Understanding patient commitment for colorectal cancer screening in Southern Alberta
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Date
2012
Authors
Knapik, Gayle A.
Journal Title
Journal ISSN
Volume Title
Publisher
Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences, c2012
Abstract
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.
Description
132 leaves : col. ill. ; 29 cm
Keywords
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