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Challenging situations when administering palliative chemotherapy - a nursing perspective.
Ulla Näppä1, Birgit H Rasmussen2, Bertil Axelsson3
1Department of Radiation Sciences, Unit of Clinical Research Centre - Östersund, Umeå University, S-901 87 Umeå, Sweden; Department of Nursing, Umeå University, S-901 87 Umeå, Sweden.
Summary
Registered nurses face challenges administering palliative chemotherapy treatments (PCT) to cancer patients. Improving communication and early palliative care team involvement can prevent difficult situations during PCT.
Area of Science:
- Oncology Nursing
- Palliative Care
- Cancer Treatment
Background:
- Palliative chemotherapy treatments (PCT) are increasingly common for incurable cancer.
- Optimizing tumor response while minimizing harm is a key challenge.
- Registered nurses frequently administer PCT and encounter complex situations.
Purpose of the Study:
- To explore challenging situations experienced by nurses during PCT administration.
- To identify dilemmatic situations encountered by nurses in palliative cancer care.
Main Methods:
- Qualitative study using narrative interviews with experienced registered nurses.
- Analysis of narrated PCT situations using structural and thematic narrative analysis.
Main Results:
- Seventeen nurses narrated twenty-eight stories, with twenty identified as dilemmas.
- Dilemmas clustered into three storylines related to drug administration uncertainty, patient-requested PCT, and communication gaps.
- Six dilemmatic situations were identified across these themes.
Conclusions:
- Nurses administering PCT face complex, dilemmatic situations.
- Improved communication and shared decision-making among nurses, physicians, patients, and relatives may prevent some dilemmas.
- Early integration of palliative care teams can benefit both staff and patients.
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