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
Baxter P, Jack S (2010) Qualitative case study methodology: study design and implementation for novice researchers. Qual Rep 13
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
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
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
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
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
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
Czarniawska B (2007) Shadowing, and other techniques for doing fieldwork in modern societies.
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
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
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
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
Gray M (2017) Value based healthcare. BMJ 356:j437. https://doi.org/10.1136/bmj.j437
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
Kazdin AE, Kazdin AE (2003) Research design in clinical psychology, 4th edn. Pearson new international ed. edn, Pearson
Kissane DW (2017) Oxford textbook of communication in oncology and palliative care, 2nd edn. Oxford University Press, Oxford
Kræftens bekæmpelse (2018) Diagnoser ved hjernetumorer. https://www.cancer.dk/hjernetumorer-hjernesvulst/diagnose-hjernesvulster/. Accessed 11 Dec 2020
Lincoln YS (1985) Naturalistic inquiry. Sage, Beverly Hills
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
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
Northcott D (2015) Shadowing and other techniques for doing fieldwork in modern societies. Eur Account Rev:375–378
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
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
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
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
Spradley JP (1980) Participant observation. Holt, Rinehart and Winston, New York, London [etc.
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
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
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
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
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
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
Wen PY, Kesari S (2008) Malignant gliomas in adults. N Engl J Med 359:492–507. https://doi.org/10.1056/NEJMra0708126
Yin RK (2018) Case study research and applications : design and methods, 6th edn. SAGE Publications, Inc., Thousand Oaks
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Special thanks are due to all the patients, their relatives and to HCPs for their important contribution to this study.
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This article is part of the Topical Collection on Tumor - Glioma
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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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DOI: https://doi.org/10.1007/s00701-020-04693-z