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dc.contributor.advisorLesa, Raewyn
dc.contributor.advisorRichardson, Sandra
dc.contributor.authorFrost, Celine Elizabeth
dc.date.available2020-07-17T03:16:39Z
dc.date.copyright2020
dc.identifier.citationFrost, C. E. (2020). After Mastectomy – Inpatient Experience of Women in New Zealand: A Qualitative Study. (Thesis, Master of Health Sciences). University of Otago. Retrieved from http://hdl.handle.net/10523/10193en
dc.identifier.urihttp://hdl.handle.net/10523/10193
dc.description.abstractThis qualitative descriptive study explored the experiences of 10 women post-operatively following mastectomy surgery for breast cancer. The setting was an acute surgical ward in a large tertiary hospital in a New Zealand where women are generally hospitalised for one to two nights post mastectomy. The purpose of this research was to: i) contribute to a greater understanding of the in-hospital experience of New Zealand women immediately following mastectomy for breast cancer, ii) identify women’s expectations of care and service delivery from healthcare professionals, iii) generate data to inform the development of evidence-based interventions and models of care for the breast cancer care team that are tailored to meet the holistic needs of women post-mastectomy in the inpatient setting, and iv) identify possible areas for future research. Data collection was through face-to-face, semi-structured, individual interviews which were audio-recorded and transcribed verbatim. The majority of participants were interviewed within two weeks following surgery, although up to six weeks was allocated for the interview period. The interview transcripts were analysed using a thematic analysis. Three main themes emerged: (i) It’s not just physical (ii) Healing environment (iii) Task-focused care versus therapeutic care. These findings suggest that a mastectomy is a momentous event in any woman’s life. Physically, the removal of the breast(s) leaves a scar which visually announces the disfigurement; however, unseen are the psychological ramifications of a cancer diagnosis, altered body form and loss of feminine identity. In the initial post-operative phase, the physical intrusion of the surgery and consequent inpatient environment influence the healing process. Environmental factors include room allocation; mixed-gender facilities; contact with other breast cancer patients; and aesthetics of the ward atmosphere and environment. Post-operative inpatient care requires not only professional competency with clinical and technical tasks, but additional therapeutic nursing skills. Some members of the breast cancer care team are skilled in interactive communication and can provide support to some psychological needs. These findings provide insight into the experiences of inpatient stay of post-mastectomy patients in the New Zealand context; an area not previously explored. While focussed on the experiences of individual women, there are commonalities and aspects which may be relevant to nurses caring for other women, in other settings.
dc.format.mimetypeapplication/pdf
dc.language.isoen
dc.publisherUniversity of Otago
dc.rightsAll items in OUR Archive are provided for private study and research purposes and are protected by copyright with all rights reserved unless otherwise indicated.
dc.subjectmastectomy
dc.subjectpost-mastectomy
dc.subjectbreast cancer surgery
dc.subjectbreast cancer
dc.subjectbreast removal
dc.subjectgeneral surgery
dc.subjectpost-operative
dc.subjectpost-operation
dc.subjectinpatient
dc.subjectpatient
dc.subjectin-hospital
dc.subjecthospital
dc.subjectpublic hospital
dc.subjectward
dc.subjectgeneral surgical ward
dc.subjectward environment
dc.subjectward setting
dc.subjecttask-based nursing
dc.subjecttherapeutic nursing
dc.subjectnursing
dc.subjecttherapeutic
dc.subjectbreast cancer team
dc.subjectbreast cancer care
dc.subjectbreast cancer nurse
dc.subjectbreast care nurse
dc.subjectholistic care
dc.subjecttherapeutic care
dc.subjectexperience
dc.subjectexperiences
dc.subjectperception
dc.subjectunderstanding
dc.subjectinsight
dc.subjectwomen
dc.subjectadult women
dc.subjectwoman
dc.subjectfemale
dc.subjectNew Zealand
dc.subjectAotearoa
dc.subjectqualitative
dc.subjectqualitative research
dc.subjectqualitative study
dc.subjectqualitative description
dc.subjectqualitative descriptive
dc.subjectSandelowski
dc.subjectthematic analysis
dc.subjectsemi-structured interviews
dc.subjectinterviews
dc.subjectmirror therapy
dc.subjectbody image
dc.subjectpsychological care
dc.subjectpsychology
dc.subjectself-perception
dc.subjectnursing care
dc.subjectrehabilitation
dc.subjectpost-operative nursing
dc.subjectrecovery
dc.titleAfter Mastectomy – Inpatient Experience of Women in New Zealand: A Qualitative Study.
dc.typeThesis
dc.date.updated2020-07-13T04:28:31Z
dc.language.rfc3066en
thesis.degree.disciplineCentre for Postgraduate Nursing Studies
thesis.degree.nameMaster of Health Sciences
thesis.degree.grantorUniversity of Otago
thesis.degree.levelMasters
otago.openaccessOpen
otago.evidence.presentYes
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