Nurses’ experiences of providing “sensitive nursing care” for terminally-ill individuals with cancer: A qualitative study

Kwon, Seog Woon; Kim, Miyoung; Choi, Sujin

doi:10.1016/j.ejon.2020.101773

Cited by 12 publications

(13 citation statements)

References 35 publications

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“…In the present study, the emotional universe expressed by the nurses about patient care in the ICUs was empathy, happiness, sadness, fear, and patience. The study's results match the other studies that nurses had a complex emotional universe (7,(22)(23)(24)(25) . This emotional complexity may cause job stress and burnout for ICU nurses participating in our study.…”

Section: Competencesupporting

confidence: 87%

“…Primarily they may express negative emotions such as anger, sadness, frustration, and guilt when describing their feelings. ICU nurses who experience such emotions may change positions and leave the profession entirely (23) . Some studies indicated that ICUs generate a complex emotional universe with opposing affective experiences for nurses (7,23) .…”

Section: Competencementioning

confidence: 99%

“…ICU nurses who experience such emotions may change positions and leave the profession entirely (23) . Some studies indicated that ICUs generate a complex emotional universe with opposing affective experiences for nurses (7,23) . Moreover, most newly graduated and young nurses may experience an extensive range of emotions (24) .…”

Section: Competencementioning

confidence: 99%

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A qualitative study of medical-surgical intensive care unit nurses’ experiences in caring for critical patients

Dikmen

Bayraktar

Yılmaz

2022

Rev. esc. enferm. USP

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Objective: To describe the meaning attributed to nurses’ clinical experience in a medical-surgical intensive care unit in Northern Cyprus. Method: The qualitative study was conducted in two medical-surgical intensive care units at a university hospital. Data were collected through in-depth interviews with 17 nurses. Giorgi’s descriptive phenomenological approach was used to analyze nurses’ experiences. The consolidated criteria for reporting a qualitative research checklist were followed in this study. Results: The data analysis led to the extraction of the 5 themes and 19 subthemes. The themes identified for the study were competence, the emotional universe, stress resources, the meaning of nursing care, and profoundly affecting events. The study results show that the nurses expressed that having gained much experience in intensive care units and working there has contributed significantly to their professional development. Conclusion: It was indicated that the nurses had meaningful, caring experiences in intensive care units, which were perceived, however, as stressful experiences as well. The study has important implications for nurses, faculty members, and administrators to gain positive care experiences in terms of intensive care units.

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Section: Competencesupporting

confidence: 87%

Section: Competencementioning

confidence: 99%

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A qualitative study of medical-surgical intensive care unit nurses’ experiences in caring for critical patients

Dikmen

Bayraktar

Yılmaz

2022

Rev. esc. enferm. USP

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“…It indicates that the attitudes of nurses toward patients stem from differences in ethical competence for the protection of the patient's dignity and rights. Also, nurses who experienced cancer treatment or the death of a family member, understood and sympathized more when caring for a patient facing death, 29,30 but this is not a self-centered thought; instead, it stems from a deep understanding of and compassion for patients. Compassion is considered a cornerstone of high-quality palliative care.…”

Section: Discussionmentioning

confidence: 99%

Ethical dilemmas and care actions in nurses providing palliative sedation

2022

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Background Recently, palliative care is increasingly important, with an emphasis on the process of dying with dignity. However, nurses who care for such patients experience the associated ethical dilemmas. Objective To explore the meaning of nurses’ experiences in dealing with ethical dilemmas in relation to palliative sedation. Research design A qualitative research design was employed with a thematic analysis approach. Participants and research context Using purposive sampling, 15 nurses, working at palliative care units for at least 1 year, were recruited as participants. Data were collected using unstructured in-depth interviews, and data collection and analysis was performed simultaneously. Ethical considerations Ethical approval was obtained from the authors’ institutional review board. All participants provided informed consent. For the face-to-face interview, the South Korean standard COVID-19 quarantine guidelines, such as mandatory masking and social distancing, were followed. Results Dilemmas raised by patients, were related to concerns about appropriate drug dose; dilemmas raised by nurses, were related to passive care, sense of guilt for failure to predict death, and colleague’s disrespectful attitudes toward patients; dilemmas from patients’ families were related to demands for palliative sedation and reversal of those demands. Care actions to deal with ethical dilemmas comprised evidence-based care, person-centered thinking, reflecting on the death situation, compassion, providing explanation and help to family members. Conclusion Nurses’ ethical dilemmas were pre-dominantly influenced by themselves, rather than by the patients or their families, especially if they felt they could not do their best for patients. The core concept of care actions to deal with the ethical dilemmas, was person-centered care and compassion. Then, how patients and their family members perceive person-centered care and compassion, should be further explored to improve palliative sedation.

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“…Outros estudos mostraram que enfermeiras com muitos anos de experiência na prática dos cuidados paliativos à pacientes oncológicos, demonstraram ter maior compreensão da experiência dos pacientes e seus familiares, pensamento reflexivo, atitude de aceitação em relação a morte, intuição e mente aberta. Ao vivenciar situações de sofrimento, estes profissionais são induzidos a de mentalidade, a execução de comportamentos sensíveis como a escuta ativa, respostas mais adequadas aos questionamentos do paciente e familiares e a de proporcionar um momento de despedida do paciente e sua família 15,16 .…”

Section: Discussionunclassified

Desafios encontrados por enfermeiros nos cuidados a pacientes oncológicos no fim de vida

Canet¹,

Higa²,

Silva

et al. 2022

GCRJ

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Nurses’ experiences of providing “sensitive nursing care” for terminally-ill individuals with cancer: A qualitative study

Cited by 12 publications

References 35 publications

A qualitative study of medical-surgical intensive care unit nurses’ experiences in caring for critical patients

A qualitative study of medical-surgical intensive care unit nurses’ experiences in caring for critical patients

Ethical dilemmas and care actions in nurses providing palliative sedation

Desafios encontrados por enfermeiros nos cuidados a pacientes oncológicos no fim de vida

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