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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

reactions. All subjects were interviewed in their own homes. A<br />

target was to interview within 4-6 weeks <strong>of</strong> discharge from hospital<br />

and prior to the commencement <strong>of</strong> any adjuvant therapy. All<br />

interviews were recorded using an audiotape and transcribed<br />

verbatim.<br />

The transcripts were analysed using Giorgi’s (1975) method <strong>of</strong><br />

phenomenological analysis resulting in descriptive statements<br />

representing the participants’ illness experiences. These include<br />

statements common to most participants and others unique to<br />

individuals. In order to determine if the data was demonstrating if<br />

or how the experience changed over time this, thematic analysis<br />

was combined with a phase analysis. Therefore each theme<br />

identified has been placed within a time band, thus indicating<br />

whether it occurs at a specific point or throughout the experience,<br />

in which case it should be possible to demonstrate if or how it has<br />

changed. Three time bands were created for this purpose, preoperative,<br />

post-operative and post-discharge. The pre-operative<br />

phase covers the time span from diagnosis to surgery; the postoperative<br />

phase covers the period <strong>of</strong> hospitalisation after surgery<br />

and the post discharge phase from the point <strong>of</strong> discharge until the<br />

time <strong>of</strong> the interview approximately 4 weeks later. For the purposes<br />

<strong>of</strong> this presentation only the post-discharge phase will be<br />

considered.<br />

Results – Post-discharge findings<br />

To facilitate the presentation <strong>of</strong> the results, both the common and<br />

unique descriptive statements have been grouped together in<br />

categories that best capture the structure <strong>of</strong> the phenomenon <strong>of</strong><br />

having colorectal cancer and undergoing a bowel resection. Within<br />

these categories themes have been identified as emerging from the<br />

data to describe the illness experience and incorporate both the<br />

common and unique statements (table 1). The identified themes<br />

form a web <strong>of</strong> interconnections <strong>of</strong> experiences rather than a<br />

chronological series <strong>of</strong> events.<br />

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