4 resultados para metasynthesis
em QUB Research Portal - Research Directory and Institutional Repository for Queen's University Belfast
Resumo:
Background: Most qualitative studies exploring the impactof prostate cancer on men and their partners consider the dominant ethnicgroups in the USA, UK, Scandinavia and Australia, with generally concordantfindings. Other ethnic groups are likelyto have different experiences.
Aims: To explorethe impact of prostate cancer and its treatment on men and their partners fromthe less studied ethnic groups.
Methods: Using meta-ethnographyand textual narrative we synthesised peer reviewed qualitative interview-based studiesdated 2000-2015 focused on less well reported ethnic groups, as a sub-synthesisof a comprehensive metasynthesis on the impact of prostate cancer.
Results: Twenty-twopapers (15 studies) covering 11 ethnic groups were analysed. Nine studies considered black and minorityethnic groups in the UK and USA, with the remainder in Brazil, the PacificIslands, Israel, Turkey and Japan. We collected first and second order themesfrom the studies to develop conceptual third order themes with the following specificto the US and UK minority groups andPacific Islanders: A spiritual continuum: from the will of God to God ashelpmate; One more obstacle in the lifelong fight against adversity; Developingsensitive talk with a purpose (on disclosingthe cancer to informal networks in culturally appropriate ways). Themes from theother studies were similar to those in the overall metasynthesis.
Conclusions: Healthcare for prostate cancer should takeaccount of contextually and culturally specific coping mechanisms andpsychosocial factors in minority ethnic groups. More studies are needed indiverse ethnic groups.
Resumo:
Objectives: To summarise black and minority ethnic (BME) patients' and partners
experiences of prostate cancer (PCa) by examining the findings of existing qualitative studies
Methods:
We undertook a systematic metasynthesis of qualitative studies using a modified version of
Noblit and Hare's 'meta-ethnography' approach, with a 2000-2015 search of seven databases.
Results: Thirteen studies of men from US and UK BME groups were included. We explored
constructs with BME-specific features. Healthcare provider relationships, formation of a
spiritual alliance with God (which enhanced the participants’ feeling of empowerment and
ability to cope with the cancer) and living on for others (generally to increase cancer
awareness), often connected to spiritual regrowth, were the three constructs most commonly
reported. A magnified effect from erectile dysfunction was also common. Initially this
affected men’s disclosure to others about their cancer and their sexual problems, but
eventually men responded by shifting their conceptualisations of masculinity to sustain self
and social identities. There was also evidence of inequality resulting from financial
constraints and adversity that necessitated resilience in coping.
Conclusions: The prostate cancer experience of BME men and their partners is affected by a
complex intersection of ethnicity with other factors. Healthcare services should acknowledge
this. If providers recognise the men’s felt masculinities, social identities and spiritual beliefs
and their shifting nature, services could be improved, with community as well as individual
benefits. More studies are needed in diverse ethnic groups
