The ‘cues’ to diagnosis: describing the monitoring activities of women undergoing diagnostic investigations for breast disease

Poole, Karen; Lyne, Patricia

doi:10.1046/j.1365-2648.2000.01345.x

Cited by 29 publications

(28 citation statements)

References 29 publications

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“…Poole and Lyne (2000) identified interpreting clues as a stressor during the waiting period in their study of women awaiting investigation of breast disease. Lebel et al.…”

Section: Concept Usage In Health Carementioning

confidence: 99%

Waiting for healthcare: a concept analysis

Fogarty

Cronin

2008

Journal of Advanced Nursing

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max. 250 wordsAim: This paper is a report of an analysis of the concept of waiting for health care from the client's perspective.Background: Waiting is commonplace in many areas of health care and has become a topical and politically-important issue in the provision of healthcare services. Whilst managers and governments search for solutions to this problem, it is important that this aspect of clients' healthcare experience is examined in order to evaluate its impact and implications for nursing practice. Methods:The PubMed and CINAHL databases (dating from 1950 and 1982 to 2007 respectively) were searched using the keywords 'healthcare' and 'waiting'. The reference lists of papers identified were also checked and this revealed literature from a number of other disciplines related to the concept. Results:Waiting for health care is an unspecified yet measurable period of time between identification of a healthcare problem and its diagnosis and treatment, during which clients experience uncertainty and powerlessness whilst anticipating a disease outcome. The critical attributes are a period of measured time, subjective interpretation of the perceived significance of the measured time, feeling uncertain and powerless and anticipation of a response to the healthcare need. The critical attributes of waiting for health care are; a period of measured time, subjective interpretation of the perceived significance of the measured time, feeling uncertain and powerless and anticipation of a response to the healthcare need. Antecedents include; the need for a healthcare service, the necessary healthcare service is not immediately available and the perception of potential for harm.3 Consequences are; persistence or worsening of symptoms, poorer outcome, stress, anxiety, anger and frustration, altered social and family functioning and relationships, perceived satisfaction with service. Conclusion:Strategies that facilitate contact with clients through pre-assessment clinics and giving written information and a contact point may seem obvious but are currently overlooked in busy healthcare environments. This is an area where nurses can lead in the delivery of person-centred care and could potentially increase satisfaction with how waiting is managed.

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“…Poole and Lyne (2000) identified interpreting clues as a stressor during the waiting period in their study of women awaiting investigation of breast disease. Lebel et al.…”

Section: Concept Usage In Health Carementioning

confidence: 99%

Waiting for healthcare: a concept analysis

Fogarty

Cronin

2008

Journal of Advanced Nursing

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“…Shortening the period of waiting in uncertainty has great psychological impact for the patient. Several studies on breast cancer patients have shown that the time needed for diagnosis represents a major period of anxiety for the patient and that providing a definitive diagnosis within a short time reduces patient stress [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided core needle biopsy of the breast: does frozen section give an accurate diagnosis?

Frede

Daniaux

Ban

et al. 2007

Breast Cancer Res Treat

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Reducing the period of uncertainty between the discovery of a breast tumor and histological diagnosis alleviates the psychological impact of breast cancer to an important degree. We aimed to verify whether histological results obtained with frozen sections of core needle biopsies (CNBs) offer an accurate and reliable tool for minimising this period. In 2619 cases we compared histological diagnosis on frozen sections with those on paraffin sections of CNB and finally with the results of open biopsies. Of the cases 49% were proved malignant and 51% benign. In 99.3% of the malignant lesions preceding CNB was correctly classified as B5 (n = 1185, 92.9%) or at least B4 (n = 82, 6.4%) in frozen and in paraffin sections. There were seven false-negative cases in frozen (false-negative rate = 0.5%) and five false-negative cases (falsenegative rate = 0.4%) in paraffin sections of CNB. On frozen sections complete sensitivity was 99.5% and the positive predictive value of B5 was 99.9%. There was one false-positive case in frozen sections and one in paraffin sections. False-positive rate = 0.08%, negative predictive value for B2 = 99.4% for frozen and 99.6% for paraffin sections; full specificity was 85.9 for frozen and 85.8 for paraffin sections of CNBs. Immediate investigation of CNB in frozen sections is an accurate diagnostic method and an important step in reducing psychological strain on patients with breast tumors and may be offered by specialised Breast Assessment Units.

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“…2003), and demands coping (Harcourt et al. 1999, Poole & Lyne 2000). Research into coping with a potential or actual cancer diagnosis has mainly focused on the association between social support and coping, and between demographic variables (particularly age and education) and anxiety and coping.…”

Section: Introductionmentioning

confidence: 99%

Coping with a possible breast cancer diagnosis: demographic factors and social support

Drageset¹,

Lindstrøm²

2005

Journal of Advanced Nursing

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Better coping was linked primarily to education, and secondly to attachment. Unemployment, low level of education and single/divorced/widowed status were related to greater use of cognitive defence. Women who used a defensive hostile style tended to receive poor social support. Nurses need to be aware of the influence of demographic characteristics on social support, coping and defence and to identify poor copers, as these patients are most in need of professional support.

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The ‘cues’ to diagnosis: describing the monitoring activities of women undergoing diagnostic investigations for breast disease

Cited by 29 publications

References 29 publications

Waiting for healthcare: a concept analysis

Waiting for healthcare: a concept analysis

Ultrasound-guided core needle biopsy of the breast: does frozen section give an accurate diagnosis?

Coping with a possible breast cancer diagnosis: demographic factors and social support

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