Nurses’ communication difficulties when providing end-of-life care in the oncology setting: a cross-sectional study

Toh, Shao Wei; Hollen, Valerie Tantiana; Ang, Elaine; Lee, Yee Mei

doi:10.1007/s00520-020-05787-1

Cited by 10 publications

(12 citation statements)

References 29 publications

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“…Talking with the patient and family about code status ( M = 2.76), advance care planning ( M = 3.31) and resolving family conflicts ( M = 2.76) were the lowest scoring PFCC items. This aligns with Toh et al 18 who found nurses experienced difficulties with communication when providing EOL care. Ben-Zacharia et al also found significant association between palliative care/EOL training and comfort in discussing code status and advanced directives with patients and families.…”

Section: Discussionsupporting

confidence: 89%

“…However, many oncology nurses feel a lack of knowledge of palliative care and concerns communicating with patients and family during end of life care. 15 , 18 Little is known about the preparation and knowledge of CTNs and their perceptions about their ability to provide palliative care in clinical practice. The purpose of this study is to determine the palliative and end-of-life educational needs of CTNs using the End-Of-Life Professional Caregiver Survey (EPCS).…”

Section: Introductionmentioning

confidence: 99%

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Perceived end-of-life educational needs by clinical trials nurses at a comprehensive cancer center

Fessele

Davis

Lasa-Blandon

et al. 2022

Asia-Pacific Journal of Oncology Nursing

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Perceived end-of-life educational needs by clinical trials nurses at a comprehensive cancer center

Fessele

Davis

Lasa-Blandon

et al. 2022

Asia-Pacific Journal of Oncology Nursing

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“…Thus, nurses need to be offered counseling or healing programs to relieve their death-related stress 26 . Moreover, nurses need training regarding communication with patients and family caregivers in end-of-life situations 50 . In China, there is an increased focus on the need to improve end-of-life care coping skills among nurses, including their communication with oncology patients 7 .…”

Section: Discussionmentioning

confidence: 99%

“…26 Moreover, nurses need training regarding communication with patients and family caregivers in end-of-life situations. 50 In China, there is an increased focus on the need to improve end-of-life care coping skills among nurses, including their communication with oncology patients. 7 In this study, nurses expressed concerns about communication challenges with both patients and families.…”

Section: Coping With Psychological Burdenmentioning

confidence: 99%

How Do Oncology Nurses Cope With the Psychological Burden of Caring for Dying Patients?

et al. 2022

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BackgroundCancer is a leading cause of death worldwide, and most patients with cancer in South Korea die in hospitals. Oncology nurses experience physical, emotional, and occupational challenges associated with the psychological burden of caring for dying patients.ObjectiveThis study explored the coping strategies used by oncology nurses to deal with the psychological burden of patient deaths.MethodsIn this descriptive qualitative study, 10 oncology nurses who had recently experienced a patient’s death were recruited via snowball sampling. All were female, with a mean age of 32.9 years (range, 27–44 years), and their mean working duration was 9.9 (range, 3-23) years. Participants were interviewed individually face-to-face 3 times, with each interview lasting 1 to 1.5 hours.ResultsOncology nurses coped with the psychological burden of a patient’s death in the following 4 ways: (a) avoiding patient deaths to the extent possible, (b) reflecting upon the meaning of life and death, (c) suppressing their emotional distress over the patient’s death, and (d) becoming kinder and more caring toward people around them.ConclusionsThe findings suggest that oncology nurses struggle to cope with the psychological burden of patient deaths. Oncology nurses are affected both negatively and positively by experiencing death as they provide end-of-life care.Implications for PracticeOncology nurses need education or counseling to reduce the psychological burden of caring for dying patients with cancer. Hospital administrators need to continuously identify ways to reduce the psychological burden of oncology nurses providing end-of-life care.

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“…As a group with a high frequency of contact with death (Khalaf et al, 2018), research has shown that nurses who provided end-of-life care experienced some positive personal and professional growth (Toh SW et al, 2021). However, for most nurses, coping with death and dying is an emotionally di cult encounter.…”

Section: Introductionmentioning

confidence: 99%

Experience of Chinese Countermarching Nurses with COVID-19 Patients' Death in Wuhan: A Qualitative Study

Guo

Shan³

et al. 2022

Preprint

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Background: The COVID-19 pandemic was occurring worldwide with over a 6.5million deaths. It’s important to explore the instructions for the global nursing community by identifying the personal coping methods of Chinese nurses in Wuhan to deal with patient deaths. Methodology: A qualitative phenomenological study was designed to describe 14 Chinese nurses' COVID-19 patient death experiences through in-depth interviews in April 2022, data were analyzed by conventional content analysis methods. Results: Four themes and subthemes were generated in which participants reported their contacts with COVID-19 patients’ death. The main themes were psychological shock, psychological adjustment, and demands, insights into life and values, and the need for relevant knowledge and skills. Conclusions: The study provided evidence of nurses‘ psychological and professional needs regarding patient deaths during the epidemic. The instructions integrated from nurses' stories could give guidance for a well-prepared global nursing workforce and high-quality end-of-life patient care in the present and future epidemics.

show abstract

Nurses’ communication difficulties when providing end-of-life care in the oncology setting: a cross-sectional study

Cited by 10 publications

References 29 publications

Perceived end-of-life educational needs by clinical trials nurses at a comprehensive cancer center

Perceived end-of-life educational needs by clinical trials nurses at a comprehensive cancer center

How Do Oncology Nurses Cope With the Psychological Burden of Caring for Dying Patients?

Experience of Chinese Countermarching Nurses with COVID-19 Patients' Death in Wuhan: A Qualitative Study

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