title: Humour in adult cancer care: a concept analysis.
abstract: OBJECTIVE
  To report an analysis of the concept of humour in adult cancer care.
  
  
  BACKGROUND
  Humour is a form of communication which is present in the adult cancer setting. Numerous studies show the multi-dimensional value of humour in cancer care. A clear conceptual understanding, however, of what it represents is lacking.
  
  
  METHODS
  Walker and Avant's framework was used to guide this concept analysis.
  
  
  METHODS
  Literature searches included bibliographic databases, internet, and manual searches.
  
  
  METHODS
  Literature published from 1990 to the present was reviewed. Thematic analysis was carried out to identify critical attributes and antecedents.
  
  
  RESULTS
  Based on the analysis, a definition of humour in adult cancer nursing is proposed. Humour is a subjective emotional response, resulting from the recognition and expression of incongruities of a comic, absurd and impulsive situation, remark, character, or action, which enhances feelings of closeness or togetherness when shared in the context of trust between the patient and nurse and may be used as a coping mechanism in a stressful situation such as the adult cancer care setting.
  
  
  CONCLUSIONS
  The analysis provides an understanding of the concept of humour in the adult cancer setting and includes a theoretical illustration of its critical attributes. This concept analysis provides a forum for discussion with reference to the use of humour in adult cancer nursing care. Further exploration is recommended to determine the meaning of humour and its nature across different care settings.
authors.affiliation: Florence Nightingale School of Cancer Nursing and Midwifery, King's College London, UK. mary.tanay@kcl.ac.uk
authors.forename: Mary Anne Lagmay
authors.initials: MA
authors.lastname: Tanay
authors.forename: Julia
authors.initials: J
authors.lastname: Roberts
authors.forename: Emma
authors.initials: E
authors.lastname: Ream
mesh_terms: D000328:Adult; D006801:Humans; D009369:Neoplasms / Q000523:psychology / Q000628:therapy*; D014925:Wit and Humor as Topic