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Past, present and future, the experience of time during examination for malignant brain tumor: a qualitative observational study

  • Original Article - Tumor - Glioma
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Abstract

Background

Primary malignant brain tumor is a severe disease with a poor prognosis causing reduced life expectancy and possible alteration in the perception of time. The aim of this study was to gain deeper insight into the perception of time from the perspective of patients with brain cancer as they pass through the Danish Integrated Brain Cancer Pathway at a university hospital in Denmark.

Methods

Data were generated by shadowing six patients and relatives during their visit to and hospitalisation in a neurosurgical department.

Results

Through one constructed case, three perspectives of time were identified. The patient’s perception of time during his illness, the healthcare system’s perception of time and, finally, an ethical time perspective. The analysis showed a discrepancy between patients’ and healthcare professionals’ perception of time. Furthermore, the results revealed an ethical time dimension.

Conclusions

The findings contribute to a better understanding of the perception of time among seriously ill patients and may further healthcare professionals’ awareness of how to support patients in achieving a more meaningful use of their remaining lifetime.

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References

  1. Baxter P, Jack S (2010) Qualitative case study methodology: study design and implementation for novice researchers. Qual Rep 13

  2. Björk K, Lindahl B, Fridh I (2019) Family members’ experiences of waiting in intensive care: a concept analysis. Scand J Caring Sci 33:522–539. https://doi.org/10.1111/scs.12660

    Article  PubMed  Google Scholar 

  3. Brocken P, Prins JB, Dekhuijzen PN, van der Heijden HF (2012) The faster the better?—a systematic review on distress in the diagnostic phase of suspected cancer, and the influence of rapid diagnostic pathways. Psycho-oncology 21:1–10. https://doi.org/10.1002/pon.1929

    Article  PubMed  Google Scholar 

  4. Caldas CP, Bertero C (2012) A concept analysis about temporality and its applicability in nursing care. Nurs Forum 47:245–252. https://doi.org/10.1111/j.1744-6198.2012.00277.x

    Article  PubMed  Google Scholar 

  5. Catt S, Chalmers A, Fallowfield L (2008) Psychosocial and supportive-care needs in high-grade glioma. Lancet Oncol 9:884–891. https://doi.org/10.1016/s1470-2045(08)70230-4

    Article  PubMed  Google Scholar 

  6. Cavers D, Hacking B, Erridge SC, Morris PG, Kendall M, Murray SA (2013) Adjustment and support needs of glioma patients and their relatives: serial interviews. Psycho-oncology 22:1299–1305. https://doi.org/10.1002/pon.3136

    Article  PubMed  Google Scholar 

  7. Cavers D, Hacking B, Erridge SE, Kendall M, Morris PG, Murray SA (2012) Social, psychological and existential well-being in patients with glioma and their caregivers: a qualitative study. CMAJ 184:E373–E382. https://doi.org/10.1503/cmaj.111622

    Article  PubMed  PubMed Central  Google Scholar 

  8. Czarniawska B (2007) Shadowing, and other techniques for doing fieldwork in modern societies.

  9. DiGioia AM. Shapiro E, Embree P, Schraeder L Patient and family shadowing: the technique for viewing and co-designing exceptional care experiences with patients and families. Accessed 2702 2020

  10. Ellingsen S, Roxberg A, Kristoffersen K, Rosland JH, Alvsvag H (2015) The pendulum time of life: the experience of time, when living with severe incurable disease--a phenomenological and philosophical study. Med Health Care Philos 18:203–215. https://doi.org/10.1007/s11019-014-9590-9

    Article  PubMed  Google Scholar 

  11. Elstad I, Torjuul K (2009) Continuity of nursing and the time of sickness. Nurs Philos 10:91–102. https://doi.org/10.1111/j.1466-769X.2008.00365.x

    Article  PubMed  Google Scholar 

  12. Graneheim UH, Lundman B (2004) Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 24:105–112. https://doi.org/10.1016/j.nedt.2003.10.001

    Article  CAS  PubMed  Google Scholar 

  13. Gray M (2017) Value based healthcare. BMJ 356:j437. https://doi.org/10.1136/bmj.j437

    Article  PubMed  Google Scholar 

  14. Jansson MRN, von Heymann-Horan A, Rasmussen BK, Albieri V, Frederiksen K, Suppli N, Dalton SO, Johansen C, Bidstrup PE (2018) Risk for use of antidepressants, anxiolytics, and hypnotics in partners of glioma patients-a nationwide study covering 19 years of prescriptions. Psycho-oncology 27:1930–1936. https://doi.org/10.1002/pon.4744

    Article  PubMed  Google Scholar 

  15. Kazdin AE, Kazdin AE (2003) Research design in clinical psychology, 4th edn. Pearson new international ed. edn, Pearson

    Google Scholar 

  16. Kissane DW (2017) Oxford textbook of communication in oncology and palliative care, 2nd edn. Oxford University Press, Oxford

    Book  Google Scholar 

  17. Kræftens bekæmpelse (2018) Diagnoser ved hjernetumorer. https://www.cancer.dk/hjernetumorer-hjernesvulst/diagnose-hjernesvulster/. Accessed 11 Dec 2020

  18. Lincoln YS (1985) Naturalistic inquiry. Sage, Beverly Hills

    Book  Google Scholar 

  19. Lovgren M, Hamberg K, Tishelman C (2010) Clock time and embodied time experienced by patients with inoperable lung cancer. Cancer Nurs 33:55–63. https://doi.org/10.1097/NCC.0b013e3181b382ae

    Article  PubMed  Google Scholar 

  20. Lucas MS, Barakat LP, Ulrich CM, Jones NL, Deatrick JA (2016) Mother-caregiver expectations for function among survivors of childhood brain tumors. Support Care Cancer: Off J Multinatl Assoc Support Care Cancer 24:2147–2154. https://doi.org/10.1007/s00520-015-3013-1

    Article  Google Scholar 

  21. Northcott D (2015) Shadowing and other techniques for doing fieldwork in modern societies. Eur Account Rev:375–378

  22. Piil K, Jakobsen J, Christensen KB, Juhler M, Jarden M (2015) Health-related quality of life in patients with high-grade gliomas: a quantitative longitudinal study. J Neuro-Oncol 124:185–195. https://doi.org/10.1007/s11060-015-1821-2

    Article  CAS  Google Scholar 

  23. Rasmussen DM, Elverdam B (2007) Cancer survivors’ experience of time – time disruption and time appropriation. J Adv Nurs 57:614–622. https://doi.org/10.1111/j.1365-2648.2006.04133.x

    Article  PubMed  Google Scholar 

  24. Rovers JJE, Knol EJ, Pieksma J, Nienhuis W, Wichmann AB, Engels Y (2019) Living at the end-of-life: experience of time of patients with cancer. BMC Palliat Care 18:40. https://doi.org/10.1186/s12904-019-0424-7

    Article  PubMed  PubMed Central  Google Scholar 

  25. Sarafis P, Tsounis A, Malliarou M, Lahana E (2013) Disclosing the truth: a dilemma between instilling hope and respecting patient autonomy in everyday clinical practice. Global J Health Sci 6:128–137. https://doi.org/10.5539/gjhs.v6n2p128

    Article  Google Scholar 

  26. Spradley JP (1980) Participant observation. Holt, Rinehart and Winston, New York, London [etc.

  27. Storstein A, Helseth E, Johannesen TB, Schellhorn T, Mork S, van Helvoirt R (2011) High-grade gliomas in adults. Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke 131:238–241. https://doi.org/10.4045/tidsskr.09.1362

    Article  Google Scholar 

  28. Sundhedsstyrelsen (2019) Pakkeforløb for primær hjernekræft. https://www.sst.dk/-/media/Udgivelser/2019/Pakkeforloeb-kraeft-2015-2019/Primaer-hjernekraeft-2019/Pakkeforl%C3%B8b-for-kr%C3%A6ft-i-hjernen-060617.ashx?la=da&hash=CDA42DC919ACE10F623F480D9359523F445A34BF. Accessed 11 Dec 2020

  29. Tjørnhøj-Thomsen T, Ploug Hansen H (2009) Overskridelsens etik—erfaring, analyse og repræsentation. In: Hastrup K (ed) Mellem mennesker : en grundbog i antropologisk forskningsetik. Hans Reitzel, Kbh., p 323 sider

  30. van Laarhoven HW, Schilderman J, Verhagen CA, Prins JB (2011) Time perception of cancer patients without evidence of disease and advanced cancer patients in a palliative, end-of-life-care setting. Cancer Nurs 34:453–463. https://doi.org/10.1097/NCC.0b013e31820f4eb7

    Article  PubMed  Google Scholar 

  31. Vedelo TW, Sorensen JCH, Delmar C (2018) Patients’ experiences and care needs during the diagnostic phase of an integrated brain cancer pathway: a case study. J Clin Nurs 27:3044–3055. https://doi.org/10.1111/jocn.14372

    Article  PubMed  Google Scholar 

  32. Ward PR, Rokkas P, Cenko C, Pulvirenti M, Dean N, Carney AS, Meyer S (2017) ‘Waiting for’ and ‘waiting in’ public and private hospitals: a qualitative study of patient trust in South Australia. BMC Health Serv Res 17:333. https://doi.org/10.1186/s12913-017-2281-5

    Article  PubMed  PubMed Central  Google Scholar 

  33. Wen PY, Kesari S (2008) Malignant gliomas in adults. N Engl J Med 359:492–507. https://doi.org/10.1056/NEJMra0708126

    Article  CAS  PubMed  Google Scholar 

  34. Yin RK (2018) Case study research and applications : design and methods, 6th edn. SAGE Publications, Inc., Thousand Oaks

    Google Scholar 

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Acknowledgements

Special thanks are due to all the patients, their relatives and to HCPs for their important contribution to this study.

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Correspondence to Rikke Guldager.

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Guldager, R., Hansen, P.V. & Ziebell, M. Past, present and future, the experience of time during examination for malignant brain tumor: a qualitative observational study. Acta Neurochir 163, 959–967 (2021). https://doi.org/10.1007/s00701-020-04693-z

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