TY - JOUR

T1 - Ensnared by positivity

T2 - a constructivist perspective on 'being positive' in cancer care

AU - McCreaddie, May

AU - Payne, Sheila

AU - Froggatt, Katherine

PY - 2010/9

Y1 - 2010/9

N2 - Background The concept of ‘positive thinking’ emerged in cancer care in the 1990s. The usefulness of this approach in cancer care is under increasing scrutiny with existing research, definitions and approaches debated. Nurses may wish to judiciously examine the debate in context and consider its relevance in relation to their experience and clinical practice. Purpose To offer a constructivist perspective on ‘being positive’ we extract data from a constructivist grounded theory study on humour in healthcare interactions in order to identify implications for practice and future research. Methods We offer three areas for consideration. First, we briefly review the emergence of ‘positive thinking’ within cancer care. Second, we present data from a grounded theory study on humour in healthcare interactions to highlight the prevalence of this discourse in cancer care and its contested domains. We conclude with implications for practice and future research. Findings Patients actively seek meaningful and therapeutic interactions with healthcare staff and ‘being positive’ may be part of that process. Being positive has multiple meanings at different time-points for different people at different stages of their cancer journey. Patients may become ensnared by positivity through its uncritical acceptance and enactment. Conclusion Positive thinking does not exist in isolation but as part of a complex, dynamic, multi-faceted patient persona enacted to varying degrees in situated healthcare interactions. Nurses need to be aware of the potential multiplicity of meanings in interactions and be able (and willing) to respond appropriately.

AB - Background The concept of ‘positive thinking’ emerged in cancer care in the 1990s. The usefulness of this approach in cancer care is under increasing scrutiny with existing research, definitions and approaches debated. Nurses may wish to judiciously examine the debate in context and consider its relevance in relation to their experience and clinical practice. Purpose To offer a constructivist perspective on ‘being positive’ we extract data from a constructivist grounded theory study on humour in healthcare interactions in order to identify implications for practice and future research. Methods We offer three areas for consideration. First, we briefly review the emergence of ‘positive thinking’ within cancer care. Second, we present data from a grounded theory study on humour in healthcare interactions to highlight the prevalence of this discourse in cancer care and its contested domains. We conclude with implications for practice and future research. Findings Patients actively seek meaningful and therapeutic interactions with healthcare staff and ‘being positive’ may be part of that process. Being positive has multiple meanings at different time-points for different people at different stages of their cancer journey. Patients may become ensnared by positivity through its uncritical acceptance and enactment. Conclusion Positive thinking does not exist in isolation but as part of a complex, dynamic, multi-faceted patient persona enacted to varying degrees in situated healthcare interactions. Nurses need to be aware of the potential multiplicity of meanings in interactions and be able (and willing) to respond appropriately.

KW - Positive thinking

KW - Being positive

KW - Positivity

KW - Constructivist

KW - Grounded theory

KW - Interactions

KW - Humour

U2 - 10.1016/j.ejon.2010.03.002

DO - 10.1016/j.ejon.2010.03.002

M3 - Journal article

VL - 14

SP - 283

EP - 290

JO - European Journal of Oncology Nursing

JF - European Journal of Oncology Nursing

SN - 1462-3889

IS - 4

ER -