Browsing by Author "Booker, Reanne"
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Item Open Access The Experiences of Individuals Re-engaging in Sexual Relationships Following a Bone Marrow Transplant(2019-07-19) Shartau, Kristi; King-Shier, Kathryn M.; Booker, Reanne; Bouchal, Shelley RaffinMore than 50,000 individuals worldwide receive a bone marrow transplant annually, and this incidence is increasing. Sexual function is a common long-term concern after a bone marrow transplant (BMT). Studies have demonstrated though important to patients, healthcare providers are often remiss in addressing these concerns. Thus, Straussian Grounded Theory was used to seek a deeper understanding of the process BMT patients undergo to reintegrate their sexual relationships following a bone marrow transplant. Qualitative themes that emerged included: identifying importance, taking responsibility, seeking resources, and navigating the partnered-relationship. Gender permeated each of these themes. These events occurred in a non-linear process of seeking a new normal and could apply at any time point during the treatment trajectory. The core category of seeking a new normal’ refers to the process participants will go through while searching for ‘normalization’ and trying to get back to the condition they were in before diagnosis. Gaining an understanding of the process patients go through when integrating back into their sexual lives post-transplant will facilitate awareness about the impact a transplant can have on a patient’s sexual health.Item Open Access Factors associated with post-traumatic growth, quality of life, and spiritual well-being in outpatients undergoing bone marrow transplantation: a pilot study(2016-02) Sinclair, Shane; Booker, Reanne; Fung, Tak; Raffin-Boucha, Shelley; Enns, Bert; Beamer, Kate; Ager, NareePurpose/Objectives: To examine the relationships between spiritual, religious, and sociodemographic factors and post-traumatic growth, quality of life, and spiritual well-being in outpatients undergoing bone marrow and/or stem cell transplantation (BMSCT). Design: Cross-sectional, descriptive, exploratory. Setting: Outpatient bone marrow transplantation clinic at the Tom Baker Cancer Centre in Calgary, Alberta, Canada. Sample: 100 patients (21 pre-BMSCT and 79 post-BMSCT) accrued consecutively via nonprobability sampling. Methods: Study participants completed the Functional Assessment of Cancer Therapy– Bone Marrow Transplantation (FACT-BMT), the Post-Traumatic Growth Inventory (PTGI), the Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being (FACIT-Sp), and a demographic questionnaire. Data analysis included descriptive statistics, t tests, and correlational analyses. Main Research Variables: Demographic variables, FACT-BMT scores, PTGI scores, FACITSp scores. Findings: The majority of participants identified themselves as being at least somewhat spiritual. Significant differences were noted between those who identified as being not religious at all versus having at least some religiosity in several subscales of the PTGI, as well as on the FACIT-Sp. Similarly, significant differences were observed between participants who identified as being not spiritual at all versus having at least some spirituality for several subscales on the PTGI. Most participants indicated they would be at least somewhat likely to recommend spiritual care to a new patient. Conclusions: Most patients in this study within a publicly funded healthcare system selfidentified with spirituality, used spiritual resources, and would recommend that other patients undergoing BMSCT seek the support of a spiritual care professional or chaplain. Spirituality, along with practical and relational factors, had a positive impact on certain aspects of post-traumatic growth, quality of life, and spiritual and physical well-being. Implications for Nursing: Oncology nurses are encouraged to routinely address spiritual issues. Findings from this study suggest that spirituality is not only important to patients undergoing BMSCT, but also may be an integral component of patients’ post-traumatic growth, quality of life, and spiritual well-being.Item Open Access Patient and healthcare perspectives on the importance and efficacy of addressing spiritual issues within an interdisciplinary bone marrow transplant clinic: a qualitative study(2016-07) Sinclair, Shane; McConnell, Shelagh; Bouchal, Shelley Raffin; Ager, Naree; Booker, Reanne; Enns, Bert; Fung, TakThe purpose of this study was to use a qualitative approach to better understand the importance and efficacy of addressing spiritual issues within an interdisciplinary bone marrow transplant clinic from the perspectives of patients and healthcare providers. Participants were recruited from the bone marrow transplant clinic of a large urban outpatient cancer care centre in western Canada. Focus groups were conducted with patients (n=7) and healthcare providers (n=9) to explore the importance of addressing spiritual issues across the treatment trajectory and to identify factors associated with effectively addressing these needs.