Perceived control and involvement in self care in patients with colorectal cancer

Lisa Kidd, Gill Hubbard, Ronan O'Carroll, Nora Kearney

    Research output: Contribution to journalArticle

    21 Citations (Scopus)

    Abstract

    Aim.

    This paper reports the qualitative findings from a mixed methods study which explored patients' understandings of perceived control in relation to their self care during chemotherapy for colorectal cancer.

    Background.

    A greater degree of patient involvement in self care is increasingly being encouraged; however, little is known about how factors such as perceived control influence patients' active involvement in self care.

    Design.

    Qualitative, longitudinal study.

    Methods.

    Semi structured interviews were conducted with 11 patients before and after six months of chemotherapy treatment for colorectal cancer in a Scottish cancer centre between March 2005-June 2006. The interviews, conducted as part of a larger study, explored patients' understandings of their perceived control over managing treatment-related side effects and how this influenced their attitudes toward, and role preferences in, self care.

    Results.

    Patients fell into one of two groups: 'high' or 'low' perceived controllers. High-perceived controllers were more likely to view their active involvement in self care positively, as being necessary in managing treatment-related effects and were less likely to rely on nurses to take overall responsibility for the management of treatment-related side effects. Low-perceived controllers were less likely to believe in the importance or necessity of their active involvement in self care and more likely to perceive nurses as being the ones responsible for the management of treatment-related side effects.

    Conclusions.

    Perceived control during treatment for cancer influences patients' perceptions toward, and role preferences in, self care.

    Relevance to clinical practice.

    Clinical interventions designed to enhance involvement in self care would benefit from focussing on enhancing patients' perceived control and understanding their role preferences in self care. Patients with different understandings of perceived control may require different help and support to encourage their involvement in self care.

    Original languageEnglish
    Pages (from-to)2292-2300
    Number of pages9
    JournalJournal of Clinical Nursing
    Volume18
    Issue number16
    DOIs
    Publication statusPublished - Aug 2009

    Fingerprint

    Self Care
    Colorectal Neoplasms
    Therapeutics
    Nurses
    Interviews
    Patient Participation
    Drug Therapy
    Longitudinal Studies
    Neoplasms

    Keywords

    • Cancer
    • Nurses
    • Nursing
    • Perceived control
    • Self care

    Cite this

    Kidd, Lisa ; Hubbard, Gill ; O'Carroll, Ronan ; Kearney, Nora. / Perceived control and involvement in self care in patients with colorectal cancer. In: Journal of Clinical Nursing. 2009 ; Vol. 18, No. 16. pp. 2292-2300.
    @article{8376bc4da758411d94fb858b1bd9f36a,
    title = "Perceived control and involvement in self care in patients with colorectal cancer",
    abstract = "Aim.This paper reports the qualitative findings from a mixed methods study which explored patients' understandings of perceived control in relation to their self care during chemotherapy for colorectal cancer.Background.A greater degree of patient involvement in self care is increasingly being encouraged; however, little is known about how factors such as perceived control influence patients' active involvement in self care.Design.Qualitative, longitudinal study.Methods.Semi structured interviews were conducted with 11 patients before and after six months of chemotherapy treatment for colorectal cancer in a Scottish cancer centre between March 2005-June 2006. The interviews, conducted as part of a larger study, explored patients' understandings of their perceived control over managing treatment-related side effects and how this influenced their attitudes toward, and role preferences in, self care.Results.Patients fell into one of two groups: 'high' or 'low' perceived controllers. High-perceived controllers were more likely to view their active involvement in self care positively, as being necessary in managing treatment-related effects and were less likely to rely on nurses to take overall responsibility for the management of treatment-related side effects. Low-perceived controllers were less likely to believe in the importance or necessity of their active involvement in self care and more likely to perceive nurses as being the ones responsible for the management of treatment-related side effects.Conclusions.Perceived control during treatment for cancer influences patients' perceptions toward, and role preferences in, self care.Relevance to clinical practice.Clinical interventions designed to enhance involvement in self care would benefit from focussing on enhancing patients' perceived control and understanding their role preferences in self care. Patients with different understandings of perceived control may require different help and support to encourage their involvement in self care.",
    keywords = "Cancer, Nurses, Nursing, Perceived control, Self care",
    author = "Lisa Kidd and Gill Hubbard and Ronan O'Carroll and Nora Kearney",
    year = "2009",
    month = "8",
    doi = "10.1111/j.1365-2702.2009.02802.x",
    language = "English",
    volume = "18",
    pages = "2292--2300",
    journal = "Journal of Clinical Nursing",
    issn = "0962-1067",
    publisher = "Wiley",
    number = "16",

    }

    Perceived control and involvement in self care in patients with colorectal cancer. / Kidd, Lisa; Hubbard, Gill; O'Carroll, Ronan; Kearney, Nora.

    In: Journal of Clinical Nursing, Vol. 18, No. 16, 08.2009, p. 2292-2300.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Perceived control and involvement in self care in patients with colorectal cancer

    AU - Kidd, Lisa

    AU - Hubbard, Gill

    AU - O'Carroll, Ronan

    AU - Kearney, Nora

    PY - 2009/8

    Y1 - 2009/8

    N2 - Aim.This paper reports the qualitative findings from a mixed methods study which explored patients' understandings of perceived control in relation to their self care during chemotherapy for colorectal cancer.Background.A greater degree of patient involvement in self care is increasingly being encouraged; however, little is known about how factors such as perceived control influence patients' active involvement in self care.Design.Qualitative, longitudinal study.Methods.Semi structured interviews were conducted with 11 patients before and after six months of chemotherapy treatment for colorectal cancer in a Scottish cancer centre between March 2005-June 2006. The interviews, conducted as part of a larger study, explored patients' understandings of their perceived control over managing treatment-related side effects and how this influenced their attitudes toward, and role preferences in, self care.Results.Patients fell into one of two groups: 'high' or 'low' perceived controllers. High-perceived controllers were more likely to view their active involvement in self care positively, as being necessary in managing treatment-related effects and were less likely to rely on nurses to take overall responsibility for the management of treatment-related side effects. Low-perceived controllers were less likely to believe in the importance or necessity of their active involvement in self care and more likely to perceive nurses as being the ones responsible for the management of treatment-related side effects.Conclusions.Perceived control during treatment for cancer influences patients' perceptions toward, and role preferences in, self care.Relevance to clinical practice.Clinical interventions designed to enhance involvement in self care would benefit from focussing on enhancing patients' perceived control and understanding their role preferences in self care. Patients with different understandings of perceived control may require different help and support to encourage their involvement in self care.

    AB - Aim.This paper reports the qualitative findings from a mixed methods study which explored patients' understandings of perceived control in relation to their self care during chemotherapy for colorectal cancer.Background.A greater degree of patient involvement in self care is increasingly being encouraged; however, little is known about how factors such as perceived control influence patients' active involvement in self care.Design.Qualitative, longitudinal study.Methods.Semi structured interviews were conducted with 11 patients before and after six months of chemotherapy treatment for colorectal cancer in a Scottish cancer centre between March 2005-June 2006. The interviews, conducted as part of a larger study, explored patients' understandings of their perceived control over managing treatment-related side effects and how this influenced their attitudes toward, and role preferences in, self care.Results.Patients fell into one of two groups: 'high' or 'low' perceived controllers. High-perceived controllers were more likely to view their active involvement in self care positively, as being necessary in managing treatment-related effects and were less likely to rely on nurses to take overall responsibility for the management of treatment-related side effects. Low-perceived controllers were less likely to believe in the importance or necessity of their active involvement in self care and more likely to perceive nurses as being the ones responsible for the management of treatment-related side effects.Conclusions.Perceived control during treatment for cancer influences patients' perceptions toward, and role preferences in, self care.Relevance to clinical practice.Clinical interventions designed to enhance involvement in self care would benefit from focussing on enhancing patients' perceived control and understanding their role preferences in self care. Patients with different understandings of perceived control may require different help and support to encourage their involvement in self care.

    KW - Cancer

    KW - Nurses

    KW - Nursing

    KW - Perceived control

    KW - Self care

    U2 - 10.1111/j.1365-2702.2009.02802.x

    DO - 10.1111/j.1365-2702.2009.02802.x

    M3 - Article

    VL - 18

    SP - 2292

    EP - 2300

    JO - Journal of Clinical Nursing

    JF - Journal of Clinical Nursing

    SN - 0962-1067

    IS - 16

    ER -