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Posts tagged ‘Catherine Vincent’

Promoting Cancer Screening

The current ANS featured article is titled “A Critique of the Theory of Planned Behavior in the Cancer
Screening Domain” authored by Jinghua An, MSN, RN and Catherine Vincent, PhD, RN, both at the University of Illinois at Chicago College of Nursing. The article is available for download at no cost while it is featured. Here is a message that Jinghua An provided about this work.

Jinghua An

As a nurse, are you involved in promoting cancer screening participation in your community? Early cancer detection is key to improving patients’ chance of survival. The Theory of Planned Behavior (TPB), one of the most frequently applied behavioral theories, has been used to understand, predict, and change cancer screening–related behaviors. In this paper, we applied Fawcett and DeSanto-Madeya’s 2013 framework for analysis and evaluation of nursing theory to critique the TPB from a nursing perspective.

We systematically analyzed and evaluated the TPB to identify its contributions to and usefulness in cancer screening research and practice. The TPB is philosophically congruent with the nursing metaparadigm. The logical congruence between the TPB and the nursing discipline provides the basis for nurses to consider the TPB as a shared theory. The propositions of the TPB could provide information about the individual, interpersonal, social, and environmental determinants of health behavior. Thus, the TPB is applicable in diverse nursing practice situations and settings. It could have profound theoretical significance on nursing if researchers better integrated research findings within the nursing discipline.
The predictive validity of attitude, subjective norm, and perceived behavioral control for intention and behavior has generally been supported in empirical studies. Nevertheless, inconsistencies and gaps exist between empirical data and the theory, particularly with respect to the multiplicative combination rule, intention as a mediator of the effects of attitude and subjective norm on behavior, and the moderation effects of perceived behavioral control. Methodologically sound empirical studies are called for to test these theory propositions.

In addition, the TPB’s utility for developing interventions to promote behavioral change in the cancer screening domain requires further empirical testing. Specifically, future research should provide details of the mechanism of change, the intervention characteristics, and the corresponding theory elements (either from the current TPB or an expanded TPB that integrates other theories). Finally, we believe that translational studies are needed to evaluate the theory’s pragmatic adequacy for promoting cancer screening in nursing practice. 

Theory of Planned Behavior

The current ANS featured article is titled “Analysis and Evaluation of the Theory of Planned Behavior” by Sueyeon Lee, MSN, RN and Catherine Vincent, PhD, RN. Download your copy of this article while it is featured, and share your comments below – we welcome your discussion! Here is a message sent by Sueyeon Lee about this work:

To explain and predict various human health behaviors, many theories and frameworks have been applied in the nursing discipline. As one of the most influential behavioral theories, the Theory of Planned Behavior has been widely used to predict a number of health-related behaviors and has contributed to knowledge development in nursing. However, the theory has not been examined in depth based on a nursing framework for systematic theory analysis and evaluation. Moreover, there is a need to determine whether the theory can be effectively applied in the current nursing context, in which nursing care, human behavior, and related factors are continuously changing. In our article, we comprehensively and in detail analyzed and evaluated the Theory of Planned Behavior based on Fawcett and DeSanto-Madeya’s nursing framework.

Also, we reviewed previous studies about health behaviors such as physical activity, diet management, and smoking cessation among people with cardiac disease—the leading cause of death worldwide—and evaluated the theory’s application in this population. We think that our results will contribute to a better understanding and appropriate application of the theory within the nursing domain.

Symptom Management for Adults with Cancer

The current ANS featured article is titled “Symptom management Theory: Analysis, Evaluation, and Implications for Caring for Adults with Cancer” by authors Asha Mathew, MBA, MSN, RN, RM; Ardith Z. Doorenbos, PhD, RN, FAAN; and Catherine Vincent, PhD, RN; College of Nursing, University of Illinois, Chicago. The PDF of the article is available for download at no cost while it is featured, and we encourage readers to share your responses here. Asha Mathew sent this summary of their work for ANS blog readers:

Asha Mathew Solomon

Theories of symptom management help nurse researchers organize the intricate relationships within the symptom experience. Our article presents a detailed analysis of the Symptom Management Theory (SMT) using Fawcett and De-Santo Madeya’s criteria for theory critique. To examine the application of SMT among adults with cancer, we performed a systematic review and identified 20 research studies that operationalized SMT concepts and propositions in adults with cancer. Further, using Silva’s evaluation criteria for empirical testing of a theory, we identified that only 35% of the studies had used the SMT to an adequate extent. We concluded that using SMT in longitudinal studies and comparing cancer-related outcomes with and without use of SMT are warranted.

Exploring the Meaning of Quality of Life

The current ANS featured article is titled “Analysis and Evaluation of Conceptual Model for Health-Related Quality of Life Employing Fawcett and DeSanto-Madeya’s Critique Framework” by Min Kyeong Jang, PhD, KOAPN, RN and Catherine Vincent, PhD, RN.  In this article, the authors examine the meanings of this construct in research and in practice, and point to the importance of adequate definitions and meanings for both research and practice.  You can download this article at no cost while it is featured; we hope you will and will also share your responses to the authors’ work here!  Dr. Jang shared this information about this work for ANS readers:

We are delighted that Advances in Nursing Science (ANS) invited us to contribute to the ANS blog. In the field of nursing, health-related quality of life (HRQOL) has been a significant issue that is essential to holistic assessment of patients’ health. In 1994, Wilson and Cleary developed a HRQOL model, and in

Dr. Carol Ferrans with Dr. Min Kyeong Jang

2005, this model was revised by Ferrans and colleagues to clarify the relationships among the theory concepts, expanding it into an ecological model. The revised HRQOL model was recognized for its promise for future use in HRQOL research and practice, but no previous authors had formally critiqued the model. In our article, we provide a comprehensive analysis and evaluation of the HRQOL model, which we hope will be useful for advanced nursing care and research.

In this article, we identified how the relevant concepts and propositions of the HRQOL model align with the nursing metaparadigm and maintain consistency. In addition, we found that this HRQOL model can easily and comprehensively be applied to improve nursing research and practice. One example is that this HRQOL model can be applicable as a guide for synthesizing an integrated literature review. Guided by HRQOL model, Min Kyeong and colleagues identified and synthesized essential key factors influencing mammography screening among breast cancer survivors from 2000 to 2017, published in the Oncology Nursing Forum. (Figure 1 – An example of applying the HRQOL model). Guided by the HRQOL model, the conceptual model of factors influencing surveillance mammography adherence was able to integrate all relevant key factors. Also, we believe that the most important advantage of using the HRQOL model is to ensure comprehensively covering important factors, some of which can be easily overlooked.

Briefly, Min Kyeong Jang, PhD, RN, KOAPN has been involved in cancer treatment and research for more than 10 years, while simultaneously developing expertise in methodological studies. To be specific, HRQOL is one of her research interests, and Dr. Carol Ferrans, PhD, RN, FAAN (Harriet H. Werley Endowed Chair in Nursing Research) was her PhD mentor (See photo above – Drs. Jang and Ferrans). To develop accurate QOL instruments for use in Korean health care research, Dr. Jang guided the translation of all 15 versions of the Ferrans and Powers QOL instrument, and she also studied the methodologies of theory analysis and theory development with Dr. Catherine Vincent as her guide (co-author).

In collaboration with various research teams, Min Kyeong Jang has been pursuing investigations involving QOL, cancer-related symptoms, chronic pain relief interventions, exercise program development, and sarcopenia, with the ultimate goal of enhancing survivorship care for cancer patients. She is currently working as a postdoctoral fellow at both the University of Illinois Cancer Center and University of Illinois at Chicago College of Nursing with Dr. Ardith Z. Doorenbos and colleagues. She believes that the HRQOL model merits examination to further assess its applicability and usefulness within nursing science; thus, she is applying this model to provision of supportive care for patients.

Jang, M. K., Hershberger, P. E., Kim, S., Collins, E., Quinn, L. T., Park, C. G., & Ferrans, C. E. (2019, November). Factors Influencing Surveillance Mammography Adherence Among Breast Cancer Survivors. In Oncology nursing forum (Vol. 46, No. 6, p. 701). Used by permission






Figure 1.  An example of applying the HRQOL model

Jang, M. K., Hershberger, P. E., Kim, S., Collins, E., Quinn, L. T., Park, C. G., & Ferrans, C. E. (2019, November). Factors Influencing Surveillance Mammography Adherence Among Breast Cancer Survivors. In Oncology nursing forum (Vol. 46, No. 6, p. 701).


Figure 2.  Drs. Jang and Ferrans


Theory of Unpleasant Symptoms

In our current featured article titled “An Analysis and Evaluation of the Theory of Unpleasant Symptoms,” authors Seung Eun Lee, MSN, RN; Catherine Vincent, PhD, RN and Lorna Finnegan, PhD, RN report the results of their analysis of the Theory of Unpleasant Symptoms, first published in ANS in 1995 (see Lenz et al., 1995 and 1997).  This is among the early, and now frequently cited middle-range theories in nursing! In the abstract, Lee and her colleagues described the outcome of their analysis:

Although its semantic clarity, semantic and structural consistency, and parsimony could be improved, the theory demonstrates good social and theoretical significance, testability, and empirical and pragmatic adequacy. Understanding multiple patient symptoms is essential, and the theory demonstrates that nurses should focus on multiplerather than individual symptoms.

Visit the ANS website now to download a copy of the article at no charge!  Then return here to share your comments and responses to this work!

Lenz, E. R., Suppe, F., Gift, A. G., Pugh, L. C., & Milligan, R. A. (1995). Collaborative development of middle-range nursing theories: toward a theory of unpleasant symptoms. ANS. Advances in Nursing Science, 17, 1–13.

Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms: an update. ANS. Advances in Nursing Science, 19(3), 14–27.

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