The process of accepting breast cancer among Chinese women: A grounded theory study

• Published in: European journal of oncology nursing : the official journal of European Oncology Nursing Society 2017-06, Vol.28, p.77-85
• Main Authors: Chen, Shuang-Qin, RN. MSN, Liu, Jun-E., RN, PhD, Li, Zhi, RN. MSN, Su, Ya-Li, RN
• Format: Article
• Language: English
• Subjects: Adaptation, Psychological; Adult; Aged; Aged, 80 and over; Asian Continental Ancestry Group - psychology; Attitude to Health; Breast cancer; Breast Neoplasms - psychology; China; Female; Grounded Theory; Hematology, Oncology and Palliative Medicine; Humans; Middle Aged; Models, Theoretical; Nursing; The process of acceptance
• ISSN: 1462-3889; 1532-2122
• DOI: 10.1016/j.ejon.2017.03.005

Abstract Purpose To describe the process by which Chinese women accept living with breast cancer. Methods Individual interviews were conducted with 18 Chinese women who completed breast cancer treatment. Data were collected from September 2014 to January 2015 at a large tertiary teaching hospital in Beijing, China. In this grounded theory study, data were analyzed using constant comparative and coding analysis methods. Results In order to explain the process of accepting having breast cancer among women in China through the grounded theory study, a model that includes 5 axial categories was developed. Cognitive reconstruction emerged as the core category. The extent to which the women with breast cancer accepted having the disease was found to increase with the treatment stage and as their treatment stage progressed with time. The accepting process included five stages: non-acceptance, passive acceptance, willingness to accept, behavioral acceptance, and transcendence of acceptance. Conclusions Our study using grounded theory study develops a model describing the process by which women accept having breast cancer. The model provides some intervention opportunities at every point of the process.