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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 January 3
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.
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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