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Descriptions of Fundamental Care needs in cancer care: an exploratory study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Cardiovascular epidemiology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. School of Nursing, University of Adelaide; Department of Emergency Care and Internal Medicine, Uppsala University Hospital, 751 85 Uppsala, Sweden . (Institutionen för Folkhälso- och vårdvetenskap, Hälso- och sjukvårdsforskning)ORCID iD: 0000-0002-7221-2876
Högskolan i Skövde/Institutionen för hälsa och lärande.
Karolinska Institutet/ Institutionen för Neurobiologi, Vårdvetenskap och Samhälle (NVS), H1, Sektionen för omvårdnad- Omvårdnad 2, Karolinska Universitetssjukhuset ; CRU .
School of Nursing, University of Adelaide, Australia.
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2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aims and objectives

To explore the experiences of the fundamentals of care for people with a cancer diagnosis, from diagnosis to after adjuvant treatment.

Background

More focus is needed on the experience of people living with cancer, as current cancer care more emphasises on independence and resilience without fully acknowledging that there will be moments in the cancer journey where patients will need ‘basic nursing care’ to manage their symptoms and care pathways.

Design

Secondary analysis of qualitative data.

Method

Secondary thematic analysis of interview data from 30 people with a diagnosis of breast (n=10), colorectal (n=10) or prostate (n=10) cancer was undertaken.

Results

The findings revealed vivid descriptions of the fundamentals of care (i.e. basic needs) and participants described physical, psychosocial and relational aspects of the delivery of care. Both positive (e.g. supportive and kind) and negative (e.g. humiliating) experiences related to the relationship with the healthcare professionals were re-counted and affected the participants’ experiences of the fundamentals of care. Participants’ accounts of their fundamental care needs were provided without them identifying who, within the health care system, was responsible for providing these needs. Specific nursing interventions were seldom described.

Conclusion

Some people with a cancer diagnosis have to strive for help and support from the nursing staff to manage to regain control over their recovery. Nurses in cancer care need to focus on the patients’ fundamental care needs to optimise their patients’ recovery.

Place, publisher, year, edition, pages
2018.
National Category
Nursing
Research subject
Caring Sciences in Medical Sciences
Identifiers
URN: urn:nbn:se:uu:diva-342064DOI: 10.1111/jocn.14251PubMedID: 29292542OAI: oai:DiVA.org:uu-342064DiVA, id: diva2:1183639
Available from: 2018-02-19 Created: 2018-02-19 Last updated: 2018-03-15Bibliographically approved

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Muntlin Athlin, Åsa

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