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Critical incidents reveal how patients with head and neck cancer construct their 'secure base' as a 'helping system'
Umeå University, Faculty of Social Sciences, Department of Social Work.
Umeå University, Faculty of Social Sciences, Department of Social Work.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Otorhinolaryngology.
Uppsala universitet, Institutionen för klinisk vetenskap, Öron- näs- och halssjukdomar.
2014 (English)In: Journal of psychosocial oncology, ISSN 0734-7332, E-ISSN 1540-7586, Vol. 32, no 3, 322-341 p.Article 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. Vol. 32, no 3, 322-341 p.
Keyword [en]
Attachment theory, Critical incidents, Head-and neck cancer, Patient-perspective, Psychosocial needs
National Category
Social Work Cancer and Oncology
Identifiers
URN: urn:nbn:se:umu:diva-85734DOI: 10.1080/07347332.2014.897289ISI: 000337570500005OAI: oai:DiVA.org:umu-85734DiVA: diva2:695211
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: 2017-12-06Bibliographically approved

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Isaksson, JoakimSalander, PärGranström, BrithLaurell, Göran
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