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"It's just going to a new hospital ... That's It." Or is it?: An experiential perspective on moving from pediatric to adult cancer services
School of Nursing and Midwifery, University of Dundee, Scotland.
School of Nursing and Midwifery, University of Dundee, Scotland.
Department of Neurobiology, Care Science, and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden.
2014 (English)In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 37, no 5, E23-E31 p.Article in journal (Refereed) Published
Abstract [en]

Background: Survivors of childhood cancer will, at some stage, move from pediatric to adult care and/or to a different model of care to continue to receive long-term follow-up. Literature relating to transitional care for childhood onset conditions exists, but little research has been undertaken into transition in a cancer context, specifically from an experiences perspective.

Objective: The aim of this study was to report how the process of transition should be considered within the context of young people's entire illness experience and how that experience can impact their transition readiness.

Intervention/Methods: A qualitative, collective case study approach was adopted. Semistructured interviews were conducted with young people, parents, and healthcare professionals. Young people's oncology case notes were also reviewed. RESULTS:: Data analysis generated a multidimensional and multiple-perspective understanding of the experience of the process of transition. A central orienting theme was identified: the experience of readiness in the context of transition.

Conclusion: Understanding the multifaceted components of readiness is crucial; readiness should embody people's illness experiences, the numerous and associated losses intertwined with a move from pediatric to adult care, and the simultaneous developmental changes occurring in people's lives.

Implications for practice: The findings provide a meaningful framework to understand the experience of transition from the perspective of young people, parents, and healthcare professionals. These findings could help with the planning and preparation of individualized transitional care pathways for survivors of childhood cancer.

Place, publisher, year, edition, pages
Philadelphia, USA: Lippincott Williams & Wilkins, 2014. Vol. 37, no 5, E23-E31 p.
Keyword [en]
Cancer care, Experiences, Qualitative, Readiness, Survivorship, Transition, Young people, article, childhood cancer, clinical practice, health care delivery, health care disparity, health care personnel, health service, human, parent, priority journal, semi structured interview, transition to adult care
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-36546DOI: 10.1097/NCC.0b013e3182a40f99ISI: 000341497500003PubMedID: 24145251Scopus ID: 2-s2.0-84906940212OAI: oai:DiVA.org:oru-36546DiVA: diva2:747353
Note

NOTE: 10.1097/NCC.0b013e3182a40f99 doi noted in the publication PDF (and  in Scopus) does not work!

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Available from: 2014-09-16 Created: 2014-09-16 Last updated: 2017-10-18Bibliographically approved

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