Saidi Reza, Heidari Haydeh
Faculty of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Faculty of Nursing and Midwifery, Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Iran J Nurs Midwifery Res. 2025 May 8;30(3):356-364. doi: 10.4103/ijnmr.ijnmr_217_23. eCollection 2025 May-Jun.
Diagnosing a child with cancer is one of the most intense and challenging experiences that a family can face. Caring for children with cancer is one of the most challenging areas of the nursing profession, technically and emotionally, and nurses face various ethical issues in this regard. This study aims to explore nurses' perceptions of providing ethical care for children with cancer.
This study applied a qualitative design and a purposive sampling method. Participants included 21 nurses with experience in caring for children with cancer. Data were collected using semi-structured interviews and analyzed using inductive content analysis.
Data analysis revealed three categories and seven subcategories. First, barriers to providing ethical care (subcategories: parents making decisions instead of the child, cultural misinterpretations, and reference to fortune-tellers). Second, facilitators of providing ethical care (subcategories: family hopefulness and parents' religious background). Third, approaches for providing ethical care (subcategories: the necessity of conducting research in the field of cultural backgrounds and the establishment of ethical-religious committees).
This study presents some significant barriers, facilitators, and approaches to providing ethical care for children with cancer. These results are based on nurses' experiences and perceptions. All healthcare professionals can use our results to provide high-quality and ethical care for children with cancer.
诊断孩子患有癌症是一个家庭可能面临的最紧张且具挑战性的经历之一。护理患癌儿童是护理行业中最具挑战性的领域之一，无论在技术层面还是情感层面，护士在这方面都面临各种伦理问题。本研究旨在探讨护士对为患癌儿童提供伦理护理的看法。
本研究采用质性设计和目的抽样方法。参与者包括21名有护理患癌儿童经验的护士。通过半结构式访谈收集数据，并采用归纳性内容分析法进行分析。
数据分析揭示了三个类别和七个子类别。第一，提供伦理护理的障碍（子类别：父母而非孩子做决定、文化误解、求助算命先生）。第二，提供伦理护理的促进因素（子类别：家庭的希望和父母的宗教背景）。第三，提供伦理护理的方法（子类别：在文化背景领域开展研究的必要性以及设立伦理宗教委员会）。
本研究呈现了为患癌儿童提供伦理护理的一些重要障碍、促进因素和方法。这些结果基于护士的经验和看法。所有医疗保健专业人员都可利用我们的结果为患癌儿童提供高质量的伦理护理。
