Antineoplastic therapy administration: Nursing intervention in the relief of suffering

Abstract

Objective: To identify the nursing interventions with potential to act on the suffering and to evaluate the results of the nursing intervention designed. Method: We used a multi method study. After the identification of the scientific evidence and having found the supporting theory, the intervention process to relieve the suffering of hospitalized patients was modeled using the methodology of qualitative research. Then, training conditions were created for the implementation of the intervention Chemotherapy Administration as an Individualized Nursing Intervention, with a Quasi Experimental, longitudinal piloting study. Results: The patients of the experimental group showed values of suffering lower than the control group . Having finished the pilot study, we would return to qualitative research to understand the variation of some data. Final Considerations: The use of mixed methods of investigations allowed the understanding of the different components of drug chemotherapy administration as an individualized nursing intervention.

Distress in the context of cancer and chemotherapy: A mixed‐method study

“…Quantitative data were obtained by applying the IESSD (Gameiro, 2000; Sá et al, 2019). This instrument evaluates the experience of global distress from the total score on 44 items that are answered using a five‐level Likert scale: (1) it does not correspond to what happens to me at all; (2) it corresponds a little; (3) it corresponds well; (4) it corresponds very much; (5) it totally corresponds to what happens to me.…”

Health needs related to chemotherapy treatment: construction and validation of educational videos

“…Nos princípios e diretrizes da Política Nacional para a Prevenção e Controle do Câncer, é nítido o estabelecimento de estratégias de comunicação com a população que possibilitam disseminar e ampliar o conhecimento sobre o câncer, seus fatores de risco e as estratégias de prevenção e de controle (2) . Nesse contexto, é competência do enfermeiro em quimioterapia: formular e implementar manuais educativos dirigidos aos pacientes e familiares, adequando-os à sua realidade social, assim como melhorar a sua qualidade de vida pela disseminação de critérios de prevenção de riscos e agravos por intermédio da orientação dos pacientes e familiares, aliado a um cuidado individualizado (3) .…”

Unbearable Suffering: A Concept Analysis

“…Suffering is subjective in nature, so attributes can only be identified if and when the sufferer mentions them or by observing behaviors consistent with the presence of suffering. Given the complexity of the concept, there are currently no instruments available to assess it, and it is particularly difficult to assess it in people who have experienced intellectual disability throughout their lives 36 . Because of the absence of tools for diagnosing suffering as unbearable, we believe it is necessary to develop and incorporate a new diagnosis into nursing taxonomies.…”

“…Given the complexity of the concept, there are currently no instruments available to assess it, and it is particularly difficult to assess it in people who have experienced intellectual disability throughout their lives. 36 Because of the absence of tools for diagnosing suffering as unbearable, we believe it is necessary to develop and incorporate a new diagnosis into nursing taxonomies. For instance, this diagnostic proposal (Figure 1) could be considered for inclusion in "Domain 9: Coping/Stress Tolerance" and "Class 2: Coping Responses" of the NANDA taxonomy.…”