Striving for Survival Through the Storm: Understanding the Transition to Survivorship in Prostate Cancer Patients-A...

The transition to survivorship for prostate cancer (PCa) patients is a complex and multifaceted process, influenced by physical, emotional, and social challenges. This study aimed to explore the process of transition to survivorship in PCa patients, identifying challenges, coping strategies, and contextual influences affecting adaptation to life after treatment.

A grounded theory approach was used for this qualitative study. Data were collected through semistructured interviews with 15 PCa patients, 3 spouses, and 4 healthcare providers. Participants were selected through purposive and theoretical sampling to ensure diverse perspectives. Data analysis followed the constant comparative method, guided by Corbin and Strauss's grounded theory framework.

The transition to survivorship in individuals with PCa was described as a complex, forward-moving process influenced nonlinearly by contextual factors. The main concern was the "threat to the integrity of life," stemming from "embodied disruption," "persistent uncertainty," and "psychological erosion." The core category, "striving for survival through the storm," captured the main response, encompassing "adaptive coping efforts" and "reclaiming normal life." Contextual factors such as "personal resources and constraints" and "relational and healthcare support" significantly shaped the process. Ultimately, patients described achieving a "relative restoration of normal life."

Transition to survivorship in PCa patients was dynamic and nonlinear, and was influenced by recovery, psychological adaptation, and support.

Nurses can facilitate this transition by recognizing patients' main concerns, supporting coping strategies, and addressing contextual barriers. Tailored interventions that strengthen perceived support and recovery efforts can enhance adaptation and quality of life for PCa survivors.