The perspective of the nursing staff on terminal sedation in pediatric onco-hematology: A phenomenologic-hermeneutic study

Tringali, Debora; Grotto, Rosapia Lauro; Papini, Massimo

doi:10.1017/s1478951512000867

Cited by 4 publications

(7 citation statements)

References 23 publications

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“…[19,21] In addition to the articles that addressed the symptoms of palliative cancer patients [16,17], two of them mentioned the PC in the care of the family of people with cancer [14,23] and two others, revealed complex issues involving nursing care: palliative chemotherapy [18] and palliative sedation. [20] Among the fourteen articles selected, seven of them presented at some point in their results some difficulties experienced by nurses when providing nursing care to people with cancer in PC. [14,15,17,21,23,24,25] Since the analysis of the results of the scientific productions selected, it reveals three themes: the palliative care nursing for people with cancer; strategies used by nurses in the care of the relatives of people with cancer in palliative care; the difficulties of nurses in achieving palliative care for people with cancer.…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, the suspension of consciousness can be considered an option when the patient is aware of the proximity of death, which helps relieve anxiety. [20] In addition to the care related to pain management, other physical and psychological symptoms are neglected and / or neglected by nurses due to other concurrent symptoms. [17] Although it still seems to occur with some frequency, currently the psychosocial aspects have been very highlighted for these professionals, who recognize the need to continue being supported in hope, performing PC in cancer patients with life limiting prognosis.…”

Section: N°title Countrymentioning

confidence: 99%

“…Family members want to avoid the suffering of their loved ones but do not want to be separated from them; this is due to the suspension of consciousness eliminates pain, but at the same time eliminates any possibility of interaction between patients and their families; therefore sedation is a preliminary mourning. [20] Therefore, the decision to use (or not) to palliative sedation requires extensive discussion in teams, in which is respected, above all, the role of the ill person and their families in decision to be made, considered essential condition for characterization that practice. It is also noted that in order to guarantee the right to information and respect for the autonomy of the sick person, the use of palliative sedation should be proposed in advance, ie, during the disease process, while the subject has not affected the capacity of making decisions.…”

Section: Difficulties In Achieving Palliative Care For People With Camentioning

confidence: 99%

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Palliative care nursing for people with cancer

et al. 2016

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Background: To investigate the scientific production in the literature related to nursing care people with cancer in palliative care. Method: This is an integrative review Conducted in the databases: LILACS, MEDLINE, CINAHL and SCOPUS from April to May 2016. Results: The search in the databases indicated 1,591 potentially eligible primary studies, of which the final sample resulted in 14 articles. Content analysis revealed three themes: the palliative care nursing of people with cancer; strategies used by nurses in the care of the relatives of people with cancer in palliative care; nurses' difficulties in achieving the palliative care for people with cancer. Conclusions: To provide palliative care to people with cancer requires nurse's insight and sensitivity, which includes attention not only the physical pain of the patient, but also the symptoms and physical, emotional, social and spiritual signs, for patient and family.

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Section: Resultsmentioning

confidence: 99%

Section: N°title Countrymentioning

confidence: 99%

Section: Difficulties In Achieving Palliative Care For People With Camentioning

confidence: 99%

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Palliative care nursing for people with cancer

et al. 2016

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“…Continued education for nurses often addresses patients'deaths.However, distinct research concerning nurses in children's oncology departments is lacking [31] (Tringali, Lauro-Grotto, &Papini, 2013). Therefore,we suggest that we should learn from other countries' experience and design grief management measures adapted to Chinese cultureto promote paediatric oncology nurses'psychological health [32] (Anderson, Kent, & Owens, 2015).…”

Section: Discussionmentioning

confidence: 99%

Paediatric Oncology Ward Nurses’ Experiences of Patients’ Deaths in China: A Qualitative Study

Han

Zhao

et al. 2021

Preprint

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Background: Considering cancer death is second only to accidental death in the number of lives claimed each year,nurses in paediatric oncology wards often experience helplessness, sadness, frustration and such other adverse emotions when they witness children’s death due to cancer.However,there is a lack of qualitative studies on nurses who witness the death of children in paediatric oncology wards in China. Method: Semi-structured interviews were conducted with nurses in the paediatric oncology wards at three children’s hospitals in Jiangsu,China,between January and June 2019.A total of 22 paediatric oncology ward nurses (18 female and 4male) aged between 26 and 39 years were enrolled. A previously developed and pilot-tested interview guide was used for the interviews. The number of interviews was determined by data saturation.Results: Nurses in paediatric oncology wards have strong stress responses to facing the death of children. They reported experiencing complex psychological feelings and have different coping attitudes. Nursing managers should pay attention to problems faced by nurses in paediatric oncology wards, and take targeted measures in terms of continuing training courses, improving the psychological adaptability of oncology professional nurses, and providing them substantive support.Conclusion: The findings of this study increase the knowledge and understanding regarding a seldom-studied topic in China. Healthcare authorities should recognise and understand the needs of paediatric oncology ward nurses,who often witness the death of children.Appropriate and effective support measures should be planned and implemented for these nurses to maintain their mental health, thus enabling them to better serve patients.

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“…Continued education for nurses often addresses patients’ deaths. However, distinct research concerning nurses in children’s oncology departments is lacking [ 32 ]. Therefore, we suggest that we should learn from other countries’ experience and design grief management measures adapted to Chinese culture to promote paediatric oncology nurses’ psychological health [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Paediatric oncology ward nurses’ experiences of patients’ deaths in China: A qualitative study

Han

Zhao

et al. 2021

BMC Nurs

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Background Considering cancer death is second only to accidental death in the number of lives claimed each year,nurses in paediatric oncology wards often experience helplessness, sadness, frustration and such other adverse emotions when they witness children’s death due to cancer.However,there is a lack of qualitative studies on nurses who witness the death of children in paediatric oncology wards in China. Method A qualitative study was conducted using a semi-structured interview guide with 22 paediatric oncology ward nurses. Interviews were recorded and simultaneously translated and transcribed. Thematic analysis was used to analyse the data. Results The analysis resulted in the identification of three main thematic categories: Different emotional expression, Different copingstrategies, A weak support system. Nursing managers should pay attention to problems faced by nurses in paediatric oncology wards, and take targeted measures in terms of continuing training courses, improving the psychological adaptability of oncology professional nurses, and providing them substantive support. Conclusion Nurses in paediatric oncology wards have strong stress responses to facing the death of children. They reported experiencing complex psychological feelings and have different coping attitudes. Healthcare authorities should recognise and understand the needs of paediatric oncology ward nurses, who often witness the death of children. Appropriate and effective support measures should be planned and implemented for these nurses to maintain their mental health, thus enabling them to better serve patients.

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The perspective of the nursing staff on terminal sedation in pediatric onco-hematology: A phenomenologic-hermeneutic study

Abstract: The results enlighten the critical role of the nursing staff with respect to this procedure, given the involvement with the families and their ability to understand the child's demands and intimate expectations.

Cited by 4 publications

References 23 publications

Palliative care nursing for people with cancer

Palliative care nursing for people with cancer

Paediatric Oncology Ward Nurses’ Experiences of Patients’ Deaths in China: A Qualitative Study

Paediatric oncology ward nurses’ experiences of patients’ deaths in China: A qualitative study

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