Supporting the transformative process: experiences of cancer patients receiving integrative care.
OBJECTIVE
The purpose of this study is to describe the essential features of the transformative experience among people living with cancer who are seeking integrative care and to identify factors supporting this process. It is hoped that after establishing the nature and meaning of this change or shift, one will better understand what is most meaningful in terms of providing appropriate care and support to patients seeking integrative care.


METHODS
An interpretational, qualitative approach guided sampling, data collection, and analysis with 11 individuals. A purposeful sample was drawn from selected integrative care facilities according to sociodemographics and type of cancer. Due to the complexity of this subject, second interviews were conducted with 5 participants to enhance the richness and validity of the data.


RESULTS
The experience of transformation is a dynamic 4-stage process in which participants learned about themselves and became more aware of who they are and how they relate to the world. Participants found that 4 dimensions of integrative medicine played a fundamental role in supporting this process. These dimensions include (1) having access to a range of appropriate therapies to support individual journeys, (2) care that focuses on one's overall well-being, (3) control over cancer management, and (4) developing healing relationships with care providers.


CONCLUSIONS
Although practitioners may not be able to create transformative experiences for patients, they may be able to establish and maintain conditions that support this process.
Tzu Chi Research Group, Vancouver, British Columbia, Canada.
Andrea L
AL
Mulkins
Marja J
MJ
Verhoef
D000293:Adolescent; D000368:Aged; D001294:Attitude to Health; D000529:Complementary Therapies; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy*; D012649:Self Concept; D012944:Social Support; D026443:Spiritual Therapies