Lokman Hekim University, Vocational School of Health Services, Anesthesia Program, Ankara, Turkiye.
Tarsus University, Faculty of Health Sciences, Department of Surgical Nursing, Mersin, Turkiye.
Eur J Oncol Nurs. 2024 Apr;69:102511. doi: 10.1016/j.ejon.2024.102511. Epub 2024 Jan 26.
The present study aims to qualitatively explore the experiences, problems, and coping methods of nurses caring for mastectomy patients.
The study employs an exploratory-descriptive design with the participation of 14 nurses serving in a surgical oncology clinic. We gathered the data through semi-structured, face-to-face interviews and analyzed the transcriptions of audio recordings using the thematic analysis method. We then extracted relevant codes and subthemes to achieve the main themes. The main themes are presented in three relevant contexts.
Participating nurses' experiences are addressed through the themes of 'emotional difficulties,' 'physical difficulties,' and 'positive awareness.' In addition, their coping methods are considered within the themes of 'coping methods' and 'motivation.' The final context is identified as needs, where the themes of 'organizational needs' and 'psychosocial needs' are explored. Our findings highlighted that although participating nurses usually confront physical and emotional challenges, they exert much effort to develop both positive awareness and engage in behavioral changes. Interestingly, we observed that participants remain ineffective in dealing with and have difficulties employing relevant solutions for professional issues.
Overall, even though participating nurses need to deal with the burden of physical and emotional challenges when caring for patients, their coping strategies with these difficulties often remain insufficient. Thus, our humble recommendation may lie in satisfying the organizational and psychosocial needs of surgical nurses to promote their coping skills when fulfilling their demanding tasks with mastectomy patients.
本研究旨在定性探讨护士照顾乳腺癌患者的经验、问题和应对方法。
本研究采用探索性描述设计，有 14 名在外科肿瘤诊所工作的护士参与。我们通过半结构化的面对面访谈收集数据，并使用主题分析方法分析音频记录的转录本。然后，我们提取了相关的代码和子主题，以达到主要主题。主要主题在三个相关的背景下呈现。
参与护士的经验通过“情绪困难”、“身体困难”和“积极意识”这三个主题来描述。此外，他们的应对方法在“应对方法”和“动机”这两个主题中进行了考虑。最后一个背景是需求，探讨了“组织需求”和“心理社会需求”的主题。我们的研究结果表明，尽管参与的护士通常面临身体和情绪方面的挑战，但他们会付出很大的努力来培养积极的意识，并采取行为改变。有趣的是，我们观察到参与者在处理和采用专业问题的相关解决方案方面仍然效率低下，存在困难。
总体而言，尽管参与的护士在照顾患者时需要应对身体和情绪方面的负担，但他们应对这些困难的策略往往仍然不足。因此，我们的建议可能在于满足外科护士的组织和心理社会需求，以促进他们在完成乳腺癌患者护理任务时的应对技能。
