Announcement of the diagnosis and biographical disruption

The paper refers to the "grounded theory" (theorisation ancree) targeting an indepth exploration of the announcement of the diagnosis as one of the first components of the trajectory of cancer. We considered first the theory of the contexts awareness, formulated in 1965 by Strauss and Glas...

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Bibliographic Details
Published in:African sociological review 2010-01, Vol.14 (2), p.3-23
Main Author: Francine, Tinsa
Format: Article
Language:fre
Subjects:
Biographies
Cadres
Cancer
Consciousness
Executives
Hospitals
Methodology (Data Collection)
Motivation
Organizational analysis
Parents
Patients
Volunteers
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Summary:The paper refers to the "grounded theory" (theorisation ancree) targeting an indepth exploration of the announcement of the diagnosis as one of the first components of the trajectory of cancer. We considered first the theory of the contexts awareness, formulated in 1965 by Strauss and Glaser. The contexts of the announcement of diagnosis have been identified as major categories through an inductive analysis within the empiric phase. They have been built based on different announcement strategies recorded during the observation of the practitioners' intentions, on expectations expressed by patients in term of information, on specific conditions around the actions. The key informants (n= 21) are patients having cancer and hospitalized for chemotherapy. Other local informants (clinical oncologists, volunteers, parents and closers, hospital cadres...) have contribute to the data collection. The aim is to address the practitioners' motivations and the meaning they give to the step of the announcement of the diagnosis. We also aim at recontextualizing that step according to the tutoring planned by the normative instance. The paper analyses specific conditions linked to the organizational contexts that slow the scope of opening. We are wondering about the impact of such lack of opening and introduction to the disease as well as about the next steps of each therapeutic itinerary. Adapted from the source document.
ISSN:1027-4332