Center for Women's and Children's Health, Wuhan University School of Nursing, Wuhan University, 115 Donghu Road, Wuhan, Hubei, 430071, China.
Center for Healthy Aging, Wuhan University School of Nursing, 115 Donghu Road, Wuhan, Hubei, 430071, China.
BMC Palliat Care. 2024 Nov 29;23(1):272. doi: 10.1186/s12904-024-01597-y.
To explore the experiences and perceptions of oncology nurses providing hospice care in Chinese mainland.
A descriptive phenomenological research method was utilized to describe experience of hospice care among oncology nurses. Eighteen oncology nurses were selected for interviews using purposive sampling from four grade A tertiary hospitals in Wuhan, Hubei province, China. The face-to-face semi-structured interviews were used to collect data. Data were recorded using NVivo 12.0 and analyzed using the Colaizzi's 7-step phenomenological data analysis method.
The interview data generated five major themes: (1) end-of-life care for oncology patients, (2) support and care for family members, (3) self-limitation and psychological distress, (4) culture and external environment constraints, and (5) self-coping and gains.
In Chinese mainland, oncology nurses encountered barriers and negative emotions in conducting hospice care, but have also made strides in the promotion of hospice care. In the future, the use of different traditional Chinese medicine technology to facilitate symptom management in end-of-life patients should be explored, and more tools to assist in providing psychological care and communication should be developed.
探索中国大陆肿瘤护士提供临终关怀服务的体验和看法。
采用描述性现象学研究方法,描述肿瘤护士临终关怀体验。从中国湖北省武汉市的 4 家甲级 3 级医院采用目的抽样选择了 18 名肿瘤护士进行访谈。采用面对面半结构式访谈收集数据。使用 NVivo 12.0 记录数据,并采用 Colaizzi 的 7 步现象学数据分析方法进行分析。
访谈数据产生了 5 个主要主题:(1)肿瘤患者的临终关怀,(2)家属的支持和关怀,(3)自我限制和心理困扰,(4)文化和外部环境的限制,(5)自我应对和收获。
在中国内地,肿瘤护士在进行临终关怀时遇到了障碍和负面情绪,但在推动临终关怀方面也取得了进展。未来,应探索使用不同的中医技术来促进终末期患者的症状管理,并开发更多帮助提供心理关怀和沟通的工具。