Asian Oncol Nurs.  2012 Sep;12(3):237-245. 10.5388/aon.2012.12.3.237.

A Conceptual Analysis of Cancer Survivorship

• Byun HS
• Park HJ
• Kim JY

• KMID: 2269510
• DOI: http://doi.org/10.5388/aon.2012.12.3.237

Abstract

PURPOSE
The purpose of this study was to identify attributes of the concept of cancer survivorship.
METHODS
Walker & Avant's concept analysis framework (2005) was used to review the medical & nursing text books, medical and nursing research articles related to cancer survivorship and published from 1985 to 2011.
RESULTS
There were nine aspects of the concept of cancer survivorship: A process, liminality, uncertainty, life-changing experience, complexity, unique experience, duality of positive and negative aspects, partnership, and need for support. Antecedents of cancer survivorship were cancer diagnosis and perception as a cancer survivor. Empirical referents of cancer survivorship were survival rate, quality of life, adaptation to the survivorship experience, and health-related hardiness, social support, spirituality, and health behavior. The consequences of cancer survivorship were effects on the physical, psychosocial, spiritual and socio-economic well-being of the patients.
CONCLUSION
This concept analysis of cancer survivorship is expected to contribute to promotion of survivorship care in the clinical field by removing conceptual ambiguity and confirming the true meaning of survivorship care.

Keyword

Cancer; Survivors; Survivorship

MeSH Terms

Health Behavior
Humans
Nursing Research
Quality of Life
Spirituality
Survival Rate
Survivors
Uncertainty

Figure

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  Fig. 1 A Conceptual map of cancer survivorship.

Reference

1. National Cancer Information Center. Cancer survival rate 2010. accessed on April 30, 2012. Available at http://www.cancer.go.kr/ncic/cics_f/03/032/index.html.

2. Lance Armstrong Foundation. Centers for Disease Control and Prevention. A national action plan for cancer survivorship: advancing public health strategies. 2004. Atlanta, GA: U.S. Department of Health and Human services, CDC.

3. President's Cancer Panel. Living beyond cancer: A European dialogue. 2004. Bethesda: National Cancer Institute.

4. So HS, Lee WH, Lee EH, Chung BY, Hur HK, Kang ES. Validation of quality of life index-cancer among Korean patients with cancer. J Korean Acad Nurs. 2004. 34:693–701.

5. Kim SH. Understanding cancer survivorship and its new perspectives. J Korean Oncol Nurs. 2010. 10:19–29.

6. NCCS. National coalition for cancer survivorship. 1986. Washington DC: Silver Spring.

7. Doyle N. Cancer survivorship: evolutionary concept analysis. J Adv Nurs. 2008. 62:499–509.

8. Peck S. Survivorship: A concept analysis. Nurs Forum. 2008. 43:91–102.

9. Shepherd EJ, Woodgate RL. Cancer survivorship in children and young adults: A concept analysis. J Pediatr Oncol Nurs. 2010. 27:109–118.

10. Davis NJ. Cancer survivorship: living with or beyond cancer. Cancer Nurs Pract. 2009. 8:29–35.

11. Blows E, Bird L, Seymour J, Cox K. Liminality as a framework for understanding the experience of cancer survivorship: a literature review. J Adv Nurs. 2012. 68:2155–2164.

12. Morgan MA. Cancer survivorship: History, quality-of-life issues, and the evolving multidisciplinary approach to implementation of cancer survivorship care plans. Oncol Nurs Forum. 2009. 36:429–436.

13. Kaplan M. Cancer survivorship: Meeting psychosocial needs. Clin J Oncol Nurs. 2008. 12:989–992.

14. Doyle N. Survivorship in cancer care. Eur J Cancer Care. 2010. 19:284.

15. Ganz PA. Cancer survivorship: Today and tommorrow. 2007. New York: Springer.

16. Fairley TL, Pollack LA, Moore AR, Smith JL. Addressing cancer survivorship through public health: An update from the centers for disease control and prevention. J Womens Health (Larchmt). 2009. 18:1525–1531.

17. Miller R. Implementing a survivorship care plan for patients with breast cancer. Clin J Oncol Nurs. 2008. 12:479–487.

18. Walk LO, Avant KC. Strategies for theory construction in nursing. 2005. 4th ed. Upper saddle river, NJ: Pearson and Prentice Hall.

19. Merrian-webster Online Dictionary. Survivorship. accessed on November 30, 2004. Available at http://www.m-w.com/cgi-bin/dictionary?book=Dictionary&va=survivorship.

20. Mullan F. Seasons of survival: Reflections of a physician with cancer. N Engl J Med. 1985. 313:270–273.

21. Carter BJ. Cancer survivorship: A topic for nursing research. Oncol Nurs Forum. 1989. 16:435–437.

22. Farmer BJ, Smith ED. Breast cancer survivorship: Are african american women considered? A concept analysis. Oncol Nurs Forum. 2002. 29:779–787.

23. Ferrell BR, Dow KH. Portraits of cancer survivorship: A glimpse through the lens of survivors's eye. Cancer Pract. 1996. 4:76–80.

24. Leigh S. Survivorship: What does it means to nurses? Innov Breast Cancer Care. 1999. 4(2):37–38.

25. Hewitt M, Greenfield S, Stovall E. From cancer patient to cancer survivor. Lost in transition. 2005. Washington DC: The National Academies Press.

26. Department of Health. Cancer reform strategy. 2007. London: DH.

27. Terrence DP. The survivor: An anatomy of life in the death camps. 1980. New York: Oxford University Press.

28. Little M, Jordens CF, Paul K, Montgomery K, Philipson B. Liminality: A major category of the experience of cancer illness. Soc Sci Med. 1998. 47:1485–1494.

29. Kang SR. Concept analysis of spiritual care. J Korean Acad Nurs. 2006. 36:803–812.

30. Bottomley A, Jones L. Social support and cancer patient: A need for clarity. Eur J Cancer Care (Engl). 1997. 6:72–77.