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A qualitative cancer screening study with childhood sexual abuse survivors: experiences, perspectives and compassionate care

OBJECTIVE: The childhood sexual abuse (CSA) survivor population is substantial and survivors have been identified as part of the population who were under-screened or never-screened for breast, cervical and colon cancer. Our objective was to learn CSA survivor perspectives on, and experiences with,...

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Autores principales: Gesink, Dionne, Nattel, Lilian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4538265/
https://www.ncbi.nlm.nih.gov/pubmed/26246075
http://dx.doi.org/10.1136/bmjopen-2015-007628
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author Gesink, Dionne
Nattel, Lilian
author_facet Gesink, Dionne
Nattel, Lilian
author_sort Gesink, Dionne
collection PubMed
description OBJECTIVE: The childhood sexual abuse (CSA) survivor population is substantial and survivors have been identified as part of the population who were under-screened or never-screened for breast, cervical and colon cancer. Our objective was to learn CSA survivor perspectives on, and experiences with, breast, cervical and colon cancer screening with the intention of generating recommendations to help healthcare providers improve cancer screening participation. DESIGN: A pragmatic constructivist qualitative study involving individual, semistructured, in-depth interviews was conducted in January 2014. Thematic analysis was used to describe CSA survivor perspectives on cancer screening and identify potential facilitators for screening. PARTICIPANTS: A diverse purposive sample of adult female CSA survivors was recruited. The inclusion criteria were: being a CSA survivor, being in a stable living situation, where stable meant able to meet one's financial needs independently, able to maintain supportive relationships, having participated in therapy to recover from past abuse, and living in a safe environment. 12 survivors were interviewed whose ages ranged from the early 40s to mid-70s. Descriptive saturation was reached after 10 interviews. SETTING: Interviews were conducted over the phone or Internet. CSA survivors were primarily from urban and rural Ontario, but some resided elsewhere in Canada and the USA. RESULTS: The core concept that emerged was that compassionate care at every level of the healthcare experience could improve cancer screening participation. Main themes included: desire for holistic care; unique needs of patients with dissociative identity disorder; the patient-healthcare provider relationship; appointment interactions; the cancer screening environment; and provider assumptions about patients. CONCLUSIONS: Compassionate care can be delivered by: building a relationship; practising respect; focusing attention on the patient; not rushing the appointment; keeping the environment positive and comfortable; maintaining patient dignity; sharing control whenever possible; explaining procedures; and using laughter to reduce power imbalance through shared humanity.
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spelling pubmed-45382652015-08-21 A qualitative cancer screening study with childhood sexual abuse survivors: experiences, perspectives and compassionate care Gesink, Dionne Nattel, Lilian BMJ Open Sexual Health OBJECTIVE: The childhood sexual abuse (CSA) survivor population is substantial and survivors have been identified as part of the population who were under-screened or never-screened for breast, cervical and colon cancer. Our objective was to learn CSA survivor perspectives on, and experiences with, breast, cervical and colon cancer screening with the intention of generating recommendations to help healthcare providers improve cancer screening participation. DESIGN: A pragmatic constructivist qualitative study involving individual, semistructured, in-depth interviews was conducted in January 2014. Thematic analysis was used to describe CSA survivor perspectives on cancer screening and identify potential facilitators for screening. PARTICIPANTS: A diverse purposive sample of adult female CSA survivors was recruited. The inclusion criteria were: being a CSA survivor, being in a stable living situation, where stable meant able to meet one's financial needs independently, able to maintain supportive relationships, having participated in therapy to recover from past abuse, and living in a safe environment. 12 survivors were interviewed whose ages ranged from the early 40s to mid-70s. Descriptive saturation was reached after 10 interviews. SETTING: Interviews were conducted over the phone or Internet. CSA survivors were primarily from urban and rural Ontario, but some resided elsewhere in Canada and the USA. RESULTS: The core concept that emerged was that compassionate care at every level of the healthcare experience could improve cancer screening participation. Main themes included: desire for holistic care; unique needs of patients with dissociative identity disorder; the patient-healthcare provider relationship; appointment interactions; the cancer screening environment; and provider assumptions about patients. CONCLUSIONS: Compassionate care can be delivered by: building a relationship; practising respect; focusing attention on the patient; not rushing the appointment; keeping the environment positive and comfortable; maintaining patient dignity; sharing control whenever possible; explaining procedures; and using laughter to reduce power imbalance through shared humanity. BMJ Publishing Group 2015-08-05 /pmc/articles/PMC4538265/ /pubmed/26246075 http://dx.doi.org/10.1136/bmjopen-2015-007628 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Sexual Health
Gesink, Dionne
Nattel, Lilian
A qualitative cancer screening study with childhood sexual abuse survivors: experiences, perspectives and compassionate care
title A qualitative cancer screening study with childhood sexual abuse survivors: experiences, perspectives and compassionate care
title_full A qualitative cancer screening study with childhood sexual abuse survivors: experiences, perspectives and compassionate care
title_fullStr A qualitative cancer screening study with childhood sexual abuse survivors: experiences, perspectives and compassionate care
title_full_unstemmed A qualitative cancer screening study with childhood sexual abuse survivors: experiences, perspectives and compassionate care
title_short A qualitative cancer screening study with childhood sexual abuse survivors: experiences, perspectives and compassionate care
title_sort qualitative cancer screening study with childhood sexual abuse survivors: experiences, perspectives and compassionate care
topic Sexual Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4538265/
https://www.ncbi.nlm.nih.gov/pubmed/26246075
http://dx.doi.org/10.1136/bmjopen-2015-007628
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