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Understanding patient commitment for colorectal cancer screening in Southern Alberta

The purpose of this naturalistic inquiry was to understand factors that influence patients’
commitment to colorectal cancer screening, specifically colonoscopy. Fifteen personcentred
interviews were conducted: 10 with individuals who had completed screening,
and 5 with individuals who declined. Three subthemes (relationship, motivation, and
human agency) were associated with the overarching theme of regard or disregard for
vulnerability. Participants who perceived a disregard for their vulnerability by their health
care provider (HCP) frequently chose to decline screening even though they showed a
high level of commitment to health promotion. Participants who perceived a regard for
vulnerability by their HCP frequently chose to accept screening. The nursing profession
can show a regard for patient vulnerability by enhancing communication techniques and
concentrating on being attentive to patient concerns which will build a trusting
relationship with patients and enhance screening rates. Persistence in the relationship can
change a patient’s decision in time. / 132 leaves : col. ill. ; 29 cm

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:ALU.w.uleth.ca/dspace#10133/3360
Date January 2012
CreatorsKnapik, Gayle A
ContributorsHarrowing, Jean
PublisherLethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences, c2012, Health Sciences
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
Languageen_CA
Detected LanguageEnglish
TypeThesis

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