Perihan Güner1, Duygu Hiçdurmaz2, Nazmiye Kocaman Yıldırım3, Figen İnci4. 1. Koç University Faculty of Nursing, İstanbul, Turkey. Electronic address: pguner@ku.edu.tr. 2. Psychiatric Nursing Department, Hacettepe University Faculty of Nursing, Ankara, Turkey. 3. Department of Psychiatry, Department of Consultation Liaison Psychiatry, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey. 4. Nursing Department, Niğde Ömer Halisdemir University Zubeyde Hanım School of Health, Niğde, Turkey.
Abstract
PURPOSE: In cancer patients, unmet psychosocial needs are a common occurrence. The purpose of this study was to determine the views, obstacles, and needs of the nurses working with adult oncology patients with regards to psychosocial care. METHODS: A qualitative descriptive research design conducted through focus group interviews was adopted for the study. Thirty nurses providing care for cancer patients in adult oncology departments of three hospitals in Turkey with comprehensive oncology centers were involved in the interviews. The interviews were conducted via a semi-structured interview form. In analyzing the data, content analysis technique was utilized. RESULTS: In the study, three main themes and seven sub-themes were determined. These were as follows: "Challenge" (Sub-themes: The nature of the disease: A thin line between life and death; Lack of team/institutional support; Lack of time, staff, and knowledge; Vulnerability of the patient and their family), "reward and cost" (Sub-themes: Satisfaction; Personal growth; Exhaustion), and "essential but hard to define". CONCLUSIONS: This study reveal that nurses have difficulty delivering psychosocial care, which they perceive in abstract terms, in an environment where the disease is still considered fatal, the conditions of the patients change constantly, and they cannot receive the necessary support. It can be important that, as well as supportive institutional regulations, the nurses are in need of necessary assistance to help them change their own perceptions on cancer, to become emotionally stronger, and to acquire necessary knowledge and skills to give psychosocial care.
PURPOSE: In cancerpatients, unmet psychosocial needs are a common occurrence. The purpose of this study was to determine the views, obstacles, and needs of the nurses working with adult oncology patients with regards to psychosocial care. METHODS: A qualitative descriptive research design conducted through focus group interviews was adopted for the study. Thirty nurses providing care for cancerpatients in adult oncology departments of three hospitals in Turkey with comprehensive oncology centers were involved in the interviews. The interviews were conducted via a semi-structured interview form. In analyzing the data, content analysis technique was utilized. RESULTS: In the study, three main themes and seven sub-themes were determined. These were as follows: "Challenge" (Sub-themes: The nature of the disease: A thin line between life and death; Lack of team/institutional support; Lack of time, staff, and knowledge; Vulnerability of the patient and their family), "reward and cost" (Sub-themes: Satisfaction; Personal growth; Exhaustion), and "essential but hard to define". CONCLUSIONS: This study reveal that nurses have difficulty delivering psychosocial care, which they perceive in abstract terms, in an environment where the disease is still considered fatal, the conditions of the patients change constantly, and they cannot receive the necessary support. It can be important that, as well as supportive institutional regulations, the nurses are in need of necessary assistance to help them change their own perceptions on cancer, to become emotionally stronger, and to acquire necessary knowledge and skills to give psychosocial care.
Authors: Caroline Arbour; Marjorie Tremblay; David Ogez; Chloé Martineau-Lessard; Gilles Lavigne; Pierre Rainville Journal: Support Care Cancer Date: 2021-08-10 Impact factor: 3.603