Nwozichi Chinomso, Hamash Kawther, Ramos Mary Dioise, Ogunmuyiwa Ayodeji O, Martins-Akinlose Oluwaseun D, Bakare Mosidat Olabisi, Ojewale Margaret Olutosin
Author Affiliations: Wellstar School of Nursing, Kennesaw State University (Drs Nwozichi, Ramos and Hamash), Georgia; School of Nursing, Babcock University, Ilishan Remo, Ogun State (Mss Ogunmuyiwa, Martins-Akinlose, and Bakare), Nigeria; and Nigerian Army College of Nursing (Dr Ojewale), Lagos, Nigeria.
Cancer Nurs. 2024 Jul 8. doi: 10.1097/NCC.0000000000001358.
Caring in Africa is often viewed from sociopolitical and humanity perspectives.
The aim of this study was to investigate the meanings and expressions of caring from the narratives of persons living with cancer and their nurses.
This study adopted a qualitative ethnonursing methodology. A purposive sampling technique was used to select the key participants, who were grouped into 7 nurses and 6 patients. General participants included 4 physicians, 3 ward assistants, and 6 patients' relatives. Interviews of participants were digitally audio-taped and then transcribed verbatim. Data analysis in this study followed the phases of ethnonursing data analysis enabler and was conducted using NVivo 14 software. Data categories were reviewed and sorted to discover recurrent patterns within the data.
Caring was seen as a social practice that is both transactional and transformational. Six thematic patterns emerged: restoring hope, reaching out to the inner lifeworlds of the patients, mutual empathy, going the extra mile, compassionate presence, and being human/having a sense of human connection. The study revealed that there are discernible patterns in care needs and expectations, even though each cancer patient is unique in his or her specific care needs and expectations.
Caring in this study constituted a variety of meanings, and human caring was demonstrated and practiced interpersonally. Hence, there is evidence of living caring in everyday life, in observable ways.
Nurses should enhance both their own and the patient's sense of personal meaning in the caring partnership to enable them to be present in concrete unique nursing situations with the suffering human being.
在非洲，关怀通常从社会政治和人文角度来看待。
本研究旨在从癌症患者及其护士的叙述中探究关怀的意义和表达。
本研究采用定性民族护理学方法。采用目的抽样技术选择关键参与者，将其分为7名护士和6名患者。一般参与者包括4名医生、3名病房助理和6名患者亲属。对参与者的访谈进行数字录音，然后逐字转录。本研究中的数据分析遵循民族护理学数据分析促进者的阶段，并使用NVivo 14软件进行。对数据类别进行审查和分类，以发现数据中的重复模式。
关怀被视为一种既是交易性又是变革性的社会实践。出现了六个主题模式：恢复希望、深入患者的内心生活世界、相互共情、加倍努力、富有同情心的陪伴以及具有人性/有人类联系感。研究表明，尽管每位癌症患者在其特定的护理需求和期望方面都是独特的，但在护理需求和期望方面仍有可辨别的模式。
本研究中的关怀具有多种意义，人际间体现并践行了人文关怀。因此，有证据表明在日常生活中以可观察的方式存在着活生生的关怀。
护士应增强自身以及患者在关怀伙伴关系中的个人意义感，使他们能够在具体独特的护理情境中陪伴受苦的人。
