Cancer Journey for American Indians and Alaska Natives in the Pacific Northwest .
Document Type
Article
Publication Date
9-1-2016
Abstract
PURPOSE/OBJECTIVES: To describe the experiences of American Indian and Alaska Native cancer survivors to improve understanding of the trajectory of cancer treatment. .
RESEARCH APPROACH: Qualitative focus group research. .
SETTING: Rural and geographically isolated American Indian and Alaska Native communities in the Pacific Northwest. .
PARTICIPANTS: 30 American Indian and Alaska Native cancer survivors or caregivers. .
METHODOLOGIC APPROACH: The authors analyzed data from two focus groups with cancer survivors by using thematic analysis informed by indigenous methodologies. .
FINDINGS: Based on focus group findings, the authors developed a conceptual model of the cancer experience called Rough Waters. Participants described their cancer experience as a collective journey involving family and friends and requiring resources to offset challenges along the way. Dominant themes were delays, isolation, communication, money, advocacy, spirituality, and family involvement. .
CONCLUSIONS: American Indians and Alaska Natives in the Pacific Northwest have special cultural needs during cancer care. The current study provides examples that can guide patient-provider interactions. .
INTERPRETATION: Using the metaphor of cancer as a journey, clinicians can begin a dialogue to identify what will impede or assist the cancer journey for their American Indian and Alaska Native patients.
Publication Title
Oncology nursing forum
ISSN
1538-0688
Volume
43
Issue
5
First Page
625
Last Page
635
Recommended Citation
Haozous, Emily A; Ardith Doorenbos; Lori A Alvord; David R Flum; and Arden M Morris.
"Cancer Journey for American Indians and Alaska Natives in the Pacific Northwest
.."
Oncology nursing forum
