Disrupted mothering in Iranian mothers with breast cancer: a hybrid concept analysis
Abstract Background Defining the disrupted mothering would contribute to developing strategies to support mothers with breast cancer. The aim of this study was to analyze the concept of mothering disruption using a hybrid model. Methods The Hybrid method for concept analysis was implemented consisti...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | BMC Women's Health |
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| Online Access: | https://doi.org/10.1186/s12905-021-01346-w |
| _version_ | 1818928849111482368 |
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| author | Effat Mazaheri Akram Ghahramanian Leila Valizadeh Vahid Zamanzadeh Tonia C. Onyeka |
| author_facet | Effat Mazaheri Akram Ghahramanian Leila Valizadeh Vahid Zamanzadeh Tonia C. Onyeka |
| author_sort | Effat Mazaheri |
| collection | DOAJ |
| description | Abstract Background Defining the disrupted mothering would contribute to developing strategies to support mothers with breast cancer. The aim of this study was to analyze the concept of mothering disruption using a hybrid model. Methods The Hybrid method for concept analysis was implemented consisting of three phases: theoretical, fieldwork, and final analysis. In the theoretical phase, the literature was searched using electronic databases including PubMed, ScienceDirect, Scopus, ProQuest, Google Scholar, CINAHL, Wiley, Ovid, Magiran, and SID from 2000 to 2020. Any quantitative or qualitative studies published in English or Persian, which were focused on mothering disruption in mothers with breast cancer were included in the study. In the phase of fieldwork, 20 mothers were interviewed to explore the aspects of mothering disruption. The interviews were transcribed and analyzed with conventional content analysis. In the final phase, an overall analysis of the two previous phases was performed. Results In the theoretical phase, the following attributes were determined: “disturbance in maternal identity and roles”, “maternal insensitivity and unresponsiveness: disconnection physically and psychologically”, “the career disruption process” and “biographical disruption”. The fieldwork phase explored three themes including “the unbalance between multiple roles”, “role failure”, and “reduced maternal sensitivity”. The final synthesis yielded that the main integrated elements of mothering disruption are “disease as threating maternal role and identity”, “inability to interpret and respond to child behaviors and needs”, and “support for transitioning from being patient toward maternal competency”. Conclusion With a deeper understanding of the term ‘disrupted mothering’ or ‘mothering disruption’, healthcare providers will have a foundation to improve cancer care, deliver effective communication and help such mothers cross this disruption and achieve restoration of their mothering role. Future research is needed to validate this concept and explore connections with health outcomes. |
| first_indexed | 2024-12-20T03:35:26Z |
| format | Article |
| id | doaj.art-f9841b16470c4efa98dae12ab0905c97 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-12-20T03:35:26Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-f9841b16470c4efa98dae12ab0905c972022-12-21T19:54:54ZengBMCBMC Women's Health1472-68742021-06-0121111710.1186/s12905-021-01346-wDisrupted mothering in Iranian mothers with breast cancer: a hybrid concept analysisEffat Mazaheri0Akram Ghahramanian1Leila Valizadeh2Vahid Zamanzadeh3Tonia C. Onyeka4Students’ Research Committee, Tabriz University of Medical SciencesDepartment of Medical Surgical Nursing, School of Nursing and Midwifery, Hematology and Oncology Research Center, Tabriz University of Medical SciencesDepartment of Pediatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical SciencesDepartment of Medical Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical SciencesPain Physician, Palliative Medicine Physician, Department of Anaesthesia/Pain and Palliative Care Unit, Multidisciplinary Oncology Centre, College of Medicine, University of NigeriaAbstract Background Defining the disrupted mothering would contribute to developing strategies to support mothers with breast cancer. The aim of this study was to analyze the concept of mothering disruption using a hybrid model. Methods The Hybrid method for concept analysis was implemented consisting of three phases: theoretical, fieldwork, and final analysis. In the theoretical phase, the literature was searched using electronic databases including PubMed, ScienceDirect, Scopus, ProQuest, Google Scholar, CINAHL, Wiley, Ovid, Magiran, and SID from 2000 to 2020. Any quantitative or qualitative studies published in English or Persian, which were focused on mothering disruption in mothers with breast cancer were included in the study. In the phase of fieldwork, 20 mothers were interviewed to explore the aspects of mothering disruption. The interviews were transcribed and analyzed with conventional content analysis. In the final phase, an overall analysis of the two previous phases was performed. Results In the theoretical phase, the following attributes were determined: “disturbance in maternal identity and roles”, “maternal insensitivity and unresponsiveness: disconnection physically and psychologically”, “the career disruption process” and “biographical disruption”. The fieldwork phase explored three themes including “the unbalance between multiple roles”, “role failure”, and “reduced maternal sensitivity”. The final synthesis yielded that the main integrated elements of mothering disruption are “disease as threating maternal role and identity”, “inability to interpret and respond to child behaviors and needs”, and “support for transitioning from being patient toward maternal competency”. Conclusion With a deeper understanding of the term ‘disrupted mothering’ or ‘mothering disruption’, healthcare providers will have a foundation to improve cancer care, deliver effective communication and help such mothers cross this disruption and achieve restoration of their mothering role. Future research is needed to validate this concept and explore connections with health outcomes.https://doi.org/10.1186/s12905-021-01346-wBreast cancerCancer nursingDisrupted motheringHybrid concept analysisIranMaternal role |
| spellingShingle | Effat Mazaheri Akram Ghahramanian Leila Valizadeh Vahid Zamanzadeh Tonia C. Onyeka Disrupted mothering in Iranian mothers with breast cancer: a hybrid concept analysis BMC Women's Health Breast cancer Cancer nursing Disrupted mothering Hybrid concept analysis Iran Maternal role |
| title | Disrupted mothering in Iranian mothers with breast cancer: a hybrid concept analysis |
| title_full | Disrupted mothering in Iranian mothers with breast cancer: a hybrid concept analysis |
| title_fullStr | Disrupted mothering in Iranian mothers with breast cancer: a hybrid concept analysis |
| title_full_unstemmed | Disrupted mothering in Iranian mothers with breast cancer: a hybrid concept analysis |
| title_short | Disrupted mothering in Iranian mothers with breast cancer: a hybrid concept analysis |
| title_sort | disrupted mothering in iranian mothers with breast cancer a hybrid concept analysis |
| topic | Breast cancer Cancer nursing Disrupted mothering Hybrid concept analysis Iran Maternal role |
| url | https://doi.org/10.1186/s12905-021-01346-w |
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