Department of Nursing, University of New Hampshire, Durham, NH 03824-3563, USA.
Cancer Nurs. 2012 Nov-Dec;35(6):E21-9. doi: 10.1097/NCC.0b013e318241921d.
The focus of this article is on the meanings attributed by nurses who worked with patients receiving a cancer diagnosis within acute care settings in Ireland.
The aim of this article was to explore the nurses' perceptions of caring for patients who receive bad news in the form of a cancer diagnosis while in an acute care setting.
The article focuses on the perceptions of 20 nurses who formed the nurse participant group in a larger phenomenological study exploring giving and receiving a cancer diagnosis. Data were collected using unstructured in-depth interviews. Analysis was conducted using Koch's analytical framework.
The nurses' narratives provided 2 emerging themes entitled, "connectedness: journeying as professional within the everyday world" and "connectedness: exclusion of professional within the everyday world." This article focuses on the first emerging theme and highlights the experiences of nurses as they reflect on their interactions with their patients before, during, and after the giving of a cancer diagnosis.
This study highlights the importance of professional companionship. It provides insights into the nurse-patient challenges as a result of lack of information.
Lack of information and involvement affects the nurse's ability to be authentically present for the recipient and results in a fracture to the nurse-patient relationship. Understanding the experiences of nurses from acute care settings where the cancer diagnosis is often given will inform and enable the nurse working in oncology settings to engage patients in a more meaningful and focused way.
本文的重点是研究在爱尔兰急性护理环境中与接受癌症诊断的患者一起工作的护士所赋予的意义。
本文旨在探讨护士在急性护理环境中对以癌症诊断形式接收坏消息的患者进行护理的看法。
本文重点介绍了在一项更大的现象学研究中，作为护士参与者小组的 20 名护士的看法，该研究探讨了癌症诊断的给予和接受。使用非结构化深入访谈收集数据。使用 Koch 的分析框架进行分析。
护士的叙述提供了两个新出现的主题，题为“联系：在日常世界中作为专业人士的旅程”和“联系：在日常世界中排除专业人士”。本文重点介绍了第一个新出现的主题，并强调了护士在给予癌症诊断之前、期间和之后，对他们与患者的互动的反思的经验。
这项研究强调了专业陪伴的重要性。它深入了解了由于缺乏信息而导致的护患挑战。
缺乏信息和参与会影响护士为接收者真实存在的能力，并导致护患关系破裂。了解来自急性护理环境中护士的经验，其中癌症诊断通常是在这些环境中给出的，将为在肿瘤学环境中工作的护士提供信息，并使他们能够以更有意义和有针对性的方式与患者接触。
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