Contenuto dell'articolo principale

Abstract

BACKGROUND: Death is one of the basic theme with which nurses are faced, and for which it is hard for them to prepare deeply and sincerely. 


The difficulties in handling the emotional burden can cause them to develop negative feelings towards life and clinical practice, so that it affects their caregiving capacity and the quality of care provided. 


AIM: To explore nurses’ perceptions facing the death of a hospitalized oncology patient. 


METHODS: Qualitative phenomenological study. The sample of nurses was recruited at IRCCS (Scientific Institute for Research and Healthcare) in Rome, a hospice in Latina and a hospice in Rieti. The data were collected by means of focus groups. The semi-structured interviews featuring three guiding questions constructed for this purpose, were audio-recorded, transcribed, and then analyzed using the analysis framework approach. 


RESULTS: In total 7 focus groups were conducted with a total participation of 39 nurses. Four themes emerged from the qualitative analysis: “The different meanings of death”, “The rupture of death”, “The perceptual variables of death”, and “Requests for help”. 


CONCLUSION: The study highlighted the need to provide nurses with substantial psychological and emotional support, and give consideration to organizational and environmental factors for better management of the event of death in oncology. 


KEY WORDS: Nurse, end of life, nurses perception, death, oncology patient, qualitative study, palliative care, psycho-oncology 

Dettagli dell'articolo

Come citare
Gambalunga, F., Taraborelli, E., De Domenico, R., Di Muzio, M., Notarnicola, I., Latina, R., & Iacorossi, L. (2022). La percezione degli infermieri della morte del paziente oncologico: uno studio qualitativo. PROFESSIONI INFERMIERISTICHE, 74(4), 248–254. Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/983

Riferimenti

  • Acocella, I. (2015). Il focus group: teoria e tecnica. Franco Angeli.
  • Anderson, N. E., Kent, B., & Owens, R. G. (2015). Experiencing patient death in clinical practice: nurses’ recollections of their earliest memorable patient death. International journal of nursing studies, 52(3), 695-704.
  • Beckstrand, R. L., Collette, J., Callister, L., & Luthy, K. E. (2012). Oncology Nurses' Obstacles and Supportive Behaviors in End-of-Life Care: Providing Vital Family Care. Oncology Nursing Forum, 39(5), E398-406. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104503119&site=ehost-live
  • Bernat, J. L., Culver, C. M., & Gert, B. (1981). On the definition and criterion of death. Annals of Internal Medicine, 94(3), 389-394.
  • Blaževičienė, A., Newland, J. A., Čivinskienė, V., & Beckstrand, R. L. (2017). Oncology nurses’ perceptions of obstacles and role at the end-of-life care: cross sectional survey. BMC palliative care, 16(1), 74.
  • Broom, A., Kirby, E., Good, P., Wootton, J., Yates, P., & Hardy, J. (2015). Negotiating futility, managing emotions: Nursing the transition to palliative care. Qualitative Health Research, 25(3), 299-309.
  • Bumb, M., Keefe, J., Miller, L., & Overcash, J. (2017). Breaking bad news: An evidence-based review of communication models for oncology nurses. Clinical Journal of Oncology Nursing, 21(5), 573-580.
  • Clayton, M. F., Hulett, J., Kaur, K., Reblin, M., Wilson, A., & Ellington, L. (2017). Nursing support of home hospice caregivers on the day of cancer patient death. Paper presented at the Oncology Nursing Forum.
  • D’Angelo, D., Mastroianni, C., Vellone, E., Alvaro, R., Casale, G., Latina, R., & De Marinis, M. G. (2012). Palliative care quality indicators in Italy. What do we evaluate? Supportive Care in Cancer, 20(9), 1983-1989.
  • da Luz, K. R., de Oliveira Vargas, M. A., Schmidtt, P. H., Barlem, E. L. D., Tomaschewski-Barlem, J. G., & da Rosa, L. M. (2015). Problemas ticos vivenciados por enfermeiros oncol gicos. Revista Latino-Americana de Enfermagem, 23(6), 1187-1194.
  • Dahlin, C. (2015). Palliative care: Delivering comprehensive oncology nursing care. Paper presented at the Seminars in oncology nursing.
  • De Bal, N., de Casterl , B. D., De Beer, T., & Gastmans, C. (2006). Involvement of nurses in caring for patients requesting euthanasia in Flanders (Belgium): A qualitative study. International journal of nursing studies, 43(5), 589-599.
  • Dierckx de Casterl , B., Denier, Y., De Bal, N., & Gastmans, C. (2010). Nursing care for patients requesting euthanasia in general hospitals in Flanders, Belgium. Journal of advanced nursing, 66(11), 2410-2420.
  • Ellington, L., Clayton, M. F., Reblin, M., Donaldson, G., & Latimer, S. (2018). Communication among cancer patients, caregivers, and hospice nurses: Content, process and change over time. Patient education and counseling, 101(3), 414-421.
  • Elmore, J., Wright, D. K., & Paradis, M. (2018). Nurses’ moral experiences of assisted death: a meta-synthesis of qualitative research. Nursing Ethics, 25(8), 955-972.
  • Funes, M. M., Moraes, M. W. d., Cunha, M. L. d. R., & Almeida, F. d. A. (2020). Caring for cancer patients facing death: nurse's perception and experience. Revista Brasileira de Enfermagem, 73.
  • Gambalunga, F., Iacorossi, L., Notarnicola, I., Serra, V., Piredda, M., & De Marinis, M. G. (2021). Mobile Health in Adherence to Oral Anticancer Drugs: A Scoping Review. CIN: Computers, Informatics, Nursing, 39(1), 17-23.
  • GHALJEH, M., REZAEE, N., IMANIGOGHARI, Z., & RAFATI, F. (2019). End of Life Holistic Care for Cancer Patients: A Qualitative Study. Journal of Clinical & Diagnostic Research, 13(8).
  • Gjerberg, E., Lillemoen, L., Forde, R., & Pedersen, R. (2015). End-of-life care communications and shared decision-making in Norwegian nursing homes--experiences and perspectives of patients and relatives. BMC Geriatr, 15, 103. doi:10.1186/s12877-015-0096-y
  • Hebert, K., Moore, H., & Rooney, J. (2011). The nurse advocate in end-of-life care. The Ochsner Journal, 11(4), 325-329.
  • Iacorossi, L., Gambalunga, F., De Domenico, R., Serra, V., Marzo, C., & Carlini, P. (2019). Qualitative study of patients with metastatic prostate cancer to adherence of hormone therapy. European Journal of Oncology Nursing, 38, 8-12.
  • Iacorossi, L., Gambalunga, F., Di Muzio, M., Terrenato, I., El Sayed, S., Ricci, F., . . . Notarnicola, I. (2020). Role and skills of the oncology nurse: an observational study. Annali di igiene: medicina preventiva e di comunita, 32(1), 27-37.
  • Iacorossi, L., Gambalunga, F., Fabi, A., Giannarelli, D., Facchinetti, G., Piredda, M., & De Marinis, M. G. (2016). Adherence to hormone therapy in women with breast cancer: a quantitative study. Professioni infermieristiche, 69(2).
  • Iacorossi, L., Gambalunga, F., Fabi, A., Giannarelli, D., Marchetti, A., Piredda, M., & De Marinis, M. G. (2018). Adherence to oral administration of endocrine treatment in patients with breast cancer: A qualitative study. Cancer nursing, 41(1), E57-E63.
  • Iacorossi, L., Gambalunga, F., Molinaro, S., De Domenico, R., Giannarelli, D., & Fabi, A. (2019). The effectiveness of the sport “dragon boat racing” in reducing the risk of lymphedema incidence: an observational study. Cancer Nursing, 42(4), 323-331.
  • Iglesias, M. E. L., Pascual, C., & de Bengoa Vallejo, R. B. (2013). Obstacles and helpful behaviors in providing end-of-life care to dying patients in intensive care units. Dimensions of Critical Care Nursing, 32(2), 99-106.
  • Kübler-Ross, E. (2011). Questions and Answers on Death and Dying: a companion volume to On death and dying: Simon and Schuster.
  • Lu, Y., Guo, R., & Liu, L. (2011). Oncology nurses’ identification with their responsibilities and negative experience in caring for dying cancer patients. Chinese Nursing Management, 11(2), 84-86.
  • Mastroianni, C., Codina, M. R., D’Angelo, D., Petitti, T., Latina, R., Casale, G., . . . de Marinis, M. G. (2019). Palliative care education in undergraduate nursing curriculum in Italy. Journal of Hospice & Palliative Nursing, 21(1), 96-103.
  • Merriam, S. B. T., Elizabeth J. (2015). Qualitative research: A guide to design and implementation., John Wiley & Sons.
  • Montgomery, K. E., Sawin, K. J., & Hendricks-Ferguson, V. (2017). Communication during palliative care and end of life: Perceptions of experienced pediatric oncology nurses. Cancer Nursing, 40(2), E47-E57.
  • Nia, H. S., Lehto, R. H., Ebadi, A., & Peyrovi, H. (2016). Death anxiety among nurses and health care professionals: A review article. International journal of community based nursing and midwifery, 4(1), 2.
  • Notarnicola, I., Stievano, A., Barbarosa, M., Gambalunga, F., Iacorossi, L., Petrucci, C., Lancia, L. (2018). Nurse Competence Scale: psychometric assessment in the Italian context. Annali di igiene , 30(6), 458-469.
  • Notarnicola, I., Stievano, A., Pulimeno, A., Iacorossi, L., Petrizzo, A., Gambalunga, F., . . . Lancia, L. (2018). Evaluation of the perception of clinical competencies by nursing students in the different clinical settings: An observational study. Annali di igiene 30(3), 200-210.
  • Organization, W. H. (2015). Health in 2015: from MDGs, millennium development goals to SDGs, sustainable development goals.
  • Organization, W. H. (2016). World health statistics 2016: monitoring health for the SDGs sustainable development goals: World Health Organization.
  • Raeda Abu Al Rub MSN, R. (2000). Legal aspects of work related stress in nursing: exploring the issues. Workplace Health & Safety, 48(3), 131.
  • Redinbaugh, E. M., Schuerger, J. M., Weiss, L. L., Brufsky, A., & Arnold, R. (2001). Health care professionals' grief: a model based on occupational style and coping. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 10(3), 187-198.
  • Ritchie, J., Spencer, L., Bryman, A., & Burgess, R. (1994). Qualitative data analysis for applied policy research. Analyzing qualitative data, 173, 194.
  • Sijabat, M., Dahlia, D., & Waluyo, A. (2019). Experiences of palliative care nurses in providing home-based care for patient with advanced cancer. Enfermeria clinica, 29, 413-417.
  • Speziale, H. S. S., Helen J.; Carpenter, Dona Rinaldi. (2011). Qualitative research in nursing: Advancing the humanistic imperative. Lippincott Williams & Wilkins.
  • Walker, S. (2020). Cancer Patient Perceptions of Nurse Abandonment at End of Life.
  • Zheng, R. S., Guo, Q. H., Dong, F. Q., & Owens, R. G. (2015). Chinese oncology nurses' experience on caring for dying patients who are on their final days: a qualitative study. Int J Nurs Stud, 52(1), 288-296. doi:10.1016/j.ijnurstu .2014.09.009