept analysis design, a meta-narrative review was conducted to extract information from 30 occupational therapy manuscripts. Findings. Professionalism is a complex competence defined by the manifestation of distinct attitudes and behaviours that support excellence in the occupational therapy practice. In addition, professionalism is forged and evolves according to personal and environmental characteristics. The manifestation of professionalism can lead to positive consequences for occupational therapists, clients, and the discipline, notably contributing to a positive and strong professional identity. Moreover, professionalism is also subject to cultural influences, which leads to variations in its development, manifestations, and consequences. Implications. This study offers a contemporary operational definition of professionalism and levers to promote its development and maintenance.

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