Title

Paving the Way: A Grounded Theory of Discovery and Decision Making for Individuals With the CDH1 Marker

Publication Date

2020-07-01

UMMS Affiliation

Graduate School of Nursing

Document Type

Article

Disciplines

Health Services Administration | Neoplasms | Nursing | Oncology

Abstract

PURPOSE: To understand the process of discovery and decision making for adults with the CDH1 marker for hereditary diffuse gastric cancer and inherited breast cancer.

PARTICIPANTS AND SETTING: Purposeful sampling included 20 participants.

METHODOLOGIC APPROACH: Grounded theory with constant comparison was used.

FINDINGS: The decision-making process of Paving the Way addresses the challenges for individuals diagnosed with the CDH1 marker. The theory explains the process of learning the risk, discerning testing, choosing iterative individual interventions, and adjusting postoperatively while normalizing to live longer.

IMPLICATIONS FOR NURSING: The process explains and describes the nine factors for decision making and predicts the timing for nursing interventions for genetic testing and pre- and postoperative assessment and planning.

Keywords

CDH1, breast cancer, gastric cancer, genetics, grounded theory

DOI of Published Version

10.1188/20.ONF.446-456

Source

Hersperger CL, Boucher J, Theroux R. Paving the Way: A Grounded Theory of Discovery and Decision Making for Individuals With the CDH1 Marker. Oncol Nurs Forum. 2020 Jul 1;47(4):446-456. doi: 10.1188/20.ONF.446-456. PMID: 32555552. Link to article on publisher's site

Journal/Book/Conference Title

Oncology nursing forum

Comments

Cheryl L. Hersperger participated in this study as a doctoral student (view her dissertation) in the Graduate School of Nursing at UMass Medical School.

Related Resources

Link to Article in PubMed

PubMed ID

32555552

Link to Full Text

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