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Self-advocacy and cancer: a concept analysis
Teresa L Hagan1, Heidi S Donovan
1Department of Acute and Tertiary Care, The University of Pittsburgh School of Nursing, PA, USA.
Journal of Advanced Nursing
|January 26, 2013
Summary
Self-advocacy in cancer survivorship involves internalizing skills and resources to act on personal goals. This process enhances a survivor's self-concept, control, and adaptation to life with cancer.
Area of Science:
- Oncology
- Health Psychology
- Concept Analysis
Background:
- Cancer survivors increasingly manage their own healthcare.
- Understanding self-advocacy is vital for supporting survivors' engagement and care management.
Purpose of the Study:
- To analyze the concept of self-advocacy in cancer patients.
- To clarify its meaning, differentiate it from related concepts, and unify understanding.
Main Methods:
- Walker and Avant's eight-step concept analysis process.
- Searched PubMed, PsycINFO, and CINAHL databases (1960-2012).
- Included articles, reviews, editorials, and grey literature on self-advocacy.
Main Results:
- Antecedents include personal characteristics, skills, and support.
- Self-advocacy is defined by internalizing resources into actions aligned with personal values and goals.
- Facilitates a strong self-concept, sense of control, and adaptation to life with cancer.
Conclusions:
- Self-advocacy is a process of internalizing resources to support survivor needs and goals.
- This concept analysis provides a unified understanding for cancer research and practice.
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