Oncology nursing forum · 2002
Prognostication in advance cancer: nurses' perceptions of the dying process.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Dendaas Nancy R
Аннотация
PURPOSE/OBJECTIVES: To determine how experienced nurses describe the dying process of patients with advanced cancer.
SAMPLE/SETTING: Fifteen nurses, experienced in the care of patients with advanced cancer, employed by a midsize midwestern hospice or academic inpatient oncology unit.
METHODS: Individual interviews using structured and semi-structured questions. Responses were content-analyzed using Krippendorff's techniques.
MAIN RESEARCH VARIABLE: Dying process in cancer.
FINDINGS: Nurses view the dying process as a weeks-to-months-long, multidimensional process that encompasses physical, psychosocial, and spiritual/existential domains. Impending death is recognized and monitored. Common clinical signs include declining interest in life, increased weakness, somnolence, and changes in respiratory, circulatory, and cognitive status.
CONCLUSIONS: Active (or acute) dying processes are recognized and monitored by nurses; the complexities and patterns of the phenomenon remain unarticulated.
IMPLICATIONS FOR NURSING: Future research could explore both empirical and contextual aspects of acute dying processes. Nurses are in a position to develop useful knowledge about acute dying processes in cancer.
SAMPLE/SETTING: Fifteen nurses, experienced in the care of patients with advanced cancer, employed by a midsize midwestern hospice or academic inpatient oncology unit.
METHODS: Individual interviews using structured and semi-structured questions. Responses were content-analyzed using Krippendorff's techniques.
MAIN RESEARCH VARIABLE: Dying process in cancer.
FINDINGS: Nurses view the dying process as a weeks-to-months-long, multidimensional process that encompasses physical, psychosocial, and spiritual/existential domains. Impending death is recognized and monitored. Common clinical signs include declining interest in life, increased weakness, somnolence, and changes in respiratory, circulatory, and cognitive status.
CONCLUSIONS: Active (or acute) dying processes are recognized and monitored by nurses; the complexities and patterns of the phenomenon remain unarticulated.
IMPLICATIONS FOR NURSING: Future research could explore both empirical and contextual aspects of acute dying processes. Nurses are in a position to develop useful knowledge about acute dying processes in cancer.