The Use of Humor and Its Influences on Spirituality and Coping in Breast Cancer Survivors
Purpose/Objectives: To describe patients' perspectives concerning the use of humor in their care and recovery.
Design: Descriptive.
Setting: Community-based.
Sample: Nine women with a diagnosis of breast cancer.
Methods: Open-ended interviews were conducted with participants to identify their use of humor, its influence on spirituality, and their perceptions of how nurses use humor in caring for them during their treatment for breast cancer.
Main Research Variable: The use of humor as a coping skill.
Findings: The narrative data revealed three major categories, each with five to six themes illuminating humor as a coping factor, the relationship between humor and nursing, and the relationship between humor and spirituality.
Conclusions: Participants identified humor as an important coping factor. They also believed it played a role in their spirituality and their perception of the meaning and purpose of life. Nurses' use of humor is important to foster deeper, more trusting relationships with patients.
Implications for Nursing: Humor must be recognized as an element of spiritual coping in patients with breast cancer. A need exists for further education for nurses concerning the importance of humor in the care of patients to promote recovery and improve the nurse-patient relationship. Research is needed to explore the use of cultural influences on humor, family perspectives of humor, and the influences of the overall environment.
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References
Astedt-Kurie, P., & Liukkonen, A. (1994). Humor in nursing care. Journal of Advanced Nursing, 20, 183-188.
Bellert, J.L. (1989). Humor: A therapeutic approach in oncology nursing. Cancer Nursing, 12, 65-70.
Berk, L.S., Tan, S.A., Fry, W.F., Napeir, B.J., Hubbard, R.W., Lewis, J.E., et al. (1989). Neuroendocrine and stress hormone changes during mirthful laughter. American Journal of the Medical Sciences, 298, 390-396.
Canfield, J., Henson, M.V., Aubery, P., & Mitchell, N. (1996). Chicken soup for the surviving soul: 101 stories of courage and inspiration from those who have survived cancer. Deerfield Beach, FL: Health Communication, Inc.
Carson, V.B. (1989). Spiritual dimensions of nursing practice. Philadelphia: Saunders.
Erdman. L. (1991). Laughter therapy for patients with cancer. Oncology Nursing Forum, 18, 1359-1363.
Fry, W.F. (1992). The physiologic effects of humor, mirth, and laughter. JAMA, 267, 1857-1858.
Irwin, M., Daniels, M., Bloom, E.T., Smith, T.L., & Weiner, H. (1987). Life events, depressive symptoms, and immune function. American Journal of Psychiatry, 144, 437-441.
Johnson, P. (1998). Spiritual health needs of oncology patients. Nursing Interventions in Oncology, 10, 10-11.
LoBiondo-Wood, G., & Smith, J. (1998). Nursing research: Methods, critical appraisal, and utilization (4th ed.). St. Louis, MO: Mosby.
Parse, R.R., Coyne, A.B., & Smith, M.J. (1985). Nursing research: Qualitative methods. Bowie, MD: Brady Communications Company.
Schmitt, N. (1990). Patients' perception of laughter in a rehabilitation hospital. Rehabilitation Nursing, 15, 143-146.
Simon, J. (1989). Humor techniques for oncology nurses. Oncology Nursing Forum, 16, 667-670.
Smith, W.D. (1996). A portrait of breast cancer: Expressions in words and art. Oklahoma City: Globe Color Press.
Tatano-Beck, W. (1997). Humor in nursing practice: A phenomenological study. International Journal of Nursing Studies, 34, 346-352.
Watson, J. (1985a). Nursing: Human science and human care: A theory of nursing. Norwalk, CT: Appleton-Century-Crofts.
Watson, J. (1985b). The philosophy of science of caring. Boulder, CO: Colorado Associated University Press.