umu.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Granström, Brith
Publications (5 of 5) Show all publications
Stenhammar, C., Isaksson, J., Granström, B., Laurell, G. & Tiblom Ehrsson, Y. (2017). Changes in intimate relationships following treatment for head and neck cancer: a qualitative study. Journal of psychosocial oncology, 35(5), 614-630
Open this publication in new window or tab >>Changes in intimate relationships following treatment for head and neck cancer: a qualitative study
Show others...
2017 (English)In: Journal of psychosocial oncology, ISSN 0734-7332, E-ISSN 1540-7586, Vol. 35, no 5, p. 614-630Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to determine how patients with head and neck cancer experience changes within their intimate relationships at the end of treatment and detect detrimental and facilitating factors in the process of resuming intimate relationships. Interviews were conducted with 131 patients. A core category – "Being open vs. not sharing the cancer journey" – emerged from the patients' narratives and was based on the experiences of engagement/disengagement, openess/fear, and patronising attitudes/sharing the burden. The findings point to the necessity of patients being open about the disease trajectory and might be understood in the light of theories about potential changes in identity and self-concept.

Place, publisher, year, edition, pages
Routledge, 2017
Keywords
Head and neck cancer, intimate relationships, patients experience, social support, qualitative study
National Category
Social Work Cancer and Oncology
Identifiers
urn:nbn:se:umu:diva-135348 (URN)10.1080/07347332.2017.1339224 (DOI)000413909300007 ()28605311 (PubMedID)
Note

Acknowledgement of funding: This study was sponsored by the Swedish Cancer Society, Lions Cancer Research Foundation at Umeå University, the Swedish Laryng Foundation, and the Cancer Research Foundation of Northern Sweden.

Available from: 2017-05-24 Created: 2017-05-24 Last updated: 2018-06-09Bibliographically approved
Salander, P., Isaksson, J., Granström, B. & Laurell, G. (2016). Motives that head and neck cancer patients have for contacting a specialist nurse: an empirical study. Journal of Clinical Nursing, 25(21-22), 3160-3166
Open this publication in new window or tab >>Motives that head and neck cancer patients have for contacting a specialist nurse: an empirical study
2016 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 21-22, p. 3160-3166Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: The purpose of this study is to systematically explore the motives for patients with head and neck cancer to contact a speciaist nurse during two years postdiagnosis.

Background: Research focusing on the role of specialist nurses in cancer care almost exclusively concern cancers other than head and neck cancer

Design: Qualitative, descriptive study based on the contacts between patients with head and neck cancer and a specialist nurse.

Methods: Patients were invited to contact a specialist nurse by telephone. The specialist nurse took systematic field notes, that is, she registered who contacted her, the nature of the call and the outcome. Sixty patients were included.

Results: In descending order, the motives for contact were questions about practical and uncomplicated matters, consultations about medical troubles/worries, presenting a report of the patient's situation, requests for additional information about the treatment plan and requests for medical information. The pattern of the patients' motivations for calling was not related to medical or social factors, suggesting that the initiative to make a contact is very much a question of the complexity of individual life circumstances. Very few referrals were sent from the specialist nurse to other professionals.

Conclusions: The specialist nurse turned out to be more than just a coordinator of health-care resources. The findings bring up questions about the potential of the nurse's function as a coordinator, but also as a potential attachment figure, and questions about the nurse's relationships to other professionals.

Relevance to clinical practice: When implementing a specialist nurse function, it is important to decide whether the function should be inspired by a broader relational perspectice. In addition to the indispensible competence and experience in the clinical field of head and neck cancer, training in counselling and acquaintance with object-relational psychology will then be desirable.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2016
Keywords
field notes, head and neck cancer, nursing intervention, qualitative study, specialist nurse
National Category
Nursing
Research subject
caring sciences in social sciences
Identifiers
urn:nbn:se:umu:diva-117429 (URN)10.1111/jocn.13283 (DOI)000388922700008 ()
Note

Acknowledgement of funding: This study was supported by grants from the Swedish Cancer Society, the Swedish Laryng Foundation and the Cancer Research Foundation in Northern Sweden.

Available from: 2016-02-29 Created: 2016-02-29 Last updated: 2018-06-07Bibliographically approved
Isaksson, J., Salander, P., Granström, B. & Laurell, G. (2014). Critical incidents reveal how patients with head and neck cancer construct their 'secure base' as a 'helping system'. Journal of psychosocial oncology, 32(3), 322-341
Open this publication in new window or tab >>Critical incidents reveal how patients with head and neck cancer construct their 'secure base' as a 'helping system'
2014 (English)In: Journal of psychosocial oncology, ISSN 0734-7332, E-ISSN 1540-7586, Vol. 32, no 3, p. 322-341Article in journal (Refereed) Published
Abstract [en]

Most studies of the psychosocial needs of patients with head and neck cancers' (HNC) use predefined categories and explicitly ask for specified needs. These studies are important but should be complemented with inductive studies based on patients' own descriptions of experiences. The present qualitative study is such a contribution. In repeated interviews positive and negative incidents were collected from 137 patients with HNC, and these experiences were categorized in dimensions expressing needs. A core category - 'being included - neglected by a helping system' - emerged from the narrated incidents and it was based on the dimensions 'engagement', 'competence' and 'information'. The findings are easily related to attachment theory by stressing the significance of establishing trustful relationships with the health care staff, as attachment figures, who respond flexibly and sensitively to the patient's needs. In the constitution of health care as a helping system, all encounters between the patient and health care staff matters. Further research should preferably focus on the creation of guidelines for the constitution of health care as a helping system, i.e. how the found factors of a helping system can be operationalized in clinical practice.

Place, publisher, year, edition, pages
Taylor & Francis, 2014
Keywords
Attachment theory, Critical incidents, Head-and neck cancer, Patient-perspective, Psychosocial needs
National Category
Social Work Cancer and Oncology
Identifiers
urn:nbn:se:umu:diva-85734 (URN)10.1080/07347332.2014.897289 (DOI)000337570500005 ()
Note

Acknowledgement of funding: This study was supported by grants from the Cancer Research Foundation in Northern Sweden and the Swedish Laryng Foundation.

Available from: 2014-02-10 Created: 2014-02-10 Last updated: 2018-06-08Bibliographically approved
Salander, P., Isaksson, J., Granström, B. & Laurell, G. (2014). How patients make use of a specialist nurse function in head and neck cancer: an empirical study. Paper presented at IPOS 16th World Congress of Psycho-Oncology and Psychosocial Academy, 20 – 24 October 2014, Lisbon, Portugal. Psycho-Oncology, 23(Special issue S3), 159
Open this publication in new window or tab >>How patients make use of a specialist nurse function in head and neck cancer: an empirical study
2014 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 23, no Special issue S3, p. 159-Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
John Wiley & Sons, 2014
National Category
Cancer and Oncology Social Work
Identifiers
urn:nbn:se:umu:diva-94873 (URN)10.1111/j.1099-1611.2014.3694 (DOI)000344003700228 ()
Conference
IPOS 16th World Congress of Psycho-Oncology and Psychosocial Academy, 20 – 24 October 2014, Lisbon, Portugal
Note

ACKNOWLEDGEMENT OF FUNDING: The study was supported by grants from the Cancer Research Foundation in Northern Sweden and the Swedish Laryng Foundation.

Available from: 2014-10-18 Created: 2014-10-18 Last updated: 2018-06-07Bibliographically approved
Isaksson, J., Salander, P., Granström, B. & Laurell, G. (2013). Patients with head and neck cancer narrate the importance of being included in a helping system. In: Psycho-Oncology: Abstracts of the IPOS 15th World Congress of Psycho-Oncology, 4–8 November 2013, Rotterdam, The Netherlands. Paper presented at IPOS 15th World Congress of Psycho-Oncology, 4–8 November 2013, Rotterdam, The Netherlands (pp. 63-63). John Wiley & Sons
Open this publication in new window or tab >>Patients with head and neck cancer narrate the importance of being included in a helping system
2013 (English)In: Psycho-Oncology: Abstracts of the IPOS 15th World Congress of Psycho-Oncology, 4–8 November 2013, Rotterdam, The Netherlands, John Wiley & Sons, 2013, p. 63-63Conference paper, Oral presentation with published abstract (Refereed)
Place, publisher, year, edition, pages
John Wiley & Sons, 2013
Series
Psycho-Oncology, ISSN 1099-1611 ; Vol 22, Special Issue SI, Supplement s3
National Category
Social Work Cancer and Oncology
Identifiers
urn:nbn:se:umu:diva-82063 (URN)10.1111/j.1099-1611.2013.3393 (DOI)000325687200527 ()
Conference
IPOS 15th World Congress of Psycho-Oncology, 4–8 November 2013, Rotterdam, The Netherlands
Available from: 2013-10-27 Created: 2013-10-27 Last updated: 2018-06-08Bibliographically approved
Organisations

Search in DiVA

Show all publications