Palliative Nursing for Cancer Patients as an Abstract Concept: A Hermeneutic Study

Leili BORIMNEJAD ； Marjan MARDANI-HAMOOLEH ； Naimeh SEYEDFATEMI ； Mamak TAHMASEBI

《The Journal of Nursing Research》 26卷4期 (2018/08) Pp. 260-265

https://doi.org/10.1097/jnr.0000000000000232

摘要

Background: Understanding the outcomes of palliative care (PC) that is provided to patients with cancer is necessary. Purpose: The aim of this study was to explore the lived experiences of Iranian nurses with regard to PC outcomes in cancer patients. Methods: This hermeneutic study interviewed 14 nurses to understand their lived experiences with regard to PC outcomes in cancer patients. A seven-stage process of data analysis was employed. Results: One constitutive pattern ＂palliative nursing for cancer patients is an abstractive concept＂ and the two associated themes of ＂providing excellent PC＂ and ＂PC as an alarm＂ were identified. Providing excellent PC had two subthemes: being a unique nurse and experiencing the humanistic approach to caring. PC as an alarm also had two subthemes: caring-related concerns and challenging issues caused by caring. Conclusions: The findings provide a deeper understanding of the nursing experience with regard to PC outcomes in cancer patients.

關鍵字

cancer ； hermeneutic phenomenology ； nurse ； palliative care ； patient

參考文獻

Abdollahzadeh, F.,Moradi, N.,Pakpour, V.,Rahmani, A.,Zamanzadeh, V.,Mohammadpoorasl, A.,Howard, F.(2014).Un-met supportive care needs of Iranian breast cancer patients.Asian Pacific Journal of Cancer Prevention.15(9),3933-3938.

Borimnejad, L.,Mardani Hamooleh, M.,Seyedfatemi, N.,Tahmasebi, M.(2014).Human relationships in palliative care of cancer patient: Lived experiences of Iranian nurses.Materia Socio-Medica.26(1),35-38.

Daher, M.(2011).Opioids for cancer pain in the Middle Eastern countries: A physician point of view.Journal of Pediatric Hematology/Oncology.33(1, Suppl.),S23-S28.

de Duarte, M. L.,Zanini, L. N.,Nedel, M. N.(2012).The daily routine of parents of children hospitalized with cancer: Nursing challenges.Revista Gaucha de Enfermagem.33,111-118.

Diekelmann, N.,Allen, D.,Tanner, C.(1989).The NLN criteria for appraisal for baccalaureate programs: A critical hermeneutic analysis.New York, NY:National League for Nursing.