Paving the Way: A Grounded Theory of Discovery and Decision Making for Individuals With the CDH1 Marker
Graduate School of Nursing
Health Services Administration | Neoplasms | Nursing | Oncology
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.
CDH1, breast cancer, gastric cancer, genetics, grounded theory
DOI of Published Version
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
Oncology nursing forum
Hersperger CL, Boucher J, Theroux RT. (2020). Paving the Way: A Grounded Theory of Discovery and Decision Making for Individuals With the CDH1 Marker. Graduate School of Nursing Publications. https://doi.org/10.1188/20.ONF.446-456. Retrieved from https://escholarship.umassmed.edu/gsn_pp/142