Understanding patient commitment for colorectal cancer screening in Southern Alberta

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Knapik, Gayle A.
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Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences, c2012
The purpose of this naturalistic inquiry was to understand factors that influence patients’ commitment to colorectal cancer screening, specifically colonoscopy. Fifteen personcentred interviews were conducted: 10 with individuals who had completed screening, and 5 with individuals who declined. Three subthemes (relationship, motivation, and human agency) were associated with the overarching theme of regard or disregard for vulnerability. Participants who perceived a disregard for their vulnerability by their health care provider (HCP) frequently chose to decline screening even though they showed a high level of commitment to health promotion. Participants who perceived a regard for vulnerability by their HCP frequently chose to accept screening. The nursing profession can show a regard for patient vulnerability by enhancing communication techniques and concentrating on being attentive to patient concerns which will build a trusting relationship with patients and enhance screening rates. Persistence in the relationship can change a patient’s decision in time.
132 leaves : col. ill. ; 29 cm
Colon (Anatomy) -- Cancer -- Alberta, Southern , Colon (Anatomy) -- Examination -- Alberta, Southern , Rectum -- Cancer -- Alberta, Southern , Rectum -- Examination -- Alberta, Southern , Patient education , Medical screening -- Alberta, Southern , Cancer -- Prevention , Dissertations, Academic