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Understanding oncology nurses' difficulties caring for suicidal people.

S M Valente1, J M Saunders

  • 1University of Southern California, Los Angeles, USA.

Medicine and Law
|April 6, 2001
PubMed
Summary

Oncology nurses face challenges caring for suicidal cancer patients due to values, knowledge gaps, and personal experiences. Conflicting professional obligations and patient rights complicate care, impacting nursing practice.

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End-of-life issues.

Geriatric nursing (New York, N.Y.)·2002

Area of Science:

  • Oncology Nursing
  • Psychiatric Complications in Cancer Care
  • Bioethics in Healthcare

Background:

  • Patients with cancer have an elevated suicide risk despite advancements in treatment.
  • Previous studies focused on patient perspectives, leaving a gap in understanding nurses' experiences.
  • Suicidal ideation is a frequent psychiatric complication in cancer patients.

Purpose of the Study:

  • To explore and describe the difficulties oncology nurses encounter when caring for suicidal patients.
  • To analyze nurses' narratives regarding challenges in responding to suicidal patients.
  • To identify factors contributing to the difficulty of caregiving for suicidal cancer patients.

Main Methods:

  • Content analysis of narratives from a survey of 1,200 oncology nurses.
Keywords:
Death and EuthanasiaEmpirical Approach

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  • Random survey methodology with 434 completed questionnaires (37% response rate).
  • Qualitative analysis of open-ended responses describing caregiving difficulties.

    • Main Results:

    • Six primary categories of difficulty emerged: conflicting values, uncomfortable feelings, insufficient knowledge, personal experiences, and the burden of professional responsibility.
    • A significant portion of nurses reported experiencing difficulties in caring for suicidal patients.
    • Some nurses indicated they did not encounter specific difficulties in this aspect of care.

    Conclusions:

    • Oncology nurses experience multifaceted difficulties when caring for suicidal patients, influenced by personal, professional, and ethical factors.
    • The conflict between a patient's right to choose suicide and a nurse's duty to preserve life presents a significant ethical dilemma.
    • Further research and support are needed to address the challenges faced by nurses in managing suicidal ideation in cancer patients.