Self-Construction of Person With Cancer: A Corpus-Assisted Critical Discourse Analysis of Online Blogs.

IF 3.4 3区医学 Q1 NURSING

Journal of Advanced Nursing Pub Date : 2025-09-24 DOI:10.1111/jan.70241

Elin Margrethe Aasen,Lisbeth Alnes Vestgarden,Berit Misund Dahl

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引用次数: 0

Abstract

AIM To explore how persons with cancer construct and socially position themselves in online blogs. Clarifying the discursive practice of self-construction can deepen healthcare professionals' understanding of how persons with cancer perceive themselves and their place in society. DESIGN Mixed qualitative and quantitative design using corpus-assisted critical discourse analysis. METHODS Online blogs active between 2015 and 2023 were evaluated. Google search with keywords: 'Blog about cancer' was conducted. Corpus-assisted critical discourse analysis, following Fairclough's framework, was used to analyse data from four persons with cancer living in Norway. RESULTS The analysis identified three discursive practices in which bloggers constructed themselves: a discourse of a person's existence, a discourse of norms, and a discourse of a paternalistic system. The bloggers constructed themselves as being trapped in their own bodies, changed and vulnerable individuals who should conform to the expected behaviours, and not being seen and heard by the healthcare system. CONCLUSION The bloggers with cancer struggled between holistic and dualistic ideology, wishing to separate their bodies from themselves and constructed themselves as changed persons. Moreover, they struggled with societal expectations and adapted themselves to a paternalistic healthcare system, despite their desire to be seen and heard as individuals. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE This study investigated the experiences of patients living with cancer, offering valuable knowledge for nurses, other healthcare professionals, and the government. The study uncovered that persons with cancer constructed themselves as changed persons and felt vulnerable socially and within a paternalistic healthcare system. These results may provide a stimulus for further discussions on the patient roles in cancer treatment and how to meet their needs for care and treatment. REPORTING METHOD This study adhered to the Standards for Reporting Qualitative Research (SRQR) guidelines. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.

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癌症患者的自我建构：基于语料库的网络博客批评话语分析。

目的探讨癌症患者如何在网络博客中建构自己的社会定位。澄清自我建构的话语实践可以加深医疗保健专业人员对癌症患者如何看待自己及其在社会中的地位的理解。设计使用语料库辅助批判性话语分析的混合定性和定量设计。方法对2015 - 2023年活跃的在线博客进行评价。在谷歌搜索关键词：“关于癌症的博客”。语料库辅助批判性话语分析，遵循费尔克劳的框架，被用于分析来自挪威的四名癌症患者的数据。结果分析确定了博主构建自己的三种话语实践：一个人的存在的话语，一个规范的话语，以及一个家长式制度的话语。部落客将自己建构为受困于自己的身体、改变了的、脆弱的个体，应该遵从预期的行为，而不被医疗系统看到和听到。结论罹患癌症的部落客在整体与二元的意识型态间挣扎，希望将身体与自我分离，将自己建构为改变了的人。此外，他们与社会期望作斗争，适应了家长式的医疗体系，尽管他们渴望作为个体被看到和听到。本研究调查了癌症患者的经历，为护士、其他医疗专业人员和政府提供了有价值的知识。研究发现，癌症患者将自己构建为改变了的人，在社会上和家长式的医疗体系中感到脆弱。这些结果可能为进一步讨论患者在癌症治疗中的作用以及如何满足他们对护理和治疗的需求提供了刺激。报告方法本研究遵循定性研究报告标准（SRQR）指南。病人或公众捐款：没有病人或公众捐款。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.