From the uncertainty to acceptance of someone who waits a medical verdict

Carlos Laranjeira

2011, Number 1

<< Back Next >>

Rev Cuba Enf 2011; 27 (1)

From the uncertainty to acceptance of someone who waits a medical verdict

Laranjeira C

Full text

How to cite this article

Language: Spanish
References: 17
Page: 66-78
PDF size: 98.55 Kb.

ABSTRACT

The objective of present paper was to embrace the distance concerning the experiences of someone experimenting the unforgettable wait of a diagnosis, as well as to validate the theoretical model representative of that experience. Symbolic Interact and the Grounded Theory as references: theoretical in the first case and methodological in the second one. The study was conducted in a medical unit of a Portuguese hospital for January and July, 2009. Seventeen subjects were interviewed. The results allowed us to obtain a "to pass" code-mediated theoretical model, which included for patterns; uncertainty, rational wait, negation and acceptance. All participants used particularly the uncertainty and negation patterns had a solid therapeutic relationship lined by emotional support. The diagnostic phase is represented as a critical period that is why the nursing professionals assume a distinguished place as promoters in the transition from the anxiety to confidence.

REFERENCES

1- Montgomery M. Uncertainty during breast diagnostic evaluation: state of the science. Oncology Nursing Society. 2010; 37(1):77-83.
2- Mast M. Adult uncertainty in illness: a critical review of research. Sch Inq Nurs Pract. 1995;9(1):3-24.
3- Durá E, Dias M. Relação médico-doente em Psicologia Oncológica: Aspectos éticos, sociais e legais. Psicologia: Teoria, Investigação e Prática. 1997;2(2):197- 208.
4- Durá E. El dilema de informar al paciente de cáncer. Valência: Nau Libres; 1990.
5- Meleis AI, Sawyer LM, Im E, Messias DK, DeAnne KH, Schumacher K. Experiencing Transitions: An Emerging Middle-Range Theory. Advanced Nursing Science. 2000;23:12-28.
6- Murphy SA. Human responses to transitions: a holistic nursing perspective. Holist Nurs Pract. 1990;4(3):1-7.
7- Harrison MB. Transitions, continuity, and nursing practice. Can J Nurs Res. 2004;36(2):3-6.
8- Bogdan R, Bilken S. Qualitative research for education: an introduction to theory and methods (4th ed.). Boston: Allyn and Bacon; 2003.
9- Glaser BG, Strauss AL, organizadores. The discovery of grounded theory. New York: Aldine Publishing Company; 1967.
10- Strauss A, Corbin J. Basics of qualitative research: Techniques and procedures for developing grounded theory (3rd ed.). Thousand Oaks, CA: Sage Publications; 2008.
11- Backman K, Kyngäs H. Challenges of the Grounded Theory approach to a novice researcher. Nursing and Health Sciences. 1999;1:147-153.
12- Glaser B. The Grounded Theory Perspective III: Theoretical Coding. Mill Valley, CA: The Sociology Press; 2005.
13 Davey H., Butow P. Qualitative study of how women define and use information about breast symptoms and diagnostic tests. Breast. 2006;15(5):659-65.
14- O'Mahony M. Women's lived experience of breast biopsy: a phenomenological study. J Cli Nurs. 2001;10(4): 512520.
15- Rubenstein E. The intersection of information behavior and coping among women undergoing breast lump diagnosis. Proceedings of the American Society for Information Science and Technology. 2008;45(1):1-5.
16 - Derrett S, Paul C, Morris JM. Waiting for elective surgery: effects on healthrelated quality of life. Int J Qual Health Care 1999;11:47-57.
17 Ko N., Hsu S. Informational Needs, Health Locus of Control and Uncertainty among Women Hospitalized with Gynecological Diseases. Chang Gung Med J 2005;28:559-66.