University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Avoidant conversations about death by clinicians' causes delays in reporting of neutropenic sepsis: grounded theory study

Oakley, C, Taylor, C, Ream, Emma and Metcalfe, A (2017) Avoidant conversations about death by clinicians' causes delays in reporting of neutropenic sepsis: grounded theory study Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer.

[img] Text
Psyco Oncologyresubmit 15 11 16.docx - Accepted version Manuscript
Restricted to Repository staff only until 19 December 2017.
Available under License : See the attached licence file.

Download (78kB)
[img] Text
Supplementary Table 15 11 16.docx - Accepted version Manuscript
Restricted to Repository staff only until 19 December 2017.
Available under License : See the attached licence file.

Download (27kB)
[img] Text
Oakley etal PsyOnc15 11 16 Figure 1 .doc - Accepted version Manuscript
Restricted to Repository staff only until 19 December 2017.
Available under License : See the attached licence file.

Download (92kB)
[img]
Preview
Text (licence)
SRI_deposit_agreement.pdf
Available under License : See the attached licence file.

Download (33kB) | Preview

Abstract

Background: Evidence suggests patients delay reporting symptoms of neutropenic sepsis (NS) despite the risk to their life. This study aimed to elicit factors that contribute to delayed patient reporting of NS symptoms.Methods: A constructivist grounded theory study used observations of chemotherapy consultations (13 hours) and 31 in-depth interviews to explore beliefs, experiences and behaviors related to NS. Participants included women with breast cancer, their carers (partners, family or friends) and clinicians. An explanation for patient delays was developed through theoretical sampling of participants to explore emerging areas of interest and through constant comparison of data and their coding. This entailed iterative and concurrent data collection and analysis. Data were collected until saturation.Results: All patients who developed NS type symptoms delayed presenting to hospital (2.5 hours - 8 days), sometimes repeatedly. Moderators of delay included metastatic disease, bereavement, fatalism, religious beliefs and quality of relationships with clinicians. There was an interplay of behaviours between clinicians, patients and carers where they subconsciously conspired to underplay the seriousness and possibility of NS occurring. Conclusions: Findings have implications for health risk communication and development of holistic service models.

Item Type: Article
Subjects : Health Sciences
Authors :
NameEmailORCID
Oakley, CUNSPECIFIEDUNSPECIFIED
Taylor, CUNSPECIFIEDUNSPECIFIED
Ream, Emmae.ream@surrey.ac.ukUNSPECIFIED
Metcalfe, AUNSPECIFIEDUNSPECIFIED
Date : 23 May 2017
Identification Number : 10.1002/pon.4320
Copyright Disclaimer : Copyright © 2016 John Wiley & Sons, Inc. All Rights Reserved
Uncontrolled Keywords : Oncology, cancer chemotherapy, neutropenic sepsis, risk communication, relational care.
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 23 Nov 2016 18:24
Last Modified : 18 Jul 2017 14:57
URI: http://epubs.surrey.ac.uk/id/eprint/812952

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800