Cancer patients’ sensemaking of conversations with cancer nurses in outpatient clinics

Owen Hargie, Hildfrid Brataas, Sigrid Thorsnes

    Research output: Contribution to journalArticle

    4 Citations (Scopus)

    Abstract

    ObjectiveCommunication is of significant importance to cancer patients however little is known about how they experience and make sense of their interactions with cancer nurses. This study was designed to investigate how and in what ways patients interpret initial consultations with cancer nurses in terms of how they perceive the role of the nurse.DesignThis qualitative study involved ‘sensemaking’ interviews with patients following their firstconsultation with nurses.SettingThe study was carried out in two outpatient cancer clinics in hospitals in Norway.SubjectsThe sample consisted of nine cancer outpatients experiencing a range of cancer situations.Main outcome measuresThe main outcomes measure was an understanding of the way in which cancer patients make sense of the role of nurses following initial consultation.ResultsPreconceptions of the role of the nurse were limited, with the nurse perceived as playing a mainly functional, task‑centred, role. Patients’ actual experience broadened their sense of the role of the cancer nurse to encompass a psychosocial supportive role.ConclusionsThe sensemaking approach used in this study offered a depth of insight into core factors that shaped the patients’ understanding. It is argued this approach has benefits for nursing research. Possible advantages for nursing practice and further research are suggested.
    LanguageEnglish
    Pages70-78
    JournalAustralian Journal of Advanced Nursing
    Volume26
    Issue number3
    Publication statusPublished - 2009

    Fingerprint

    Ambulatory Care Facilities
    Nurses
    Nurse's Role
    Neoplasms
    Referral and Consultation
    Nursing Research
    Norway
    Nursing
    Outpatients
    Outcome Assessment (Health Care)
    Interviews
    Research

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    Hargie, Owen ; Brataas, Hildfrid ; Thorsnes, Sigrid. / Cancer patients’ sensemaking of conversations with cancer nurses in outpatient clinics. In: Australian Journal of Advanced Nursing. 2009 ; Vol. 26, No. 3. pp. 70-78.
    @article{bc82af1908a74bf39bb1c40f8a4cb62e,
    title = "Cancer patients’ sensemaking of conversations with cancer nurses in outpatient clinics",
    abstract = "ObjectiveCommunication is of significant importance to cancer patients however little is known about how they experience and make sense of their interactions with cancer nurses. This study was designed to investigate how and in what ways patients interpret initial consultations with cancer nurses in terms of how they perceive the role of the nurse.DesignThis qualitative study involved ‘sensemaking’ interviews with patients following their firstconsultation with nurses.SettingThe study was carried out in two outpatient cancer clinics in hospitals in Norway.SubjectsThe sample consisted of nine cancer outpatients experiencing a range of cancer situations.Main outcome measuresThe main outcomes measure was an understanding of the way in which cancer patients make sense of the role of nurses following initial consultation.ResultsPreconceptions of the role of the nurse were limited, with the nurse perceived as playing a mainly functional, task‑centred, role. Patients’ actual experience broadened their sense of the role of the cancer nurse to encompass a psychosocial supportive role.ConclusionsThe sensemaking approach used in this study offered a depth of insight into core factors that shaped the patients’ understanding. It is argued this approach has benefits for nursing research. Possible advantages for nursing practice and further research are suggested.",
    author = "Owen Hargie and Hildfrid Brataas and Sigrid Thorsnes",
    note = "Reference text: Allard-Poesi, F. 2005. The paradox of sensemaking in organizational analysis. Organization 12 (2): 169-196. Anderson, R.A., Ammarell, N., Bailey, D. Jr., Colon-Emeric, C., Corazzini, K.N., Lillie, M., Piven, M.L.S., Utley-Smith, Q. and McDaniel, R.R. Jr. 2005. Nurse assistant mental models, sensemaking, care actions, and consequences for nursing home residents. Qualitative Health Research 15 (8): 1006-1021. Attree, M. 2001. Patients' and relatives' experiences and perspectives of ‘Good’ and ‘Not so good’ quality care, Journal of Advanced Nursing 33 (4): 456-466. Battles, J.B., Dixon, N.M., Borotkanics, R.J., Rabin-Fastmen, B. and Kaplan, H.S. 2006. Sensemaking of patient safety risks and hazards. Health Services Research 41 (4 part II): 1555-1575. Bean, C. and Eisenberg, E. 2006. Employee sensemaking in the transition to nomadic work. Journal of Organizational Change Management 19 (2): 210-222. Bean, C. and Hamilton, F. 2006. Leader framing and follower sensemaking: Response to downsizing in the brave new world. Human Relations 59 (3): 321-349. Bergenmar, M., Nylen, U., Lidbrink, E., Bergh, J., Brandberg, Y., 2006. Improvements in patient satisfaction at an outpatient clinic for patients with breast cancer. Acta Oncologica 45 (5): 550-558. Bird, S. 2007. Sensemaking and identity: The interconnection of storytelling and networking in a women’s group of a large corporation, Journal of Business Communication 44 (4): 311-339. Bissell, P., May, C.R. and Noyce, P.R. 2004. From compliance to concordance: barriers to accomplishing a re-framed model of health care interactions. Social Science and Medicine 55 (4): 851-862. Botti, M., Endacott, R., Watts, R., Cairns, J., Lewis, K. and Kenny, A. 2006. Barriers in providing psychosocial support for patients with cancer. Cancer Nursing 29 (4): 309-316. Brown, R.F., Butow, P.N., Dunn, S.M. and Tattersall, M.H. 2001. Promoting patient participation and shortening cancer consultations: a randomised trial. British Journal of Cancer 85 (9): 1273-1279. Bruner, J. 1990. Acts of meaning. Cambridge: Harvard University Press. Denzin, N.K. 1994. The art and politics of interpretation, in NK Denzin and YS Lincoln (eds). Handbook of qualitative research. London: Sage Publications, pp. 500-515. Dervin, B. 1983. An overview of sensemaking research: Concepts, methods and results to date. Paper presented at the International Communication Association Annual Meeting. Dallas, Texas. http://communication.sbs.ohio-state.edu/sense-making/art/artabsdervin83smoverview.html (accessed 04.03.08) Dickson, D., Hargie, O. and Morrow, N. 1997. Communication skills training for health professionals. London: Chapman & Hall. Fincham, L., Copp, G., Caldwell, K., Jones, L. and Tookman, A. 2005. Supportive care: experiences of cancer patients. European Journal of Oncology Nursing 9 (3): 258-268. Gwyn, R. 2002. Communicating health and illness. London: Sage. Hallstr{\"o}m, I. and Elander, G. 2001. A comparison of patient needs ranked by patients and nurses. Scandinavian Journal of Caring Sciences 15 (3): 228-234. Hargie, O. and Dickson, D. 2004. Skilled interpersonal communication: Research, theory and practice. London: Routledge. Harrington, J., Noble, L.M. and Newman, S.P. 2004. Improving patients’ communication with doctors: a systematic review of intervention studies. Patient Education and Counseling 52 (1): 7-16. Klein, G., Moon, B. and Hoffman, R., 2006a Making sense of sensemaking 1: Alternative perspectives. IEEE Intelligent Systems 21 (4): 70-73. Klein, G., Moon, B. and Hoffman, R. 2006b. Making sense of sensemaking 2: A macro¬cognitive model. IEEE Intelligent Systems 21 (5): 88-92. Latter, S., Maben, J., Myall, M. and Young, A. 2007. Perceptions and practice of concordance in nurses’ prescribing consultations: Findings from a national questionnaire survey and case studies of practice in England. International Journal of Nursing Studies 44 (1): 9-18. Lim, A., Ellis, C., Brooksby, A. and Gaffney, K. 2007. Patient satisfaction with rheumatology practitioner clinics: Can we achieve concordance by meeting patients’ information needs and encouraging participatory decision making? Annals Academy of Medicine Singapore 32 (2): 110-114. Mayer, D.K., Terrin, N.V., Kreps, G.L., Menon, U., McCance, K., Parsons, S.K. and McCabe, C. 2004. Nurse–patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing 13 (1): 41–49. Mills, C. 2006. Modeling sensemaking about communication: How affect and intellect combine. Southern Review 38 (2): 9-23. N{\aa}den, D. and S{\ae}teren, B. 2006. Cancer patients’ perception of being or not being confirmed. Nursing Ethics 13 (3): 222-235. S{\ae}grov, S. and Halding, A. 2004. What is it like living with the diagnosis of cancer? European Journal of Cancer Care 13(2): 145-153. Sandelowski, M. 1997. Sampling in qualitative research. Purposeful and theoretical sampling; merging or clear boundaries? Journal of Advanced Nursing 26 (3): 623-630. Sch{\"o}n, D.A. 1996. The reflective practitioner. How professionals think in action. Aldershot: Arena, Seeger, M.W. 2004. Organizational communication ethics, in D.Tourish and O.Hargie (eds). Key issues in organizational communication. London: Routledge, pp. 220-233. Weick, K.E. 2001. Making sense of the organization. Oxford: Blackwell Publishing. Weick, K. 2007. The generative properties of richness. The Academy of Management Journal 50 (1): 14-19.",
    year = "2009",
    language = "English",
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    pages = "70--78",
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    Cancer patients’ sensemaking of conversations with cancer nurses in outpatient clinics. / Hargie, Owen; Brataas, Hildfrid; Thorsnes, Sigrid.

    In: Australian Journal of Advanced Nursing, Vol. 26, No. 3, 2009, p. 70-78.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Cancer patients’ sensemaking of conversations with cancer nurses in outpatient clinics

    AU - Hargie, Owen

    AU - Brataas, Hildfrid

    AU - Thorsnes, Sigrid

    N1 - Reference text: Allard-Poesi, F. 2005. The paradox of sensemaking in organizational analysis. Organization 12 (2): 169-196. Anderson, R.A., Ammarell, N., Bailey, D. Jr., Colon-Emeric, C., Corazzini, K.N., Lillie, M., Piven, M.L.S., Utley-Smith, Q. and McDaniel, R.R. Jr. 2005. Nurse assistant mental models, sensemaking, care actions, and consequences for nursing home residents. Qualitative Health Research 15 (8): 1006-1021. Attree, M. 2001. Patients' and relatives' experiences and perspectives of ‘Good’ and ‘Not so good’ quality care, Journal of Advanced Nursing 33 (4): 456-466. Battles, J.B., Dixon, N.M., Borotkanics, R.J., Rabin-Fastmen, B. and Kaplan, H.S. 2006. Sensemaking of patient safety risks and hazards. Health Services Research 41 (4 part II): 1555-1575. Bean, C. and Eisenberg, E. 2006. Employee sensemaking in the transition to nomadic work. Journal of Organizational Change Management 19 (2): 210-222. Bean, C. and Hamilton, F. 2006. Leader framing and follower sensemaking: Response to downsizing in the brave new world. Human Relations 59 (3): 321-349. Bergenmar, M., Nylen, U., Lidbrink, E., Bergh, J., Brandberg, Y., 2006. Improvements in patient satisfaction at an outpatient clinic for patients with breast cancer. Acta Oncologica 45 (5): 550-558. Bird, S. 2007. Sensemaking and identity: The interconnection of storytelling and networking in a women’s group of a large corporation, Journal of Business Communication 44 (4): 311-339. Bissell, P., May, C.R. and Noyce, P.R. 2004. From compliance to concordance: barriers to accomplishing a re-framed model of health care interactions. Social Science and Medicine 55 (4): 851-862. Botti, M., Endacott, R., Watts, R., Cairns, J., Lewis, K. and Kenny, A. 2006. Barriers in providing psychosocial support for patients with cancer. Cancer Nursing 29 (4): 309-316. Brown, R.F., Butow, P.N., Dunn, S.M. and Tattersall, M.H. 2001. Promoting patient participation and shortening cancer consultations: a randomised trial. British Journal of Cancer 85 (9): 1273-1279. Bruner, J. 1990. Acts of meaning. Cambridge: Harvard University Press. Denzin, N.K. 1994. The art and politics of interpretation, in NK Denzin and YS Lincoln (eds). Handbook of qualitative research. London: Sage Publications, pp. 500-515. Dervin, B. 1983. An overview of sensemaking research: Concepts, methods and results to date. Paper presented at the International Communication Association Annual Meeting. Dallas, Texas. http://communication.sbs.ohio-state.edu/sense-making/art/artabsdervin83smoverview.html (accessed 04.03.08) Dickson, D., Hargie, O. and Morrow, N. 1997. Communication skills training for health professionals. London: Chapman & Hall. Fincham, L., Copp, G., Caldwell, K., Jones, L. and Tookman, A. 2005. Supportive care: experiences of cancer patients. European Journal of Oncology Nursing 9 (3): 258-268. Gwyn, R. 2002. Communicating health and illness. London: Sage. Hallström, I. and Elander, G. 2001. A comparison of patient needs ranked by patients and nurses. Scandinavian Journal of Caring Sciences 15 (3): 228-234. Hargie, O. and Dickson, D. 2004. Skilled interpersonal communication: Research, theory and practice. London: Routledge. Harrington, J., Noble, L.M. and Newman, S.P. 2004. Improving patients’ communication with doctors: a systematic review of intervention studies. Patient Education and Counseling 52 (1): 7-16. Klein, G., Moon, B. and Hoffman, R., 2006a Making sense of sensemaking 1: Alternative perspectives. IEEE Intelligent Systems 21 (4): 70-73. Klein, G., Moon, B. and Hoffman, R. 2006b. Making sense of sensemaking 2: A macro¬cognitive model. IEEE Intelligent Systems 21 (5): 88-92. Latter, S., Maben, J., Myall, M. and Young, A. 2007. Perceptions and practice of concordance in nurses’ prescribing consultations: Findings from a national questionnaire survey and case studies of practice in England. International Journal of Nursing Studies 44 (1): 9-18. Lim, A., Ellis, C., Brooksby, A. and Gaffney, K. 2007. Patient satisfaction with rheumatology practitioner clinics: Can we achieve concordance by meeting patients’ information needs and encouraging participatory decision making? Annals Academy of Medicine Singapore 32 (2): 110-114. Mayer, D.K., Terrin, N.V., Kreps, G.L., Menon, U., McCance, K., Parsons, S.K. and McCabe, C. 2004. Nurse–patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing 13 (1): 41–49. Mills, C. 2006. Modeling sensemaking about communication: How affect and intellect combine. Southern Review 38 (2): 9-23. Nåden, D. and Sæteren, B. 2006. Cancer patients’ perception of being or not being confirmed. Nursing Ethics 13 (3): 222-235. Sægrov, S. and Halding, A. 2004. What is it like living with the diagnosis of cancer? European Journal of Cancer Care 13(2): 145-153. Sandelowski, M. 1997. Sampling in qualitative research. Purposeful and theoretical sampling; merging or clear boundaries? Journal of Advanced Nursing 26 (3): 623-630. Schön, D.A. 1996. The reflective practitioner. How professionals think in action. Aldershot: Arena, Seeger, M.W. 2004. Organizational communication ethics, in D.Tourish and O.Hargie (eds). Key issues in organizational communication. London: Routledge, pp. 220-233. Weick, K.E. 2001. Making sense of the organization. Oxford: Blackwell Publishing. Weick, K. 2007. The generative properties of richness. The Academy of Management Journal 50 (1): 14-19.

    PY - 2009

    Y1 - 2009

    N2 - ObjectiveCommunication is of significant importance to cancer patients however little is known about how they experience and make sense of their interactions with cancer nurses. This study was designed to investigate how and in what ways patients interpret initial consultations with cancer nurses in terms of how they perceive the role of the nurse.DesignThis qualitative study involved ‘sensemaking’ interviews with patients following their firstconsultation with nurses.SettingThe study was carried out in two outpatient cancer clinics in hospitals in Norway.SubjectsThe sample consisted of nine cancer outpatients experiencing a range of cancer situations.Main outcome measuresThe main outcomes measure was an understanding of the way in which cancer patients make sense of the role of nurses following initial consultation.ResultsPreconceptions of the role of the nurse were limited, with the nurse perceived as playing a mainly functional, task‑centred, role. Patients’ actual experience broadened their sense of the role of the cancer nurse to encompass a psychosocial supportive role.ConclusionsThe sensemaking approach used in this study offered a depth of insight into core factors that shaped the patients’ understanding. It is argued this approach has benefits for nursing research. Possible advantages for nursing practice and further research are suggested.

    AB - ObjectiveCommunication is of significant importance to cancer patients however little is known about how they experience and make sense of their interactions with cancer nurses. This study was designed to investigate how and in what ways patients interpret initial consultations with cancer nurses in terms of how they perceive the role of the nurse.DesignThis qualitative study involved ‘sensemaking’ interviews with patients following their firstconsultation with nurses.SettingThe study was carried out in two outpatient cancer clinics in hospitals in Norway.SubjectsThe sample consisted of nine cancer outpatients experiencing a range of cancer situations.Main outcome measuresThe main outcomes measure was an understanding of the way in which cancer patients make sense of the role of nurses following initial consultation.ResultsPreconceptions of the role of the nurse were limited, with the nurse perceived as playing a mainly functional, task‑centred, role. Patients’ actual experience broadened their sense of the role of the cancer nurse to encompass a psychosocial supportive role.ConclusionsThe sensemaking approach used in this study offered a depth of insight into core factors that shaped the patients’ understanding. It is argued this approach has benefits for nursing research. Possible advantages for nursing practice and further research are suggested.

    M3 - Article

    VL - 26

    SP - 70

    EP - 78

    JO - Australian Journal of Advanced Nursing

    T2 - Australian Journal of Advanced Nursing

    JF - Australian Journal of Advanced Nursing

    SN - 0813-0531

    IS - 3

    ER -