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BMC Palliative Care
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Open Access 01-12-2024 | Research

How do work in oncology unit nurses experience hospice care provision in China? A descriptive phenomenological study

Authors: Yingjuan Huang, Qianping Zhang, Cui Wang, Huifen Wang, Jing Zhao, Jianfei Chen, Qing Zhang, Jinbing Bai, Zhijie Zou, Juying Hu, Yanqun Liu

Published in: BMC Palliative Care | Issue 1/2024

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Abstract

Objectives

To explore the experiences and perceptions of oncology nurses providing hospice care in Chinese mainland.

Methods

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.

Results

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.

Conclusions

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.
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Literature
1.
Zimmermann C, Swami N, Krzyzanowska M, Hannon B, Leighl N, Oza A, et al. Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial. Lancet. 2014;383(9930):1721–30.PubMedCrossRef
2.
Gayatri D, Efremov L, Kantelhardt EJ, Mikolajczyk R. Quality of life of cancer patients at palliative care units in developing countries: systematic review of the published literature. Qual Life Res. 2021;30(2):315–43.PubMedCrossRef
3.
4.
5.
Shi YX, Wang RG. A study on the current situation and policies of hospice care services in urban China. Shanghai: Shanghai Science and Technology Education; 2010.
6.
Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: Globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229–63.PubMedCrossRef
7.
8.
Berglund K, Chai E, Moreno J, Reyna M, Gelfman LP. A social worker-led primary palliative care model for hospitalized patients admitted to the hospital medicine service. Palliat Med Rep. 2020;1(1):234–41.PubMedPubMedCentralCrossRef
9.
Rees-Roberts M, Williams P, Hashem F, Brigden C, Greene K, Gage H, et al. Hospice at home services in England: a national survey. BMJ Support Palliat Care. 2021;11(4):454–60.PubMedCrossRef
10.
11.
12.
13.
National Health Commission of the People’s Republic of China. Notice of the general office of the national health commission on launching the second batch of hospice care pilot work 2019 [updated 2019-12-05.
14.
Finkelstein EA, Bhadelia A, Goh C, Baid D, Singh R, Bhatnagar S, et al. Cross country comparison of expert assessments of the quality of death and dying 2021. J Pain Symptom Manage. 2022;63(4):E419–29.PubMedCrossRef
15.
Xia CF, Dong XS, Li H, Cao MM, Sun DQ, He SY, et al. Cancer statistics in China and United States, 2022: profiles, trends, and determinants. Chin Med J. 2022;135(05):584–90.PubMedPubMedCentralCrossRef
16.
Zheng HL, Cheng QQ, Chen YY, Zhang QH. Status quo on quality of nursing for palliative care. Chin Nurs Res. 2021;35(7):1203–7.
17.
Capodanno I, Rocchi M, Prandi R, Pedroni C, Tamagnini E, Alfieri P, et al. Caregivers of patients with hematological malignancies within home care: a phenomenological study. Int J Environ Res Public Health. 2020;17(11):4036.PubMedPubMedCentralCrossRef
18.
Stuart P. How do hospital nurses experience end-of-life care provision? A creative phenomenological approach. Br J Nurs. 2022;31(19):997–1002.PubMedCrossRef
19.
Parekh de Campos A, Levoy K, Pandey S, Wisniewski R, DiMauro P, Ferrell BR, et al. Integrating palliative care into nursing care. Am J Nurs. 2022;122(11):40–5.PubMedPubMedCentralCrossRef
20.
Ikander T, Raunkiær M, Hansen O, Dieperink KB. Nurses’ involvement in end-of-life discussions with incurable cancer patients and family caregivers: an integrative review. Palliat Support Care. 2022;20(4):570–81.PubMedCrossRef
21.
Gómez-Urquiza JL, Albendín-García L, Velando-Soriano A, Ortega-Campos E, Ramírez-Baena L, Membrive-Jiménez MJ, et al. Burnout in palliative care nurses, prevalence and risk factors: a systematic review with meta-analysis. Int J Environ Res Public Health. 2020;17(20):7672.PubMedPubMedCentralCrossRef
22.
Costeira C, Ventura F, Pais N, Santos-Costa P, Dixe MA, Querido A, et al. Workplace stress in Portuguese oncology nurses delivering palliative care: a pilot study. Nurs Rep. 2022;12(3):597–609.PubMedPubMedCentralCrossRef
23.
FitzGerald K, Seale NS, Kerins CA, McElvaney R. The critical incident technique: a useful tool for conducting qualitative research. J Dent Educ. 2008;72(3):299–304.PubMedCrossRef
24.
25.
Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, editors. Existential-phenomenological alternatives for psychology. Oxford University Press; 1978. p. 6.
26.
Lin YJ, Chang HT, Lin MH, Chen RY, Chen PJ, Lin WY, et al. Professionals’ experiences and attitudes toward use of traditional Chinese medicine in hospice palliative inpatient care units: a multicenter survey in Taiwan. Integr Med Res. 2021;10(2):100642.PubMedCrossRef
27.
Hunter JJ, Maunder RG, Sui D, Esplen MJ, Chaoul A, Fisch MJ, et al. A randomized trial of nurse-administered behavioral interventions to manage anticipatory nausea and vomiting in chemotherapy. Cancer Med. 2020;9(5):1733–40.PubMedPubMedCentralCrossRef
28.
Webb JA, LeBlanc TW. Evidence-based management of cancer pain. Semin Oncol Nurs. 2018;34(3):215–26.PubMedCrossRef
29.
Han GG, Chen CY, Wang PP, Du RF, Lu HM, Zhang CB. Qualitative study on work status of palliative care nurses. J Nurs Sci. 2020;35(12):65–7.
30.
Banerjee SC, Manna R, Coyle N, Shen MJ, Pehrson C, Zaider T, et al. Oncology nurses’ communication challenges with patients and families: a qualitative study. Nurse Educ Pract. 2016;16(1):193–201.PubMedCrossRef
31.
Clayton MF, Iacob E, Reblin M, Ellington L. Hospice nurse identification of comfortable and difficult discussion topics: associations among self-perceived communication effectiveness, nursing stress, life events, and burnout. Patient Educ Couns. 2019;102(10):1793–801.PubMedPubMedCentralCrossRef
32.
Morgan DD, Litster C, Winsall M, Devery K, Rawlings D. It’s given me confidence: a pragmatic qualitative evaluation exploring the perceived benefits of online end-of-life education on clinical care. BMC Palliat Care. 2021;20(1):57.PubMedPubMedCentralCrossRef
33.
Buller H, Virani R, Malloy P, Paice J. End-of-life nursing and education consortium communication curriculum for nurses. J Hosp Palliat Nurs. 2019;21(2):E5–12.PubMedCrossRef
34.
Li T, Pei X, Chen X, Zhang S. Identifying end-of-life preferences among Chinese patients with cancer using the heart to heart card game. Am J Hosp Palliat Care. 2021;38(1):62–7.PubMedCrossRef
35.
Du J, Fu L, Cui J, An Z, Fang P, Tan L et al. Effects of the heart to heart card game for patients with advanced cancer receiving home-based palliative care: a clinical randomized controlled trial. Int J Environ Res Public Health. 2022;19(10).
36.
Du J, Fu L, Cui J, An Z, Fang P, Tan L, et al. Effects of the heart to heart card game for patients with advanced cancer receiving home-based palliative care: a clinical randomized controlled trial. Int J Environ Res Public Health. 2022;19(10):6115.PubMedPubMedCentralCrossRef
37.
Zeng J, Xie CQ, Shi BX, Wang YH, Jin L, Li Q, et al. The perception and behavior of lcu nurses for hospice care: a meta-synthesis. Chin Nurs Manage. 2021;21(6):866–974.
38.
Turley A, Larson EB, Silver J, Klingler C. Religious preference and hospice choice. Omega (Westport). 2020;81(2):319–29.PubMedCrossRef
39.
Ling M, Wang X, Ma Y, Long Y. A review of the current state of hospice care in China. Curr Oncol Rep. 2020;22(10):99.PubMedCrossRef
40.
Zheng RS, Guo QH, Dong FQ, Owens RG. Chinese oncology nurses’ experience on caring for dying patients who are on their final days: a qualitative study. Int J Nurs Stud. 2015;52(1):288–96.PubMedCrossRef
41.
Mohammed S, Savage P, Kevork N, Swami N, Rodin G, Zimmermann C. I’m going to push this door open. You can close it: a qualitative study of the brokering work of oncology clinic nurses in introducing early palliative care. Palliat Med. 2020;34(2):209–18.PubMedCrossRef
42.
Bonetti L, Tolotti A, Anderson G, Nania T, Vignaduzzo C, Sari D, et al. Nursing interventions to promote patient engagement in cancer care: a systematic review. Int J Nurs Stud. 2022;133:104289.PubMedCrossRef
43.
Slatyer S, Pienaar C, Williams AM, Proctor K, Hewitt L. Finding privacy from a public death: a qualitative exploration of how a dedicated space for end-of-life care in an acute hospital impacts on dying patients and their families. J Clin Nurs. 2015;24(15–16):2164–74.PubMedCrossRef
44.
Chen X, Giles J, Yao Y, Yip W, Meng Q, Berkman L, et al. The path to healthy ageing in China: a peking university-lancet commission. Lancet. 2022;400(10367):1967–2006.PubMedPubMedCentralCrossRef
45.
Finucane AM, Carduff E, Lugton J, Fenning S, Johnston B, Fallon M, et al. Palliative and end-of-life care research in Scotland 2006–2015: a systematic scoping review. BMC Palliat Care. 2018;17(1):1–14.CrossRef
46.
Zhou WQ, Wu R, Lu BB, Xia Q. The practice of hospital-community linkage model to enhance community nurses’ ability of tcm nursing service. Chin Nurs Manage. 2018;18(11):1454–8.
47.
Ward A, Sixsmith J, Spiro S, Graham A, Ballard H, Varvel S, et al. Carer and staff perceptions of end-of-life care provision: case of a hospice-at-home service. Br J Community Nurs. 2021;26(1):30–6.PubMedCrossRef
48.
Ruta F, Ferrara P, Gracco N, Pistillo D. Quality of life in cancer patients in integrated home oncological care and hospice: comparative study. Recenti Prog Med. 2021;112(6):454–7.PubMed
49.
Jeong JG, Kang SW, Choi SB. Employees’ weekend activities and psychological well-being via job stress: a moderated mediation role of recovery experience. Int J Environ Res Public Health. 2020;17(5):1642.PubMedPubMedCentralCrossRef
50.
Gil-Beltrán E, Meneghel I, Llorens S, Salanova M. Get vigorous with physical exercise and improve your well-being at work! Int J Environ Res Public Health. 2020;17(17):6384.PubMedPubMedCentralCrossRef
Metadata
Title
How do work in oncology unit nurses experience hospice care provision in China? A descriptive phenomenological study
Authors
Yingjuan Huang
Qianping Zhang
Cui Wang
Huifen Wang
Jing Zhao
Jianfei Chen
Qing Zhang
Jinbing Bai
Zhijie Zou
Juying Hu
Yanqun Liu
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Palliative Care / Issue 1/2024
Electronic ISSN: 1472-684X
DOI
https://doi.org/10.1186/s12904-024-01597-y

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