Advanced Practice Nurse, Sant Joan de Déu Maternity and Chidren's Hospital, 08950 Esplugues de Llobregat, Spain.
ESIMar (Mar Nursing School), Universitat Pompeu Fabra-Affiliated, 08003 Barcelona, Spain.
Int J Environ Res Public Health. 2022 Jul 30;19(15):9372. doi: 10.3390/ijerph19159372.
Communicating with children and adolescents with cancer during a needle procedure can prove challenging for healthcare professionals. Our aim was to explore the perceptions of children and adolescents with cancer regarding communication with nurses during needle procedures. Thus was a qualitative phenomenological study. Data were gathered through seven in-depth interviews with a convenience sample of children and adolescents with cancer. Data were analyzed using a grounded theory approach to identify themes in the participants' narratives. The analysis revealed three themes describing participants' experience: (1) nurses need to explain clearly what they are going to do while also allowing children to express their emotions without feeling coerced; (2) nurses need to be honest and approachable and relate to children as active participants in the treatment process; and (3) it is distressing to hear other children who are undergoing a needle procedure cry out in pain. Further application of the constant comparison method yielded a core theme: (4) the pressures faced by oncology nurses lead them to focus on the technical side of procedures at the expense of their young patients' communication needs. We suggest that hospital managers need to ensure that oncology nurses have sufficient training in communication skills and are confident in their ability to respect and respond to the communication preferences and needs of patients.
与癌症患儿进行针疗沟通对医护人员来说颇具挑战。本研究旨在探索癌症患儿对护士在针疗过程中沟通的看法。这是一项定性现象学研究。研究通过便利抽样选取了 7 名癌症患儿进行深入访谈收集数据。采用扎根理论方法对参与者的叙述进行分析，以确定主题。分析揭示了描述参与者体验的三个主题：（1）护士在进行操作前需要清晰地解释，同时允许患儿表达情绪，而不感到被迫；（2）护士需要诚实和亲切，将患儿视为治疗过程中的积极参与者；（3）听到其他正在接受针疗的患儿痛苦地哭喊令人痛苦。进一步应用恒定性比较法得出一个核心主题：（4）肿瘤护士面临的压力使他们专注于操作的技术方面，而忽略了年轻患者的沟通需求。我们建议医院管理人员确保肿瘤护士接受足够的沟通技巧培训，并对尊重和回应患者的沟通偏好和需求有信心。
