Students' Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Hematology and Oncology Research Center, Tabriz University of Medical Sciences, Shariati Jonubi Avenue, PO Box 5138947977, Tabriz, Iran.
BMC Womens Health. 2021 Jun 5;21(1):234. doi: 10.1186/s12905-021-01346-w.
Defining the disrupted mothering would contribute to developing strategies to support mothers with breast cancer. The aim of this study was to analyze the concept of mothering disruption using a hybrid model.
The Hybrid method for concept analysis was implemented consisting of three phases: theoretical, fieldwork, and final analysis. In the theoretical phase, the literature was searched using electronic databases including PubMed, ScienceDirect, Scopus, ProQuest, Google Scholar, CINAHL, Wiley, Ovid, Magiran, and SID from 2000 to 2020. Any quantitative or qualitative studies published in English or Persian, which were focused on mothering disruption in mothers with breast cancer were included in the study. In the phase of fieldwork, 20 mothers were interviewed to explore the aspects of mothering disruption. The interviews were transcribed and analyzed with conventional content analysis. In the final phase, an overall analysis of the two previous phases was performed.
In the theoretical phase, the following attributes were determined: "disturbance in maternal identity and roles", "maternal insensitivity and unresponsiveness: disconnection physically and psychologically", "the career disruption process" and "biographical disruption". The fieldwork phase explored three themes including "the unbalance between multiple roles", "role failure", and "reduced maternal sensitivity". The final synthesis yielded that the main integrated elements of mothering disruption are "disease as threating maternal role and identity", "inability to interpret and respond to child behaviors and needs", and "support for transitioning from being patient toward maternal competency".
With a deeper understanding of the term 'disrupted mothering' or 'mothering disruption', healthcare providers will have a foundation to improve cancer care, deliver effective communication and help such mothers cross this disruption and achieve restoration of their mothering role. Future research is needed to validate this concept and explore connections with health outcomes.
定义失调的母性照护有助于制定支持乳腺癌母亲的策略。本研究旨在使用混合模型分析母性照护失调的概念。
采用混合方法进行概念分析，包括三个阶段：理论阶段、实地工作阶段和最终分析阶段。在理论阶段，使用电子数据库（包括 PubMed、ScienceDirect、Scopus、ProQuest、Google Scholar、CINAHL、Wiley、Ovid、Magiran 和 SID）检索文献，检索时间为 2000 年至 2020 年，纳入的研究为关注乳腺癌母亲的母性照护失调的英文或波斯语的定量或定性研究。在实地工作阶段，对 20 名母亲进行访谈，以探索母性照护失调的各个方面。访谈内容被转录，并使用传统的内容分析进行分析。在最终分析阶段，对前两个阶段进行了全面分析。
在理论阶段，确定了以下属性：“母性认同和角色的紊乱”、“母亲的不敏感和无反应：身体和心理上的脱节”、“职业中断过程”和“传记中断”。实地工作阶段探讨了三个主题，包括“多个角色之间的不平衡”、“角色失败”和“母亲敏感性降低”。最终综合得出，母性照护失调的主要综合要素是“疾病对母亲角色和身份的威胁”、“无法解释和回应孩子的行为和需求”以及“支持从患者向母亲能力的过渡”。
通过更深入地理解“失调的母性照护”或“母性照护失调”这一术语，医疗保健提供者将有一个基础来改善癌症护理，进行有效的沟通，并帮助这些母亲度过这一失调阶段，恢复其母性角色。需要进一步研究来验证这一概念，并探讨其与健康结果的联系。
