Resilience in adults with colorectal cancer: Refining a conceptual model using a descriptive qualitative approach

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Abstract

Aims

To examine and refine a conceptual model of resilience in adult cancer care based on the perspectives and experiences of resilience in adults with colorectal cancer.

Design

A descriptive qualitative study was performed.

Methods

Twelve participants diagnosed with colorectal cancer that had completed cancer treatment with curative intent were recruited from a tertiary hospital in Australia from July to December 2019. The meaning of individual resilience was explored using in‐depth individual interviews. Data were analysed using inductive thematic analysis. Following data analysis, the elements of the conceptual model of resilience were mapped against the themes and subthemes to refine the model.

Results

Five themes were identified as key elements of individual resilience in adults with colorectal cancer: (1) seeking motivations to move forward; (2) striving for normality; (3) adapting and managing self; (4) drawing on external supports; (5) redefining self. A refined conceptual model of individual resilience in adults with colorectal cancer was developed based on the integration of the themes and the elements of the conceptual model of individual resilience.

Conclusions

Our refined conceptual model of individual resilience in adults with colorectal cancer could facilitate nurses’ and other health professionals' understanding of the process of how resilient individuals with colorectal cancer overcome their illness‐related adversity. This refined model may be used to further develop and test cancer‐specific resilience measures and develop interventions to facilitate resilience in people living with colorectal cancer.

Impact

This research identified five features of resilience in adults with colorectal cancer and refined a conceptual model of resilience in adults with colorectal cancer. The findings could help nurses and other health professionals with identifying individuals who are at risk of adaptation difficulties and contribute to an early referral to psychosocial support services.

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Most cited references 86

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Using thematic analysis in psychology

Virginia Braun, Victoria Clarke (2014)

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Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

A Tong, P SAINSBURY, J. Craig (2007)

Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.

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Whatever happened to qualitative description?

Margarete Sandelowski (2000)

The general view of descriptive research as a lower level form of inquiry has influenced some researchers conducting qualitative research to claim methods they are really not using and not to claim the method they are using: namely, qualitative description. Qualitative descriptive studies have as their goal a comprehensive summary of events in the everyday terms of those events. Researchers conducting qualitative descriptive studies stay close to their data and to the surface of words and events. Qualitative descriptive designs typically are an eclectic but reasonable combination of sampling, and data collection, analysis, and re-presentation techniques. Qualitative descriptive study is the method of choice when straight descriptions of phenomena are desired. Copyright 2000 John Wiley & Sons,

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Author and article information

Contributors

Dan Luo:

ORCID: https://orcid.org/0000-0001-5291-8428

dluo7794@uni.sydney.edu.au

Journal

Journal ID (nlm-ta): J Adv Nurs

Journal ID (iso-abbrev): J Adv Nurs

Journal ID (doi): 10.1111/(ISSN)1365-2648

Journal ID (publisher-id): JAN

Title: Journal of Advanced Nursing

Publisher: John Wiley and Sons Inc. (Hoboken )

ISSN (Print): 0309-2402

ISSN (Electronic): 1365-2648

Publication date (Electronic): 14 October 2022

Publication date (Print): January 2023

Volume: 79

Issue: 1 ( doiID: 10.1111/jan.v79.1 )

Pages: 254-268

Affiliations

[ ¹ ] Cancer Care Research Unit Susan Wakil School of Nursing and Midwifery, University of Sydney Sydney New South Wales Australia

[ ² ] The Daffodil Centre Sydney New South Wales Australia

[ ³ ] Institute of Higher Education and Research in Healthcare University of Lausanne Lausanne Switzerland

[ ⁴ ] Department of Oncology Lausanne University Hospital Lausanne Switzerland

Author notes

[*] [* ] Correspondence

Dan Luo, Cancer Care Research Unit, Susan Wakil School of Nursing and Midwifery, University of Sydney, Sydney, New South Wales, Australia.

Email: dluo7794@ 123456uni.sydney.edu.au

Author information

Dan Luo https://orcid.org/0000-0001-5291-8428

Article

Publisher ID: JAN15464 Other ID: JAN-2022-0339.R1

DOI: 10.1111/jan.15464

PMC ID: 10092807

PubMed ID: 36239211

SO-VID: 00a89a1f-48b9-4103-bbaf-ed6df05fd4d8

License:

This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

History

Date revision received : 20 August 2022

Date received : 17 February 2022

Date accepted : 21 September 2022

Page count

Figures: 4, Tables: 2, Pages: 15, Words: 10992

Custom metadata

source-schema-version-number 2.0

cover-date January 2023

details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.7 mode:remove_FC converted:12.04.2023

ScienceOpen disciplines: Nursing

Keywords: adult,colorectal cancer,a conceptual model,resilience,psychological distress,qualitative research

Data availability:

ScienceOpen disciplines: Nursing

Keywords: adult, colorectal cancer, a conceptual model, resilience, psychological distress, qualitative research

Resilience in adults with colorectal cancer: Refining a conceptual model using a descriptive qualitative approach

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Abstract

Aims

Design

Methods

Results

Conclusions

Impact

Related collections

Karger: Oncology

Most cited references 86

Using thematic analysis in psychology

Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

Whatever happened to qualitative description?

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Contributors

Journal

Affiliations

Author notes

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