Berry D L
University of Washington, Seattle.
Oncol Nurs Forum. 1993 Jul;20(6):905-11.
Maintaining employment after a cancer diagnosis and even during therapy is becoming a major challenge for an increasing number of individuals. The purpose of this study was to further understanding of the experience of returning to work after a cancer diagnosis by discovering the nature and processes of the experience's dimensions. This exploratory, longitudinal study systematically analyzed the dimensions of the return-to-work experience that were evident in data from 19 unstructured interviews. Grounded theory methods of study design and constant comparative analysis guided the interviews and data analysis. The core social process suggested by the data is one of mobilizing social support in the work environment. The inceptive theory explains and delineates steps in a process that ultimately facilitates a person's reintegration of normal activities after a cancer diagnosis. The added understanding available in these results can guide nurses to focus not only on related dimensions of the return-to-work experience, such as time off for treatment, but on central concerns, such as the social benefits of returning to work.
对越来越多的人来说,在癌症诊断后甚至在治疗期间维持工作正成为一项重大挑战。本研究的目的是通过发现重返工作经历维度的性质和过程,进一步了解癌症诊断后重返工作的经历。这项探索性的纵向研究系统地分析了19次非结构化访谈数据中明显体现的重返工作经历的维度。研究设计的扎根理论方法和持续比较分析指导了访谈和数据分析。数据所表明的核心社会过程是在工作环境中调动社会支持的过程之一。初始理论解释并描述了一个过程中的步骤,该过程最终有助于癌症诊断后一个人重新融入正常活动。这些结果中获得的更多认识可以指导护士不仅关注重返工作经历的相关维度,如治疗请假时间,还要关注核心问题,如重返工作的社会效益。