Nurses’ experiences of being present with a patient receiving a diagnosis of cancer

Abstract

Nurses' experiences of being present with a patient receiving a diagnosis of cancer This paper reports the findings of a study which describes the experiences of nurses who were present with a patient when they received a diagnosis of cancer, cancer recurrence or prognosis of terminal cancer. Semi-structured interviews were conducted with six nurses who had experience of caring for patients with cancer in an acute surgical setting. Data were analysed using a phenomenological descriptive approach. Participants' descriptions revealed the following seven core themes: 'What if it was me?'; divergent feelings; being there; becoming closer; method of disclosure; time as an influence and learning by reflection. Possible implications for nursing practice and education are discussed and recommendations are made for future research.

A revelação do diagnóstico de câncer para profissionais e pacientes

“…Nestes momentos, a presença do enfermeiro é importante para que não se sinta só e abandonado, e possa exprimir todos os seus medos e receios (50) além de elucidar questionamentos que não foram feitos durante o momento da revelação (51).…”

The meaning of being an oncology nurse: Investing to make a difference

“…Through caring for dying patients and experiencing the grieving process with others, oncology nurses may come to recognise their role in facilitating patients' search for meaning (Quinn, 2003), as well as supporting a positive attitude (O'Baugh, Wilkes, Luke, & George, 2008). Caring for patients who are dying can also challenge nurses to reflect on their own mortality (Dunniece & Slevin, 2000;Quinn, 2003;Rittman et al, 1997). Haberman et al (1994) and their loved ones was seen as a reward, it was also one of the most difficult aspects for oncology nurses as they grieved the loss of patients.…”

“…Through touch, eye contact and body language and by using themselves as therapeutic tools nurses build relationships and connect with patients and their families. The physical act of being present, over time, assists nurses as they begin to help patients explore and understand their cancer experiences (Dunniece & Slevin;Quinn, 2003).…”

“…In their phenomenological study, Dunniece and Slevin (2000) investigated being present, from the perspective of six inpatient oncology nurses caring for patients receiving either an initial diagnosis of cancer, or a diagnosis involving a recurrence or terminal condition. Semi structured in-depth interviews were used to gather narrative data from nurses who had worked in oncology for a minimum of eighteen months.…”

“…Only by abandoning any preconceived ideas of the patient experience is the nurse then able to share in the experience with patients. Nurses' physical presence helps them to build rapport with patients and their families (Dunniece & Slevin, 2000;Steeves et al, 1994). Through touch, eye contact and body language and by using themselves as therapeutic tools nurses build relationships and connect with patients and their families.…”