Original Article

Humanitarian care: Facilitator of communication between the patients with cancer and nurses

Abstract

Background & Aim: Effective communication with the patients and engaging patients in decision-making and care planning are necessary to improve health outcomes and satisfaction with the treatment. Communicating effectively can help prevent and manage complications following the treatment of cancer. Therefore, this study aimed to describe and explain cancer patients’ communication facilitators' experiences between patients and nurses.
Methods & Materials: This is a qualitative conventional content analysis study. The study was conducted on 22 cancer patients who were selected based on a purposeful sampling approach. Semi-structured interviews were performed to collect the data. The data were then analyzed using conventional content analysis. Also, the Lincoln and Guba criteria were used to measure the trustworthiness of the data.
Results: The researchers have identified the main theme as “humanitarian care”. Besides, five categories of “good-naturedness”, “empathy”, “patience”, “confidentiality”, and “honesty” were also extracted from 18 subcategories.
Conclusion: Effective nurse-patient communication facilitates patients’ healing, enhances clinical outcomes and improves patients’ response to treatment. Hence, these ethical features need to be reinforced among nurses.

1. Atashzadeh-Shoorideh F, Zakaryaee NS, Fani M. The barriers and facilitators in providing spiritual care for parents who have children suffering from cancer. Journal of family medicine and primary care. 2018;7(6):1319.
2. Abdoljabbari M, Sheikhzakaryaee N, Atashzadeh-Shoorideh F. Taking refuge in spirituality, a main strategy of parents of children with cancer: a qualitative study. Asian Pacific journal of cancer prevention: APJCP. 2018;19(9):2575.
3. Feldenzer K, Rosenzweig M, Soodalter JA, Schenker Y. Nurses' perspectives on the personal and professional impact of providing nurse-led primary palliative care in outpatient oncology settings. International journal of palliative nursing. 2019;25(1):30-7.
4. Wittenberg E, Reb A, Kanter E, editors. Communicating with patients and families around difficult topics in cancer care using the COMFORT Communication curriculum. Seminars in oncology nursing; 2018: Elsevier.
5. Strandås M, Bondas T. The nurse–patient relationship as a story of health enhancement in community care: A meta‐ethnography. Journal of advanced nursing. 2018;74(1):11-22.
6. Ardalan F, Bagheri-Saweh M-I, Etemadi-Sanandaji M, Nouri B, Valiee S. Barriers of nurse-patient communication from the nurses' point of view in educational hospitals affiliated to Kurdistan University of Medical Sciences. Nursing Practice Today. 2018;5(3):326-34.
7. Baer L, Weinstein E. Improving oncology nurses' communication skills for difficult conversations. Clinical journal of oncology nursing. 2013;17(3).
8. Cronin JA, Finn S. Implementing and evaluating the COMFORT communication in palliative care curriculum for oncology nurses. Journal of Hospice & Palliative Nursing. 2017;19(2):140-6.
9. Roth RL, Lis G, O’Connor N, Aseltyne KA. Evaluation of COMFORT in strengthening perceived communication confidence of advanced practice registered nurses. Journal of Hospice & Palliative Nursing. 2017;19(1):59-66.
10. Robbins-Welty GA, Mueser L, Mitchell C, Pope N, Arnold R, Park S, et al. Interventionist training and intervention fidelity monitoring and maintenance for CONNECT, a nurse-led primary palliative care in oncology trial. Contemporary clinical trials communications. 2018;10:57-61.
11. Whitehead L, Walker DK. Communication Skills Training for Health Care Professionals Who Work with Cancer Patients. AJN The American Journal of Nursing. 2019;119(7):45.
12. Ethier J-L, Paramsothy T, You JJ, Fowler R, Gandhi S. Perceived barriers to goals of care discussions with patients with advanced cancer and their families in the ambulatory setting: a multicenter survey of oncologists. Journal of palliative care. 2018;33(3):125-42.
13. Montgomery KE, Sawin KJ, Hendricks-Ferguson V. Communication during palliative care and end of life: Perceptions of experienced pediatric oncology nurses. Cancer nursing. 2017;40(2):E47-E57.
14. Banerjee SC, Manna R, Coyle N, Shen MJ, Pehrson C, Zaider T, et al. Oncology nurses' communication challenges with patients and families: a qualitative study. Nurse education in practice. 2016;16(1):193-201.
15. Tan X, Lopez V, Cleary M. Views of recent Singapore nursing graduates: factors influencing nurse–patient interaction in hospital settings. Contemporary nurse. 2016;52(5):602-11.
16. Tuna R, Baykal U. A qualitative study on emotional labor behavior of oncology nurses and its effects. International Journal of Caring Sciences. 2017;10(2):929-36.
17. Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice: Lippincott Williams & Wilkins; 2008.
18. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today. 2004;24(2):105-12.
19. Brinkmann S, Kvale S. Interviews: Learning the craft of qualitative research interviewing: Sage Thousand Oaks, CA; 2015.
20. Graneheim UH, Lindgren B-M, Lundman B. Methodological challenges in qualitative content analysis: A discussion paper. Nurse education today. 2017;56:29-34.
21. Guba EG, Lincoln YS. Competing paradigms in qualitative research: Theories and issues. Approaches to qualitative research: A reader on theory and practice. 2004:17-38.
22. Dawson S, Elliott D, Jackson D. Nurses' contribution to short‐term humanitarian care in low‐to middle‐income countries: An integrative review of the literature. Journal of clinical nursing. 2017;26(23-24):3950-61.
23. Feldman I. Humanitarian care and the ends of life: the politics of aging and dying in a Palestinian refugee camp. Cultural Anthropology. 2017;32(1):42-67.
24. Ferrucci P. The power of kindness: The unexpected benefits of leading a compassionate life: Penguin; 2016.
25. Teófilo TJS, Veras RFS, Silva VA, Cunha NM, Oliveira JdS, Vasconcelos SC. Empathy in the nurse–patient relationship in geriatric care: An integrative review. Nursing ethics. 2019;26(6):1585-600.
26. Muntlin Athlin Å, Brovall M, Wengström Y, Conroy T, Kitson AL. Descriptions of fundamental care needs in cancer care—An exploratory study. Journal of clinical nursing. 2018;27(11-12):2322-32.
27. Mohammadipour F, Atashzadeh-Shoorideh F, Parvizy S, Hosseini M. Concept development of “Nursing presence”: Application of Schwartz-Barcott and Kim's hybrid model. Asian nursing research. 2017;11(1):19-29.
28. Mohammadipour F, Atashzadeh‐Shoorideh F, Parvizy S, Hosseini M. An explanatory study on the concept of nursing presence from the perspective of patients admitted to hospitals. Journal of clinical nursing. 2017;26(23-24):4313-24.
29. Bazmi S, Kiani M, Hashemi Nazari SS, Kakavand M, Mahmoodzade R. Assessment of patients’ awareness of their rights in teaching hospitals in Iran. Medicine, Science and the Law. 2016;56(3):178-83.
30. Abbasi M, Majdzadeh R, Zali A, Karimi A, Akrami F. The evolution of public health ethics frameworks: systematic review of moral values and norms in public health policy. Medicine, Health Care and Philosophy. 2018;21(3):387-402.
Files
IssueVol 8 No 1 (2021): Winter QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/npt.v8i1.4493
Keywords
cancer patient; humanitarian care; morality; facilitator; communication; nurses

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Atashzadeh-Shoorideh F, Mohtashami J, Farhadzadeh M, Sanaie N, Fathollah Zadeh E, Beykmirza R, Abdoljabari M. Humanitarian care: Facilitator of communication between the patients with cancer and nurses. NPT. 2020;8(1):70-78.