Article

Whisperings of Ovarian Cancer: Acknowledging Women's Voices

Anita Smith

detection
CJON 2008, 12(6), 913-920. DOI: 10.1188/08.CJON.913-920

Ovarian cancer is described as being a whisper because it is challenging to diagnose at an early stage. Women need the voice to respond to the whisperings and nurses need to listen and acknowledge these voices. The purpose of this descriptive qualitative study is to examine personal stories of ovarian cancer within the framework of Women's Ways of Knowing (WWK) to understand how women voice their "whisperings of ovarian cancer" and their interactions with healthcare providers. The importance of listening and acknowledging a woman's voice is illustrated by the five categories of knowing delineated by WWK. The categories of knowing are silence, received knowledge, subjective knowledge, procedural knowledge, and constructed knowledge. Listening for a woman's voice, acknowledging her voice, and being an advocate for her voice are key components of holistic care. Listening may play an instrumental role in the early diagnosis of ovarian cancer.

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    References

    Andersen, R. M., Goff, B. A., Lowe, K. A., Scholler, N., Bergan, L., Dresher, C. W., et al. (2008). Combining a symptoms index with CA 125 to improve detection of ovarian cancer. Cancer, 113(3), 4484-4489.
    Belenky, M. F., Clinchy, B. M., Goldberger, N. R., & Tarule, J. M. (1997). Women's ways of knowing: The development of self, voice, and mind. New York: Basic Books.
    Black, S. S., Butler, S. L., Goldman, P. A., & Scroggins, M. J. (2007). Ovarian Cancer Symptom Index: Possibilities for earlier detection. Cancer, 109(2), 167-169
    Calonge, N. (2004). Screening for ovarian cancer: Recommendation statement. Annals of Family Medicine, 2(3), 260-262.
    Fields, M. M., & Chevlen, E. (2006). Ovarian cancer screening: A look at the evidence. Clinical Journal of Oncology Nursing, 10(1), 77-81.
    Gibson, C. H. (1999). Facilitating critical reflection in mothers of chronically ill children. Journal of Clinical Nursing, 8(3), 305-312.
    Goff, B. A., Mandel, L. S., Drescher, C. W., Urban, N., Gough, S., Schurman, K. M., et al. (2007). Development of an ovarian cancer symptom index: Possibilities for earlier detection. Cancer, 109(2), 221-227.
    Goff, B. A., Mandel, L. S., Melancon, C. H, & Muntz, H. G. (2004). Frequency of symptoms of ovarian cancer in women presenting to primary care. JAMA, 291(22), 2705-2712.
    Goff, B. A., & Muntz, H. G. (2008, March). Ovarian cancer: Recognizing early symptoms make a difference. Contemporary OB/GYN, 26-39.
    Groopman, J. (2001). Second opinions: Stories of intuition and choice in the changing world of medicine. New York: Viking Penguin.
    Koldjeski, D., Kirkpatrick, M. K., Swanson, M., Everett, L., & Brown, S. (2005). An ovarian cancer diagnosis-seeking process: Unraveling the diagnostic delay problem. Oncology Nursing Forum, 32(5), 1036-1042.
    Lehman, M. L. (2007). "It whispers, so listen". RN, 70(10), 28-32.
    McCaul, K. D., Peters, E., Nelson, W., & Stefanek, M. (2005). Linking decision-making research and cancer prevention and control: Important themes. Health Psychology, 24(4, Suppl.), S106-S110.
    National Ovarian Cancer Coalition. (2006). Homepage. Retrieved November 11, 2008, from http://www.ovarian.org/default.aspx
    O'Rourke, J., & Mahon, S. M. (2003). A comprehensive look at the early detection of ovarian cancer. Clinical Journal of Oncology Nursing, 7(1), 41-47.
    Polit, D. F., & Beck, C. T. (2003). Nursing research: Principles and methods (7th ed.). Philadelphia: Lippincott Williams and Wilkins.
    Sandelowski. M. (2000). Whatever happened to qualitative description? Research in Nursing and Health, 23(4), 334-340.
    Scannell, K. A. (2000). Leave of absence. Annuals of Internal Medicine, 132(1), 55-57.
    Tiffen, J., & Mahon, S. M. (2005). Ovarian cancer screening: Are there any options? Clinical Journal of Oncology Nursing, 9(3), 369-372.
    U. S. Prevention Services Task Force. (2005). Screening for ovarian cancer: Recommendation statement. American Family Physician, 71-(4), 759-562.