Authors Affiliations: Oncology Nursing Department, 251 Hellenic Air Force General Hospital (Dr Karlou); School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley (Dr Papadopoulou); Faculty of Nursing, University of Alberta, Edmonton, Canada (Dr Papathanassoglou); Section of Internal Medicine-Nursing and Nursing Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens (Dr Lemonidou and Dr Patiraki); Technological Educational Institute of Athens, Holargos (Dr Vouzavali); and Children's Hospital "A & P Kyriakou" Oncology Department, Athens (Mrs Zafiropoulou-Koutroubas); and Department of Nursing, National University of Peloponisos Faculty of Human Movement and Quality of Life Sciences in Sparta (Dr Katsaragakis), Greece.
Cancer Nurs. 2018 Sep/Oct;41(5):399-408. doi: 10.1097/NCC.0000000000000562.
Nurses' caring behaviors are central in the quality of care of patients undergoing sophisticated chemotherapy protocols. However, there is a scarcity of research regarding these behaviors in non-Anglo-Saxon countries.
The aim of this study was to explore caring behaviors that nurses perceive as important in caring for patients in Greece receiving chemotherapy.
We used a mixed-methods design, including a survey in 7 oncology wards in 3 cancer hospitals in Attica, Greece, and a subsequent qualitative focus group investigation. Caring behaviors were explored through the Caring Behavior Inventory 24 and content analysis of 3 focus group interviews.
A sample of 72 nurses (response rate, 68.5%) were surveyed, and 18 nurses participated in the focus groups. "Knowledge/skills" (5 [SD, 0.7]) was the most important caring behaviors. No significant associations with nurses' characteristics were noted, except for higher scores in caring behaviors in participants who were married (P < .02). Six caring-related categories emerged from the qualitative analysis: "the concept of care," "respect," "nurse-patients' connection," "empathy," "fear of cancer," and "nurses' professional role." Moreover, they stressed barriers they faced in each category.
Integrated quantitative and qualitative data concur that operational tasks are central in Greek nurses' caring behaviors. In addition, qualitative findings highlighted those skills equipping nurses to provide holistic individualized care in a hectic care environment.
Supporting nurses in attaining excellence in technical skills and in meaningfully engaging with patients receiving chemotherapy is essential in the realization of their caring role. These should be priorities for continuing education and practice improvement initiatives.
护士的关怀行为是患者接受复杂化疗方案护理质量的核心。然而，在非盎格鲁-撒克逊国家，关于这些行为的研究却很少。
本研究旨在探讨希腊护士在护理接受化疗的患者时认为重要的关怀行为。
我们采用混合方法设计，包括在希腊雅典的 3 家癌症医院的 7 个肿瘤病房进行调查和随后的定性焦点小组调查。通过关怀行为量表 24 版和 3 个焦点小组访谈的内容分析来探索关怀行为。
共调查了 72 名护士（应答率为 68.5%），18 名护士参加了焦点小组。“知识/技能”（5[标准差，0.7]）是最重要的关怀行为。除了婚姻状况与关怀行为得分呈正相关（P<.02）外，护士特征与关怀行为无显著关联。定性分析得出了 6 个与关怀相关的类别：“关怀的概念”、“尊重”、“护患关系”、“同理心”、“对癌症的恐惧”和“护士的专业角色”。此外，他们强调了在每个类别中面临的障碍。
定量和定性数据的综合结果一致认为，操作任务是希腊护士关怀行为的核心。此外，定性结果突出了那些使护士能够在繁忙的护理环境中提供全面个性化护理的技能。
支持护士在实现关怀角色方面获得卓越的技术技能和与接受化疗的患者有意义地互动至关重要。这些应该是继续教育和实践改进计划的优先事项。
