One Step at a Time: Self-Management and Transitions Among Women With Ovarian Cancer
- 29 June 2012
- journal article
- research article
- Published by Oncology Nursing Society (ONS) in Oncology Nursing Forum
- Vol. 39 (4), 354-360
- https://doi.org/10.1188/12.onf.354-360
Abstract
Purpose/Objectives: To describe experiences of self-management and transitioning among women with ovarian cancer. Research Approach: Interpretive description. Setting: Participants' homes. Participants: Purposive sample of 10 women with ovarian cancer. Methodologic Approach: Individual interviews about women's self-management and transition experiences. Main Research Variables: Self-management, transitions, and ovarian cancer. Findings: Participants self-managed to increase their sense of control and to self-advocate. They managed their care one step at a time to prevent becoming overwhelmed. Common transitions were diagnosis, surgery and recovery, starting chemotherapy, managing symptoms, and recurrence. Transitions were challenging, even if previously experienced, and influenced the ability and willingness of women to self-manage. Barriers and facilitators to self-management were identified. Conclusions: The approach to self-management of one step at a time is somewhat illusory, as women face multiple transitions simultaneously. The short trajectory of ovarian cancer leaves little time between transitions and an awareness of mortality. Women are forced to confront goals of care quickly, which may affect their ability to self-manage. Interpretation: Women with ovarian cancer need clinical and social support to prioritize and manage transitions. Introducing palliative care shortly after diagnosis could facilitate women's anticipation of and adjustment to transitions.Keywords
This publication has 26 references indexed in Scilit:
- Self-Management and Transitions in Women With Advanced Breast CancerJournal of Pain and Symptom Management, 2011
- Self-management: Enabling and empowering patients living with cancer as a chronic illnessCA: A Cancer Journal for Clinicians, 2011
- The process of deciding about prophylactic surgery for breast and ovarian cancer: Patient questions, uncertainties, and communicationAmerican Journal of Medical Genetics Part A, 2009
- It's a choice to move forward: women's perceptions about treatment decision making in recurrent ovarian cancerPsycho‐Oncology, 2009
- Quality of life among women after surgery for ovarian cancerPalliative & Supportive Care, 2008
- A Qualitative Study Examining Psychosocial Distress, Coping, and Social Support Across the Stages and Phases of Epithelial Ovarian CancerHealth Care for Women International, 2008
- Qualitative Data Analysis for Health Services Research: Developing Taxonomy, Themes, and TheoryHealth Services Research, 2007
- The choice is yours? How women with ovarian cancer make sense of treatment choicesPatient Education and Counseling, 2006
- The Shifting Perspectives Model of Chronic IllnessJournal of Nursing Scholarship, 2001
- Transitions: A Central Concept in NursingImage: the Journal of Nursing Scholarship, 1994