ORCID Profile
0000-0002-1156-9425
Current Organisation
University of British Columbia
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Publisher: SAGE Publications
Date: 08-04-2013
Abstract: Advances in the production of novel therapies for cancer management are creating new challenges for the support of increasing numbers of persons surviving for extended periods with advanced disease. Despite incurable and life-limiting metastatic conditions, these patients are living longer with serious disease, pushing the boundaries of what science explains and clinicians can confidently interpret using available evidence. Here we report findings from an early subset of such in iduals within a longitudinal qualitative cancer cohort study on clinician–patient communication across the cancer trajectory. In these findings, we contextualize experiential accounts of communication in a changing environment of the costs and uncertainties of personalized medicine, and examine the complex psychosocial circumstances of this rapidly growing patient population. Interpretation of these findings illustrates how emerging issues in cancer treatment influence the experience of these patients, their social and support networks, their cancer care specialists, and the multidisciplinary teams charged with coordinating their care.
Publisher: SAGE Publications
Date: 08-09-2014
Abstract: Keyword analysis has been ch ioned as a methodological option for expanding the insights that can be extracted from qualitative datasets using various properties available in qualitative software. Intrigued by the pioneering applications of Clive Seale and his colleagues in this regard, we conducted keyword analyses for word frequency and “keyness” on a qualitative database of interview transcripts from a study on cancer communication. We then subjected the results from these operations to an in-depth contextual inquiry by resituating word instances within their original speech contexts, finding that most of what had initially appeared as group variations broke down under close analysis. In this article, we illustrate the various threads of analysis, and explain how they unraveled under closer scrutiny. On the basis of this tentative exercise, we conclude that a healthy skepticism for the benefits of keyword analysis within a qualitative investigative process seems warranted.
Publisher: Wiley
Date: 20-04-2022
DOI: 10.1111/NAE2.12038
Publisher: Elsevier BV
Date: 03-2013
DOI: 10.1016/J.PEC.2012.02.018
Abstract: To contribute to the evolving dialogue on optimizing cancer care communication through systematic analyzes of patients' perspectives. Using constant comparative analysis, inductively derived thematic patterns of communication preferences for shared decision-making were drawn from in idual interviews with 60 cancer patients. Thematic patterns in how patients understand barriers and facilitators to communication within shared decision-making illuminate the basis for distinctive patient preferences and needs. Prevailing cancer communication considerations included focusing attention on the tone and setting of the consultation environment, the attitudinal climate within the consult, the specific approach to handling numerical/statistical information, and the critical messaging around hope. The patient accounts surfaced complex dynamics whereby the experiences of living with cancer permeated interpretations and enactment of the shared decision-making that is emerging as a dominant ideal of cancer care. In our efforts to move beyond traditional paternalism, shared decision-making has been widely advocated as best practice in cancer communication. However, patient experiential evidence suggests the necessity of a careful balance between standardized approaches and respect for ersities. Shared decision-making as a practice standard must be balanced against in idual patient preferences.
Publisher: Springer Science and Business Media LLC
Date: 28-11-2013
DOI: 10.1007/S00520-013-2056-4
Abstract: In this program of research, we sought to expand our understanding of how cancer patients' communication needs and preferences change across the course of their illness trajectory. To address known limitations in the empirical knowledge base, we designed a study capitalizing on representative patient reports as they occurred within time and across experience obtaining care for this disease. We used a longitudinal cohort design informed by interpretive description methodology to follow 125 patients over a multi-year period as they reflected on their ongoing experiences with cancer care communication. In relation to each phase of their cancer care trajectory, patients identified tension points and contextual challenges impinging on what they felt constituted helpful and unhelpful patient-provider communication. Findings from this study create a dynamic portrait of how we can better inform communication approaches and interventions through interpretations of population knowledge and in idual experience.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 11-2013
Publisher: BMJ
Date: 10-02-2016
DOI: 10.1136/BMJ.I563
No related grants have been discovered for Sally Thorne.