Nurses' perspectives on the personal and professional impact of providing nurse-led primary palliative care in outpatient oncology settings

护士对在门诊肿瘤科提供护士主导的初级姑息治疗的个人和职业影响的看法

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Abstract

BACKGROUND: Palliative care (PC) workforce shortages have led to a need for primary PC provided by non-specialists. The Care Management by Oncology Nurses (CONNECT) intervention provides infusion room oncology nurses with training and support to provide primary PC. AIMS: To describe nurses' perspectives on the personal and professional impact of training and provision of primary PC as part of CONNECT. METHODS: This qualitative study consisted of in-depth telephone interviews with 11 nurses at oncology practices in Pennsylvania. Data was analysed using qualitative content analysis. FINDINGS: Nurses reported a sense of personal and professional fulfillment from providing primary PC, while noting the risk of increased emotional attachment to patients. Participation improved nursing communication skills. A supportive workplace helped to minimise stress related to incorporating primary PC into busy treatment schedules. CONCLUSION: Providing primary PC challenges the task-oriented paradigm of nursing practice and will potentially alter the professional roles and workloads of infusion room nurses.

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