Exploration of the Strategies of Iranian Nurses in Providing Palliative Care to Children with Cancer: A Qualitative Study.

Pub Date : 2023-04-01 DOI:10.5152/FNJN.2023.0024
Zahra Ebadinejad, Maryam Rassouli, Ali Fakhr Movahedi
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Abstract

Aim: This study aimed to explain the strategies of Iranian nurses in providing palliative care to children with cancer.

Method: This study is a qualitative research with an approach to the conventional content analysis. The main participants were nine nurses working in ward pediatric oncology. Also based on data analysis, five parents of children, two children, one social worker, one physician, one psychologist, and one nutritionist were also included. Data were collected through semi-structured interviews and observation and were analyzed by the Elo and Kyngäs approach. Lincoln and Guba criteria were used for the trustworthiness of data analysis.

Results: Three conceptual categories were developed with qualitative analysis: "prevention and relief of pain and physical symptoms", "spontaneous compassion", and "strengthen parental resilience"; that were derived from the main categories: "attention to precautionary considerations," "friendly relationship of nurses with parents of children, create enjoyable moments, spontaneous assistance," "facilitate coping with current situation, perceived confrontation with child death."

Conclusion: In this study, the results showed that nurses' strategies in providing palliative care to children with cancer were a combination of professional and spontaneous strategies.

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探索伊朗护士为癌症儿童提供姑息治疗的策略:定性研究。
目的:本研究旨在解释伊朗护士为癌症儿童提供姑息治疗的策略:本研究是一项定性研究,采用传统的内容分析法。主要参与者为九名在儿科肿瘤病房工作的护士。此外,根据数据分析,还包括 5 名儿童家长、2 名儿童、1 名社会工作者、1 名医生、1 名心理学家和 1 名营养学家。数据通过半结构式访谈和观察收集,并采用 Elo 和 Kyngäs 方法进行分析。数据分析的可信度采用了林肯和古巴标准:通过定性分析,形成了三个概念类别:结果:通过定性分析,得出了三个概念类别:"预防和缓解疼痛及身体症状"、"自发的同情 "和 "增强父母的复原力";这三个类别是从主要类别中衍生出来的:"关注预防措施"、"护士与患儿家长的友好关系,创造愉快的时刻,自发提供帮助"、"促进应对当前状况,感知与患儿死亡的对抗":本研究结果表明,护士为癌症患儿提供姑息治疗的策略是专业策略和自发策略的结合。
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