The clinical communication and information challenges associated with the psychosexual aspects of prostate cancer treatment

Speer, Susan A.; Tucker, Sue; McPhillips, Rebecca; Peters, Sarah

doi:10.1016/j.socscimed.2017.05.011

Cited by 28 publications

(35 citation statements)

References 59 publications

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“…Some patients have a desire to talk about sexual health (Rasmusson, 2015;Spom et al, 2015). In general, good communication between healthcare professionals and patients is an important factor in quality of care as shown by Speer et al (2017) in their interview study of 21 men with prostate cancer and Hadziabdic, Heikkilä, Albin, and Hjelm (2009) in their interview study of 17 persons from former Yugoslavia, living in Sweden. Some patients with different kinds of cancer diagnosis experience that their sexual health can be effected by a cancer disease and treatment.…”

Section: Backg Rou N Dmentioning

confidence: 99%

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Nurses' attitudes towards support for and communication about sexual health—A qualitative study from the perspectives of oncological nurses

Annerstedt

Glasdam

2019

Journal of Clinical Nursing

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Aim and objectives To explore nurses' articulations of support and communication regarding sexual health with patients. Background Sexual health is adversely effected by cancer and various oncological treatments. Patients' often have the experience that healthcare professionals do not talk about sexual health. Method Semi‐structured interviews were conducted with seven nurses in Southern Sweden. Content analyses were made, inspired by Foucault's concepts of power, discipline and normalisation. SRQR checklist was used. Results Patients' sexual health had low priority in the oncological clinic from the perspective of nurses. The medical logic directed nurses' articulations about sexual health towards a physical view, understood as sex, and sexual problems, which could be treated pharmacologically. Further, nurses articulated a sexual norm that sex belongs to young people and younger persons in permanent, monogamous and heterosexual relationships. This norm‐governed nurses' inclusion and exclusion of patients in communication about sexual health. According to nurses, most patients did not mention sex, but some patients challenged the clinic's norms. Assessing sexual health problems, nurses often engaged other professions and thereby became gatekeepers for patients' options for getting help. Conclusions From the perspective of nurses, nurses' support and communication regarding sexual health with patients with cancer diagnosis were relatively absent and had a low priority in an oncological clinic. Overall, the nurses had the power to set the agenda about patients' sexual health in the oncological clinic. The clinical gaze became a disciplinary technique that tacitly defined by whom, in what way and how sexual health could be articulated in an oncological clinic. Relevance to clinical practice By illuminating nurses' preconceptions, thoughts and actions in relation to cancer patients' sexual health, the results invite practitioners to reflect upon and discuss the challenges, opportunities and limitations in providing inclusive and supportive sexual health care to cancer patients.

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Section: Backg Rou N Dmentioning

confidence: 99%

“…However, there are many patients with impaired sexual health, who do not have their need for information and support provided by healthcare professionals (Speer, Tucker, McPhillips, & Peters, ). Some patients have a desire to talk about sexual health (Rasmusson, ; Spom et al, ).…”

Section: Introductionmentioning

confidence: 99%

Nurses' attitudes towards support for and communication about sexual health—A qualitative study from the perspectives of oncological nurses

Annerstedt

Glasdam

2019

Journal of Clinical Nursing

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“…Prostate cancer (CaP) affects one in four Black African (BA) and Black Caribbean (BC) men earlier in life and in more aggressive forms compared with one in eight Caucasian men (Jones & Chinegwundoh, ). However, it appears that access and recruitment barriers may have contributed to the underrepresentation of BA and BC men and their partners in current psychosocial research related to CaP survivors (Bamidele, McGarvey, et al, ) as these have mostly involved Caucasian (McCaughan, McKenna, McSorley, & Parahoo, ; O'Shaughnessy, Ireland, Pelentsov, Thomas, & Esterman, ; Speer, Tucker, McPhillips, & Peters, ) and some African American (AA) (Rivers et al, ) groups.…”

Section: Introductionmentioning

confidence: 99%

“Hard to reach, but not out of reach”: Barriers and facilitators to recruiting Black African and Black Caribbean men with prostate cancer and their partners into qualitative research

et al. 2018

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Access and recruitment barriers may have contributed to the underrepresentation of Black African/Caribbean men and their partners in current psychosocial research related to prostate cancer survivors. Whilst some studies have explored recruitment barriers and facilitators from participants’ perspectives, little is known from researchers' point of view. This paper aimed to address this gap in the literature. Recruitment strategies included the following: cancer support groups, researchers’ networks, media advertisement, religious organisations, National Health Service hospitals and snowball sampling. Thirty‐six eligible participants (men = 25, partners = 11) were recruited into the study. Recruitment barriers comprised of gate‐keeping and advertisement issues and the stigma associated with prostate cancer disclosure. Facilitators which aided recruitment included collaborating with National Health Service hospitals, snowball sampling, flexible data collection, building rapport with participants to gain their trust and researcher's attributes. Findings highlight that “hard to reach” Black African/Caribbean populations may be more accessible if researchers adopt flexible but strategic and culturally sensitive recruitment approaches. Such approaches should consider perceptions of stigma associated with prostate cancer within these communities and the influence gatekeepers can have in controlling access to potential participants. Increased engagement with healthcare professionals and gatekeepers could facilitate better access to Black African/Caribbean populations so that their voices can be heard and their specific needs addressed within the healthcare agenda.

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“…This phenomenon is poorly understood for higher risk BA and BC populations because of their under‐representation in global psychosocial research on CaP survivorship. The majority of studies in this area have predominantly focused on Caucasian groups . The few studies involving Black men have either focused on African‐American or older Jamaican men.…”

Section: Introductionmentioning

confidence: 99%

“…The majority of studies in this area have predominantly focused on Caucasian groups. [7][8][9] The few studies involving Black men have either focused on African-American 10 or older Jamaican 11 men. Research, which has explored partners' experiences in this racial group, is even scarcer.…”

Section: Introductionmentioning

confidence: 99%

“Man in the driving seat”: A grounded theory study of the psychosocial experiences of Black African and Black Caribbean men treated for prostate cancer and their partners

et al. 2019

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Objective Evidence suggests that treatment side‐effects of prostate cancer (CaP) substantially affect the psychosocial well‐being of affected men and their partners. However, this phenomenon is poorly understood among high risk (1 in 4) Black African (BA)/Black Caribbean (BC) men and their partners, as they are currently under‐represented in global research on CaP survivorship. This study explored the psychosocial experiences of BA/BC men with CaP and their partners in the United Kingdom as they lived through the side effects of CaP treatment within their own sociocultural and marital contexts. Methods Using constructivist grounded theory methodology, interviews and focus groups were conducted with eligible men (n = 25), partners (n = 11), and health care professionals (HCPs) (n = 11) recruited in England. Data were iteratively analysed using constant comparison following the key stages of initial, focused, and theoretical coding until saturation was achieved. Results Data analysis culminated in the development of a substantive theory “man in the driving seat,” which describes the experiences of BA/BC men with CaP and their partners within their context. Culturally informed gender roles and identities influenced how men and partners responded and coped with the side effects of CaP treatment. There was a hierarchy of power within the BA/BC relationship, in which men were dominantly positioned as leaders, whilst partners mostly operated from a supportive but “accepting” position. Conclusion Inclusive and culturally sensitive individual and couple‐focused psychosocial support, which is devoid of stereotyping and recognises the experiences of both BA/BC men and their partners is recommended.

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The clinical communication and information challenges associated with the psychosexual aspects of prostate cancer treatment

Cited by 28 publications

References 59 publications

Nurses' attitudes towards support for and communication about sexual health—A qualitative study from the perspectives of oncological nurses

Nurses' attitudes towards support for and communication about sexual health—A qualitative study from the perspectives of oncological nurses

“Hard to reach, but not out of reach”: Barriers and facilitators to recruiting Black African and Black Caribbean men with prostate cancer and their partners into qualitative research

“Man in the driving seat”: A grounded theory study of the psychosocial experiences of Black African and Black Caribbean men treated for prostate cancer and their partners

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