The experience of acute leukaemia in adult patients: A qualitative thematic synthesis

Constantina Papadopoulou, Bridget Johnston, Markus Themessl-Huber

Research output: Contribution to journalArticle

Abstract

PURPOSE: The aim of this review was to systematically identify and synthesise all qualitative evidence on how adult patients diagnosed with acute leukaemia experience living with their illness.

METHODS: A systematic search strategy was developed comprising of two search strings: i) acute leukaemia and ii) qualitative methodology. The search strategy was run in seven electronic databases (Medline, CINAHL, PsychINFO, EMBASE, BNI & Archive, SSCI and ASSIA). Nine qualitative studies in adult patients with acute leukaemia, published in peer reviewed journals between 01/1990 and 01/2013 were included in the final sample.

RESULTS: The qualitative thematic synthesis resulted in the development of a conceptual model describing a person's path to build a renewed self. Following the initial blow of diagnosis with the range of initial reactions, patients with acute leukaemia are living in a contracting world; they have to deal with the life in hospital, the several losses and the impact of their illness on their emotions and interpersonal relationships. Several factors take up a buffering role at that stage: coping, support, information and hope. Finally, patients accommodate acute leukaemia in their lives through re-evaluating personal values and assigning new meaning to their experience.

CONCLUSIONS: Results from this thematic synthesis are indicative of the impact of acute leukaemia on patients' lives and the processes they use to make sense and accommodate the illness in their life. Increasing our understanding of these processes is warranted to improve patient care.

Original languageEnglish
Pages (from-to)640-648
Number of pages9
JournalEuropean Journal of Oncology Nursing
Volume17
Issue number5
DOIs
Publication statusPublished - 17 Jul 2013
Externally publishedYes

Fingerprint

Leukemia
Hope
Patient Care
Emotions
Databases

Keywords

  • Acute Disease
  • Adaptation, Physiological
  • Adaptation, Psychological
  • Adult
  • Age Factors
  • Female
  • Humans
  • Leukemia
  • Life Change Events
  • Male
  • Middle Aged
  • Qualitative Research
  • Quality of Life
  • Risk Assessment
  • Sex Factors
  • Sickness Impact Profile
  • Social Support
  • Stress, Psychological
  • United Kingdom
  • Comparative Study
  • Journal Article
  • Review

Cite this

@article{bfe7d4ec44274192b927a1cb409357a6,
title = "The experience of acute leukaemia in adult patients: A qualitative thematic synthesis",
abstract = "PURPOSE: The aim of this review was to systematically identify and synthesise all qualitative evidence on how adult patients diagnosed with acute leukaemia experience living with their illness.METHODS: A systematic search strategy was developed comprising of two search strings: i) acute leukaemia and ii) qualitative methodology. The search strategy was run in seven electronic databases (Medline, CINAHL, PsychINFO, EMBASE, BNI & Archive, SSCI and ASSIA). Nine qualitative studies in adult patients with acute leukaemia, published in peer reviewed journals between 01/1990 and 01/2013 were included in the final sample.RESULTS: The qualitative thematic synthesis resulted in the development of a conceptual model describing a person's path to build a renewed self. Following the initial blow of diagnosis with the range of initial reactions, patients with acute leukaemia are living in a contracting world; they have to deal with the life in hospital, the several losses and the impact of their illness on their emotions and interpersonal relationships. Several factors take up a buffering role at that stage: coping, support, information and hope. Finally, patients accommodate acute leukaemia in their lives through re-evaluating personal values and assigning new meaning to their experience.CONCLUSIONS: Results from this thematic synthesis are indicative of the impact of acute leukaemia on patients' lives and the processes they use to make sense and accommodate the illness in their life. Increasing our understanding of these processes is warranted to improve patient care.",
keywords = "Acute Disease, Adaptation, Physiological, Adaptation, Psychological, Adult, Age Factors, Female, Humans, Leukemia, Life Change Events, Male, Middle Aged, Qualitative Research, Quality of Life, Risk Assessment, Sex Factors, Sickness Impact Profile, Social Support, Stress, Psychological, United Kingdom, Comparative Study, Journal Article, Review",
author = "Constantina Papadopoulou and Bridget Johnston and Markus Themessl-Huber",
note = "Copyright {\circledC} 2013. Published by Elsevier Ltd.",
year = "2013",
month = "7",
day = "17",
doi = "10.1016/j.ejon.2013.06.009",
language = "English",
volume = "17",
pages = "640--648",
journal = "European Journal of Oncology Nursing",
issn = "1462-3889",
publisher = "Elsevier B.V.",
number = "5",

}

The experience of acute leukaemia in adult patients : A qualitative thematic synthesis. / Papadopoulou, Constantina; Johnston, Bridget; Themessl-Huber, Markus.

In: European Journal of Oncology Nursing, Vol. 17, No. 5, 17.07.2013, p. 640-648.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The experience of acute leukaemia in adult patients

T2 - A qualitative thematic synthesis

AU - Papadopoulou, Constantina

AU - Johnston, Bridget

AU - Themessl-Huber, Markus

N1 - Copyright © 2013. Published by Elsevier Ltd.

PY - 2013/7/17

Y1 - 2013/7/17

N2 - PURPOSE: The aim of this review was to systematically identify and synthesise all qualitative evidence on how adult patients diagnosed with acute leukaemia experience living with their illness.METHODS: A systematic search strategy was developed comprising of two search strings: i) acute leukaemia and ii) qualitative methodology. The search strategy was run in seven electronic databases (Medline, CINAHL, PsychINFO, EMBASE, BNI & Archive, SSCI and ASSIA). Nine qualitative studies in adult patients with acute leukaemia, published in peer reviewed journals between 01/1990 and 01/2013 were included in the final sample.RESULTS: The qualitative thematic synthesis resulted in the development of a conceptual model describing a person's path to build a renewed self. Following the initial blow of diagnosis with the range of initial reactions, patients with acute leukaemia are living in a contracting world; they have to deal with the life in hospital, the several losses and the impact of their illness on their emotions and interpersonal relationships. Several factors take up a buffering role at that stage: coping, support, information and hope. Finally, patients accommodate acute leukaemia in their lives through re-evaluating personal values and assigning new meaning to their experience.CONCLUSIONS: Results from this thematic synthesis are indicative of the impact of acute leukaemia on patients' lives and the processes they use to make sense and accommodate the illness in their life. Increasing our understanding of these processes is warranted to improve patient care.

AB - PURPOSE: The aim of this review was to systematically identify and synthesise all qualitative evidence on how adult patients diagnosed with acute leukaemia experience living with their illness.METHODS: A systematic search strategy was developed comprising of two search strings: i) acute leukaemia and ii) qualitative methodology. The search strategy was run in seven electronic databases (Medline, CINAHL, PsychINFO, EMBASE, BNI & Archive, SSCI and ASSIA). Nine qualitative studies in adult patients with acute leukaemia, published in peer reviewed journals between 01/1990 and 01/2013 were included in the final sample.RESULTS: The qualitative thematic synthesis resulted in the development of a conceptual model describing a person's path to build a renewed self. Following the initial blow of diagnosis with the range of initial reactions, patients with acute leukaemia are living in a contracting world; they have to deal with the life in hospital, the several losses and the impact of their illness on their emotions and interpersonal relationships. Several factors take up a buffering role at that stage: coping, support, information and hope. Finally, patients accommodate acute leukaemia in their lives through re-evaluating personal values and assigning new meaning to their experience.CONCLUSIONS: Results from this thematic synthesis are indicative of the impact of acute leukaemia on patients' lives and the processes they use to make sense and accommodate the illness in their life. Increasing our understanding of these processes is warranted to improve patient care.

KW - Acute Disease

KW - Adaptation, Physiological

KW - Adaptation, Psychological

KW - Adult

KW - Age Factors

KW - Female

KW - Humans

KW - Leukemia

KW - Life Change Events

KW - Male

KW - Middle Aged

KW - Qualitative Research

KW - Quality of Life

KW - Risk Assessment

KW - Sex Factors

KW - Sickness Impact Profile

KW - Social Support

KW - Stress, Psychological

KW - United Kingdom

KW - Comparative Study

KW - Journal Article

KW - Review

U2 - 10.1016/j.ejon.2013.06.009

DO - 10.1016/j.ejon.2013.06.009

M3 - Article

VL - 17

SP - 640

EP - 648

JO - European Journal of Oncology Nursing

JF - European Journal of Oncology Nursing

SN - 1462-3889

IS - 5

ER -