White Rose University Consortium logo
University of Leeds logo University of Sheffield logo York University logo

The experience of clinical nurse specialists in oncology with reference to psychological support: an IPA study

Gormley, Hannah Bethany (2014) The experience of clinical nurse specialists in oncology with reference to psychological support: an IPA study. D.Clin.Psychol thesis, University of Leeds.

[img]
Preview
Text
H Gormley Thesis Submitted for printing.pdf - Final eThesis - complete (pdf)
Available under License Creative Commons Attribution-Noncommercial-Share Alike 2.0 UK: England & Wales.

Download (2198Kb) | Preview

Abstract

Introduction: The presence of psychological distress following a diagnosis of cancer is well evidenced. To meet this need, the role of oncology clinical nurse specialists (CNSs) has expanded in line with national guidance to include the provision of psychological support to patients and their families. Skills training and supervision has been provided by clinical psychologists. However, there has been little research focusing on the role and experience of the CNS doing this work. This present study researched the experience of CNSs working with patients with cancer and their families in order to understand more fully their experiences. Method: Eight CNSs from four NHS trusts were interviewed about their experience of their role, including the recent expectation of offering psychological support. These interviews were transcribed and individually analysed using Interpretative Phenomenological Analysis, before conducting a group analysis to identify overall themes. Results: Four key themes and fourteen sub-themes emerged through this analysis. The first theme ‘The everyday experience’ captured the experiences and demands of participants in their day-to-day work. ‘The impact of working with patients’ captured a range of experiences of the emotional and existential impact that doing this work involves. ‘Understanding and working out the role’ illustrated the way in which participants must work out their role and identity within their organisational context. Finally, participants experienced ‘Needing recognition and support’ as they carry out this vital role. Two overarching phenomenological themes were also identified as ‘ambivalence’ and ‘uncertainty’ and these run throughout the experiences of all the participants. Discussion: The findings were examined in relation to existing literature. The strengths and limitations of the study were presented and future research suggested. Finally, the clinical implications of this research were identified which included suggestions for training, the use of supervision and greater role clarity.

Item Type: Thesis (D.Clin.Psychol)
Academic Units: The University of Leeds > Faculty of Medicine and Health (Leeds) > Institute of Health Sciences (Leeds) > Academic Unit of Psychiatry and Behavioural Sciences (Leeds)
The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds)
Identification Number/EthosID: uk.bl.ethos.635387
Depositing User: Leeds CMS
Date Deposited: 11 Feb 2015 13:09
Last Modified: 25 Jul 2018 09:50
URI: http://etheses.whiterose.ac.uk/id/eprint/8056

You do not need to contact us to get a copy of this thesis. Please use the 'Download' link(s) above to get a copy.
You can contact us about this thesis. If you need to make a general enquiry, please see the Contact us page.

Actions (repository staff only: login required)