Ma Ruo Han, Zhao Xue Ping, Ni Zhi Hong, Xue Xiao Ling
Children's Hospital of Soochow University, No.92, Zhongnan St, Suzhou, 215025, China.
Medical College of Soochow University, No.199 Renai Rd, Suzhou, 215123, China.
BMC Nurs. 2021 Oct 14;20(1):197. doi: 10.1186/s12912-021-00720-1.
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.
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.
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.
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.
考虑到癌症死亡人数在每年的死亡总数中仅次于意外死亡，儿科肿瘤病房的护士在目睹儿童因癌症死亡时，常常会感到无助、悲伤、沮丧以及其他负面情绪。然而，国内缺乏针对儿科肿瘤病房中目睹儿童死亡的护士的质性研究。
采用半结构化访谈指南，对22名儿科肿瘤病房护士进行质性研究。访谈进行录音，并同步翻译和转录。采用主题分析法对数据进行分析。
分析得出三个主要主题类别：不同的情绪表达、不同的应对策略、薄弱的支持系统。护理管理者应关注儿科肿瘤病房护士面临的问题，并在继续培训课程、提高肿瘤专业护士的心理适应能力以及为其提供实质性支持等方面采取针对性措施。
儿科肿瘤病房的护士在面对儿童死亡时会产生强烈的应激反应。他们表示经历了复杂的心理感受，并有不同的应对态度。卫生保健当局应认识并理解儿科肿瘤病房护士（他们经常目睹儿童死亡）的需求。应为这些护士制定并实施适当有效的支持措施，以维护他们的心理健康，从而使他们能够更好地为患者服务。
