Asia-Pacific journal of oncology nursing · 2025
Palliative care nurses' perspectives on peer support in China: A qualitative study.
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Lu Xinyu, Zhang Shuyu, Chen Yuting, Yu Shanshan, Li Xiaoyan, Zhang Huichao, Zhang Yuxi
Аннотация
OBJECTIVE: Palliative care nurses often need peer support due to their frequent exposure to emotional and ethical stress. This study aims to explore their experiences, perceptions, and preferences regarding peer support in China, and provide evidence for developing effective support systems to enhance these nurses' mental well-being.
METHODS: A descriptive phenomenological approach under a qualitative design was employed. Using purposive sampling, 15 palliative care nurses were recruited from four centers in Nanjing, Jiangsu Province, China. Data were collected through semi-structured interviews and their themes and subthemes were classified.
RESULTS: Nurses shared a range of experiences in peer support, involving emotional support, informational support, and clinical skills support. They perceived these supports helpful to reduce emotional isolation, shift attitudes on death, increase patients' satisfaction with care, and polish clinical knowledge and skills. However, they also identified several barriers to implementing peer support, such as the lack of appropriate initiators and hierarchical differences, time constraints and fatigue, and lack of financial compensation. Despite these challenges, participants expressed clear preferences regarding peer support, particularly highlighting the characteristics of peer support providers and preferred formats of peer support.
CONCLUSIONS: Emotional, informational, and clinical skills support from peers can help palliative care nurses cope with emotional and ethical stress in the face of death, thus enhancing their professional resilience, improving emotional well-being, and increasing patients' satisfaction with care. However, in establishing peer support programs, structural and cultural factors should be taken into account, such as heavy workloads, hierarchical differences, attitudes toward death, and expression of emotion. Government should increase palliative care funding, and work with health authorities to improve nurses' welfare, and prioritize their mental health.
METHODS: A descriptive phenomenological approach under a qualitative design was employed. Using purposive sampling, 15 palliative care nurses were recruited from four centers in Nanjing, Jiangsu Province, China. Data were collected through semi-structured interviews and their themes and subthemes were classified.
RESULTS: Nurses shared a range of experiences in peer support, involving emotional support, informational support, and clinical skills support. They perceived these supports helpful to reduce emotional isolation, shift attitudes on death, increase patients' satisfaction with care, and polish clinical knowledge and skills. However, they also identified several barriers to implementing peer support, such as the lack of appropriate initiators and hierarchical differences, time constraints and fatigue, and lack of financial compensation. Despite these challenges, participants expressed clear preferences regarding peer support, particularly highlighting the characteristics of peer support providers and preferred formats of peer support.
CONCLUSIONS: Emotional, informational, and clinical skills support from peers can help palliative care nurses cope with emotional and ethical stress in the face of death, thus enhancing their professional resilience, improving emotional well-being, and increasing patients' satisfaction with care. However, in establishing peer support programs, structural and cultural factors should be taken into account, such as heavy workloads, hierarchical differences, attitudes toward death, and expression of emotion. Government should increase palliative care funding, and work with health authorities to improve nurses' welfare, and prioritize their mental health.