Sevda Uzun, PhD, is assistant professor, Department of Psychiatry Nursing, Gümüşhane University Faculty of Health Sciences, Turkey.
J Hosp Palliat Nurs. 2024 Oct 1;26(5):E163-E169. doi: 10.1097/NJH.0000000000001053. Epub 2024 Aug 1.
The study aimed to evaluate the ethical dilemmas faced by nurses who provide care to patients with hematologic cancer and determine their coping mechanisms using a phenomenological approach. This qualitative study was conducted with 35 nurses employed in clinics specializing in hematologic cancer patient care, living in diverse regions of Turkey, using semistructured, in-depth interviews through the WhatsApp mobile application. The snowball sampling technique was utilized to identify participants, and interviews continued until data saturation was achieved. All interviews were recorded and subsequently transcribed. Data analysis was conducted using Colaizzi's phenomenological analysis method, with the study adhering to the COREQ (Consolidated Criteria for Reporting Qualitative Research) checklist for reporting. In the analysis of the data, 2 categories (ethical dilemma situations and coping experiences) and 6 subthemes (treatment, care, professional values and beliefs, emotions, struggling with emotional burdens, and psychosocial approach) emerged. According to the results, nurses responsible for hematologic cancer patients struggle with ethical dilemmas in healthcare delivery and face challenges in effectively addressing them, which could potentially impact the quality of healthcare provided by nurses.
本研究旨在通过现象学方法评估为血液恶性肿瘤患者提供护理的护士所面临的伦理困境，并确定他们的应对机制。这是一项在土耳其不同地区的血液恶性肿瘤护理诊所工作的 35 名护士中开展的定性研究，使用 WhatsApp 移动应用程序进行半结构化深入访谈。使用雪球抽样技术来识别参与者，访谈持续进行，直到达到数据饱和。所有访谈均进行录音，并随后进行转录。使用 Colaizzi 的现象学分析方法进行数据分析，研究遵循 COREQ（定性研究报告的统一标准）清单进行报告。在数据分析中，出现了 2 个类别（伦理困境情况和应对经验）和 6 个亚主题（治疗、护理、专业价值观和信念、情感、应对情感负担和心理社会方法）。根据研究结果，负责血液恶性肿瘤患者的护士在医疗保健服务中面临伦理困境，并且在有效解决这些问题方面面临挑战，这可能会影响护士提供的医疗保健质量。
