Patients' Perceptions of the Importance of Nurses' Knowledge About Cancer and Its Treatment for Quality Nursing Care
Purpose/Objectives: To gain insight into how and why patients' perceptions of nurses' knowledge about cancer and its treatments relate to quality nursing care.
Design: Qualitative study inspired by Giorgi's approach to phenomenology.
Setting: An oncology ward in a regional hospital in Norway.
Sample: 20 patients (10 women and 10 men). Most received life-prolonging and symptom-relieving treatment, whereas 4 had the possibility of being cured.
Methods: In-depth interviews were tape recorded, transcribed, and analyzed. The text was read as a whole, condensed into units of meaning, and clustered into themes of importance. Finally, the consistency between identified themes and the general structure of the interviews was checked.
Findings: Patients regarded knowledge about cancer and its treatment as basic in nursing and took for granted that nurses had this competency. Three themes were identified that explained why the knowledge was important: (a) it makes patients feel safe and secure and alleviates suffering by providing useful information, (b) it prevents and alleviates suffering and insecurity during chemotherapy, and (c) it alleviates suffering by relieving side effects caused by the treatment and symptoms caused by the disease.
Conclusions: Patients appreciated meeting nurses who had experience and could combine clinical and biologic knowledge and nursing skills with a human touch. In addition, nurses alleviated patients' bodily and existential suffering and made them feel safe and secure.
Implications for Nursing: Experienced, effective nurses with knowledge about cancer and its treatments are needed in oncology wards to provide optimal care to patients.
Basset, C. (2002). Nurses' perceptions of care and caring. <i>International Journal of Nursing Practice, 8</i>, 8-15.
Benner, P. (1984). <i>From novice to expert. Excellence and power in clinical nursing practice.</i> Menlo Park, CA: Addison-Wesley.
Bevis, E. O. (1981). Caring: A life force. In M. M. Leininger (Ed.), <i>Caring: An essential human need. Proceedings of three national Caring Conferences</i> (pp 49-60). Thorofare, NJ: Slack.
Calman, L. (2006). Patients' views of nurses' competence. <i>Nurse Education Today, 26</i>, 719-725. doi: 10.1016/j.nedt.2006.07.016
Carter, C., MacLeod, R., Brander, P., & McPherson, K. (2004). Issues and innovations in nursing practice. Living with a terminal illness: Patients' priorities. <i>Journal of Advanced Nursing, 45</i>, 611-624. doi: 10.1046/j.1365-2648.2003.02953.x
Clayton, J. M., Butow, P. N., Arnold, R. M., & Tattersall, M. H. (2005). Fostering coping and nurturing hope when discussing the future with terminally ill cancer patients and their caregivers. <i>Cancer, 103</i>, 1965-1975. doi: 10.1002/cncr.21011
Eriksson, K. (1995). <i>Det lidende mennesket</i> [The suffering human being]. Oslo, Norway: TANO.
Eriksson, K. (2002). Caring science in a new key. <i>Nursing Science Quarterly, 15</i>, 61-65.
Evans, R. J., & Donnelly, G. W. (2006). A model to describe the relationship between knowledge, skill, and judgment in nursing practice. <i>Nursing Forum, 41</i>, 150-157. doi: 10.1111/j.1744-6198.2006.00053.x
Giorgi, A. (1985). <i>Phenomenology and psychological research.</i> Menlo Park, CA: Duquesne University Press.
Giorgi, A. (2000). Concerning the application of phenomenology to caring research. <i>Scandinavian Journal of Caring Sciences, 14</i>, 11-15.
Groenewald, T. A. (2004). Phenomenological research design illustrated. <i>International Journal of Qualitative Methods, 3</i>, 1-25.
Halldorsdottir, S., & Hamrin, E. (1997). Caring and uncaring encounters within nursing and health care from the cancer patient's perspective. <i>Cancer Nursing, 20</i>, 120-128. doi: 10.1097/00002820-199704000-00007
Kvale, S. (1996). <i>Interviews: An introduction to qualitative research interviewing.</i> London, England: Sage.
Larrabe, J. H., & Bolden, L. V. (2001). Defining patient perceived quality of nursing care. <i>Journal of Nursing Care Quality, 16</i>, 34-60.
Larson, P. J. (1987). Comparison of cancer patients' and professional nurses' perceptions of important nurse caring behaviours. <i>Heart and Lung, 16</i>, 187-193.
Loscin, R. C. (2001). Practicing nursing: Technological competency as an expression of caring. In R. C. Loscin (Ed.), <i>Advancing technology, caring, and nursing</i> (pp. 88-95). Westport, CT: Auburn House.
Lynn, M., & McMillen, B. J. (1999). Do nurses know what patients think is important in nursing care? <i>Journal of Nursing Care Quality, 13</i>, 65-74.
Manns, V. C. (1993). Care versus cure: A nursing perspective. <i>Aspen's Advisor for Nurse Executives, 8</i>, 4-5.
Maslow, A. H. (1968). <i>Toward a psychology of being</i> (2nd ed.). New York, NY: Van Nostrand.
McGrath, M. (2008). The challenges of caring in a technological environment: Critical care nurses' experiences. <i>Journal of Clinical Nursing, 17</i>, 1096-1104. doi: 10.1111/j.1365-2702.2007.02050.x
McKenna, G. (1993). Caring is the essence of nursing practice. <i>British Journal of Nursing, 2</i>, 72-76.
Morse, J. M., & Field, P. A. (1996). <i>Nursing research. The application of qualitative approaches</i> (2nd ed.). London, England: Chapman and Hall.
Nystrøm, M., & Dahlberg, K. (2001). Pre-understanding and openness—A relationship without hope? <i>Scandinavian Journal of Caring Sciences, 15</i>, 339-346. doi: 10.1046/j.1471-6712.2001.00043.x
Polit, D. F., & Hungler, B. P. (1999). <i>Nursing research: Principles and methods.</i> Philadelphia, PA: Lippincott Williams and Wilkins.
Radwin, L. (2000). Oncology patients' perceptions of quality nursing care. <i>Research in Nursing and Health, 23</i>, 179-190.
Radwin, L., & Alster, K. (1999). Outcomes of perceived quality nursing care reported by oncology patients. <i>Scholarly Inquiry for Nursing Practice, 13</i>, 327-342.
Radwin, L. E., Farquhar, S. L., Knowles, M. N., & Virchick, B. G. (2005). Cancer patients' descriptions of their nursing care. <i>Journal of Advanced Nursing, 50</i>, 162-169. doi: 10.1111/j.1365-2648.2005.03375.x
Roach, S. (2002). <i>Caring: The human mode of being</i> (2nd ed.). Ottawa, Canada: Canadian Hospital Association Press.
Scotto, C. J. (2003). A new view of caring. <i>Journal of Nursing Education, 42</i>, 289-291.
Stiggelbout, A. M., & de Haes, J. C. (2001). Patient preference for cancer therapy: An overview of measurements approaches. Review. <i>Journal of Clinical Oncology, 19</i>, 220-230.
Thompson, G., & McClement, S. (2002). Defining and determining quality in end-of-life care. <i>International Journal of Palliative Nursing, 8</i>, 288-293.
von Essen, L., & Sjöden, P. O. (1991). The importance of nurse caring behaviors as perceived by Swedish hospital patients and nursing staff. <i>International Journal of Nursing Studies, 28</i>, 267-281. doi: 10.1016/0020-7489(91)90020-4
Widmark-Petersson, V., von Essen, L., & Sjöden, P. O. (2000). Perceptions of caring among patients with cancer and their staff. Differences and disagreements. <i>Cancer Nursing, 23</i>, 32-39. doi: 10.1097/00002820-200002000-00005
Wilde, B., Starrin, B., Larsson, G., & Larsson, M. (1993). Quality of care from a patient perspective. <i>Scandinavian Journal of Caring Science, 7</i>, 113-120.
World Medical Association. (2002). <i>Declaration of Helsinki ethical principles for medical research involving human subjects.</i> Retrieved from <a target="_blank" href='http://www.wma.net/en/30publications/10policies/b3/17c.pdf'>http://www.w...