“Cancer Never Goes Out of Your Mind Even for a Single Second”. Cancer-Related Ruminations From the Perspectives of Cancer Survivors

ÖCALAN S., Üzar-Özçetin Y. S.

Seminars in Oncology Nursing, vol.39, no.4, 2023 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 4
  • Publication Date: 2023
  • Doi Number: 10.1016/j.soncn.2023.151427
  • Journal Name: Seminars in Oncology Nursing
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, CINAHL, EMBASE, MEDLINE
  • Keywords: Cancer, Nursing, Patient, Rumination, Survivor
  • Hacettepe University Affiliated: Yes


Objective: This study aimed to explore a deeper understanding of how cancer survivors experience and manage ruminative thoughts. Data Sources: A descriptive qualitative design. The study was conducted with cancer survivors (n = 21). A semistructured interview guide was used for data collection, and content analysis method was implemented to gain a better understanding from the collected data. The study procedure and reporting adhere to the guideline for reporting qualitative research COnsolidated criteria for REporting Qualitative research (COREQ) checklist. Conclusion: Three main themes were developed: “Struggling within cognitions”, “Coping”, and “Required needs”. The results highlight that cancer survivors have intrusive ruminative thoughts about cancer and need support to cope with these thoughts. It was also found that over time, they experienced changes in their perspectives, gained meaning, and were able to use deliberate ruminations. Implications for Nursing Practice: Nurses have an effective role in providing care and determining the needs of individuals. Nurses can easily recognize intrusive ruminations, help cancer survivors raise awareness about the effects of ruminative thoughts on them, and support them in coping with intrusive ruminations using effective interventions.