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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: The importance of relationships in the experience of cancer: A re-working of the policy ideal of the whole-systems approach
Author(s): Cunningham, Nicola
Forbat, Liz
Hubbard, Gill
Kearney, Nora
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Keywords: Interpersonal relationship
Joint ownership of cancer
Whole systems working
Cancer Patients
Patient participation
Cancer Psychological aspects
Cancer Patients Care
Issue Date: Feb-2010
Date Deposited: 20-Apr-2010
Citation: Cunningham N, Forbat L, Hubbard G & Kearney N (2010) The importance of relationships in the experience of cancer: A re-working of the policy ideal of the whole-systems approach. European Journal of Oncology Nursing, 14 (1), pp. 23-28.;
Abstract: Purpose of the research: This paper outlines the importance of interpersonal familial relationships in how people experience cancer. Methods and sample: This paper draws on data from a longitudinal, qualitative study which aimed to explore the experiences of people with cancer within the first year following diagnosis. The sample included fifteen men with colorectal cancer, 3 women with colorectal cancer, twelve women with breast cancer, nine women with gynaecological cancer, six women with lung cancer, eleven men with lung cancer and ten men with prostate cancer. Four people died during the course of the study and ten people chose to withdraw. Key results: Close interpersonal relationships were clearly core mediating features in how the illness was experienced; for example, presenting for symptom investigation was often the result of ongoing interaction and debate between partners. We use the idea of the ‘joint ownership of cancer’ to elucidate the role of relationships in experiencing and understanding the disease. We propose a re-working of the notion of a whole-systems approach to include not just partnership working within health and social care agencies, but centralising the patient's interpersonal relationships as critical in each aspect of their experience of cancer. Conclusions: The findings are discussed in terms of the need for service delivery and research to be mindful of the relational aspects and implications of illness. Nurses can play a key role in how this is operationalised in supporting people affected by cancer in the context of their relationships.
DOI Link: 10.1016/j.ejon.2009.06.006
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