Research Article
BibTex RIS Cite

Hemşirelerin Palyatif Bakım Ünitesinde Çalışma İle İlgili Görüşleri: Kalitatif Çalışma

Year 2022, Volume: 5 Issue: 2, 191 - 199, 11.09.2022
https://doi.org/10.38108/ouhcd.896557

Abstract

Amaç: Palyatif bakım merkezinde çalışan hemşirelerin palyatif bakım konusundaki görüşlerini belirlemektir.
Yöntem: Bu nitel çalışma İç Anadolu Bölgesi'nde bulunan bir palyatif merkezinde çalışan yedi hemşire ile yapılmıştır. Araştırmanın verileri hemşirelerin sosyo-demografik özelliklerini içeren anket formu ve derinlemesine görüşme yöntemi ile toplanmıştır. Derinlemesine görüşme yönteminde yarı yapılandırılmış soru formu kullanılmıştır. Toplanan veriler "sayı ve ortalama" ve “içerik analizi ve veri indirgeme” yöntemleriyle irdelenmiştir.
Bulgular: Çalışmaya katılan yedi kişi hemşire ve lisans mezunudur. Hemşirelerin çoğunluğu palyatif bakım konusunda eğitim almamışlardır. Çalışmada dört tema (yaşam sonu bakım, iletişim, gereksinim, zorluk) ve yedi alt tema (her türlü bakım, iletişim kurmada güçlük, empati, hastanın ve hasta yakınlarıın palyatif bakım gereksinimleri, personel sayısının azlığı, malzeme ve fiziksel koşulların yetersizliği) belirlenmiştir.
Sonuç: Ülkemiz için yeni ve önemli bir kavram olan palyatif bakım daha çok yaşam sonu dönemde verilmektedir. Görüşmelerde, hizmetleri geliştirmek için dikkate alınması gereken eksiklikler tespit edilmiştir. Çalışma sonuçları doğrultusunda mezuniyet öncesinde eğitim sırasında ve mezuniyet sonrası hizmet içi eğitimlerle palyatif konusunun yapılandırılması ve palyatif bakım merkezlerinin planlanması, gereksinimlerin belirlenmesinde yaşanan sorunların göz önünde bulundurulması önerilmektedir.

Thanks

Çalışmaya katılan hemşirelere teşekkür ederiz.

References

  • Akçiçek F, Akbulut G, Fadıloğlu ZÇ. (2013). Palyatif Bakım evde ve hastanede çalıştay raporu. İzmir, Ege Geriatri Derneği Yayınları.1.
  • Aksayan S, Emiroğlu N. (2004). Araştırma Tasarımı. In: Hemşirelikte Araştırma. Eds: Erefe İ, 3.Baskı. Ankara: Odak Ofset, p. 65-122.
  • Andersson E, Salickiene Z, Rosengren K. (2016). To be involved—A qualitative study of nurses' experiences of caring for dying patients. Nurse Education Today, 38, 144-149.
  • Azami-Aghdash S, Ghojazadeh M, Aghaei MH, Naghavi-Behzad M, Asgarlo Z. (2015). Perspective of patients, patients' families, and healthcare providers towards designing and delivering hospice care services in a middle income country. Indian Journal of Palliative Care, 21(3), 341-348.
  • Baltacı A. (2019). Nitel araştırma süreci: Nitel bir araştırma nasıl yapılır? J Ahi Evran Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 5(2), 368-388.
  • Başkale H. (2016). Nitel araştırmalarda geçerlik, güvenirlik ve örneklem büyüklüğünün belirlenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 9(1), 23-28.
  • Can G. (2015). The implementation and advancement of palliative care nursing in Turkey. Journal of Palliative Care & Medicine, 5, 1-8.
  • Çınar H, Kaya Y, Enginyurt Ö. (2017). Palyatif bakım hastalarında yaşam kalitesi. Turkiye Klinikleri Journal of Family Medicine Special Topics, 8(4), 282-286.
  • Dahlin CM. (2013). Clinical Practice Guidelines for Quality Palliative Care. USA. Elçigil A. (2011). The current status of palliative care in Turkey: a nurse's perspective. Journal of Pediatric Hematology/Oncology, 33, 70-72.
  • Erdoğan S. (2014). Nitel araştırmalar. In: Hemşirelikte Araştırma Süreç, Uygulama ve Kritik. Eds: Erdoğan S, Nahcivan N, Esin M. İstanbul: Nobel Tıp Kitabevleri, p. 133-164.
  • Eskigülek Y, Kav S. (2020). Palyatif bakım hastaları ve hemşirelerinin gözünden itibarlı bakım. Türk Hemşireler Derneği Dergisi, 1(1), 1-18.
  • Farmani AH, Mirhafez SR, Kavosi A, Moghadam Pasha A, Jamali nasab A, Mohammadi G, Moeini V, Aryayi Far MR, Movahedi A. (2019). Dataset on the nurses’ knowledge, attitude and practice towards palliative care. Data in Brief, 22, 319-325.
  • Gültekin M, Özgül N, Olcayto E, Tuncer AM. (2010). Türkiye'de palyatif bakim hizmetlerinin mevcut durumu. Türk Jinekolojik Onkoloji Dergisi, 13(1), 1-6.
  • Harden K, Price D, Duffy E, Galunas L, Rodgers C. (2017). Palliative care: improving nursing knowledge, attitudes, and behaviors. Clinical Journal of Oncology Nursing, 21(5), 232-238.
  • Iranmanesh S, Razban F, Tirgari B, Zahra G. (2014). Nurses' knowledge about palliative care in Southeast Iran. Palliative & Supportive Care, 12(3), 203-210.
  • Kabalak AA. (2017). Türkiye'de palyatif bakım çalışmaları. Türkiye Klinikleri Journal of Anesthesiology Reanimation Special Topics, 10(1), 7-12.
  • Karlsson ILK, Ehnfors M, Ternestedt B-M. (2008). Five nurses' experiences of hospice care in a long-term perspective. Journal of Hospice & Palliative Nursing, 10(4), 224-232.
  • Koç M, Okan İ. (2017). Palyatif bakım hizmeti alan hastaların ailelerinin psikososyal sorunları. Turkiye Klinikleri Journal of Psychiatric Nursing-Special Topics, 3(1), 69-75.
  • Mayer DDM, Winters CA. (2016). Palliative care in critical rural settings. Critical Care Nurse, 36(1), 72-78. McIlfatrick S. (2007). Assessing palliative care needs: views of patients, informal carers and healthcare professionals. Journal of Advanced Nursing, 57(1), 77-86.
  • Moir C, Roberts R, Martz K, Perry J, Tivis LJ. (2015). Communicating with patients and their families about palliative and end-of-life care: comfort and educational needs of nurses. International Journal of Palliative Nursing, 21(3), 109-112. Monterosso L, Ross-Adjie GM, Rogers IR, Shearer FM, Rogers JR. (2016). How well do we understand health care professionals' perceptions and needs in the provision of palliative care? A mixed methods study. Journal of Palliative Medicine, 19(7), 720-727.
  • Nguyen LT, Yates P, Osborne Y. (2014). Palliative care knowledge, attitudes and perceived self-competence of nurses working in Vietnam. International journal of Palliative Nursing, 20(9), 448-456.
  • Öztekin C. (2017). Palyatif bakımda iletişim ve aile görüşmesi. Türkiye Klinikleri Journal of Family Medicine Special Topics, 8(4), 287-291.
  • Pan H-H, Shih H-L, Wu L-F, Hung Y-C, Chu C-M, Wang K-Y. (2017). Path modeling of knowledge, attitude and practice toward palliative care consultation service among Taiwanese nursing staff: a cross-sectional study. BMC Palliative Care, 16(1), 42.
  • Parola V, Coelho A, Sandgren A, Fernandes O, Apóstolo J. (2018). Caring in palliative care: a phenomenological study of nurses’ lived experiences. Journal of Hospice & Palliative Nursing, 20(2), 180-186.
  • Pavlish C, Ceronsky L. (2009). Oncology nurses' perceptions of nursing roles and professional attributes in palliative care. Clinical Journal of Oncology Nursing, 13(4), 404-412.
  • Saad R, Kurdahi LB, Yazbick-Dumit N, Irani C, Muwakkit S. (2020). Paediatric oncology providers' perspectives on early integration of paediatric palliative care. International Journal of Palliative Nursing, 26(3), 100-109.
  • Sato K, Inoue Y, Umeda M, Ishigamori I, Igarashi A, Togashi S, Harada K, Miyashita M, Sakuma Y, Oki J. (2014). A Japanese region-wide survey of the knowledge, difficulties and self-reported palliative care practices among nurses. Japanese Journal of Clinical Oncology, 44(8), 718-728.
  • Seyedfatemi N, Borimnejad L, Mardani Hamooleh M, Tahmasebi M. (2014). Iranian nurses' perceptions of palliative care for patients with cancer pain. International Journal of Palliative Nursing, 20(2), 69-74.
  • Skår R. (2010). Knowledge use in nursing practice: The importance of practical understanding and personal involvement. Nurse Education Today, 30(2), 132-136.
  • Thorn H, Uhrenfeldt L. (2017). Experiences of non-specialist nurses caring for patients and their significant others undergoing transitions during palliative end-of-life cancer care: a systematic review. JBI Database of Systematic Reviews And Implementation Reports, 15(6), 1711-1746.
  • Tong A, Sainsbury P, Craig J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International journal for quality in health care : Journal of the International Society for Quality in Health Care, 19(6), 349-357.
  • Turgay G, Kav S. (2012). Turkish healthcare professionals' views on palliative care. Journal of Palliative Care, 28(4), 267-273.
  • Uslu FŞ, Terzioğlu F (2015). Dünyada ve Türkiye'de palyatif bakım eğitimi ve örgütlenmesi. Cumhuriyet Hemşirelik Dergisi, 4(2), 81-90.
  • World Health Organization, (2014). Global atlas of palliative care at the end of life. Erişim tarihi 15.11.2018. https://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf.
  • Wilson O, Avalos G, Dowling M. (2016). Knowledge of palliative care and attitudes towards nursing the dying patient. British Journal of Nursing, 25, 11, 600-665.
  • Yıldızer ÖF, Oğur S. (2018). Sağlık personellerin palyatif bakım hakkındaki bilgi ve tutumları: Bitlis ili örneği. Journal of Current Researches on Health Sector, 8(2), 411-438.
  • Zewdu F, Kassa H, Hailu M, Murugan R, Woldeyohannes D. (2017). Knowledge, attitude and practice and associated factors towards palliative care among nurses working in selected hospitals, Addis Ababa, Ethiopia. European Journal of Cancer, 72, 161.

Views of Nurses on Working in the Palliative Care Unit: Qualitative Study

Year 2022, Volume: 5 Issue: 2, 191 - 199, 11.09.2022
https://doi.org/10.38108/ouhcd.896557

Abstract

Objective: To determine the views of nurses working in palliative care centers on palliative care.
Methods:This qualitative study was conducted with seven nurses working in a palliative center located in the Central Anatolia Region. The data of the study were collected using a questionnaire containing the socio-demographic characteristics of the nurses and an in-depth interview method. In the in-depth interview method, a semi-structured question form was used. The collected data were analyzed using "number and mean" and "content analysis and data reduction" methods.
Results: Seven people participating in the study are nurses and graduates. Most of the nurses are not trained in palliative care. In the study, four themes (end-of-life care, communication, need, difficulty) and seven sub-themes (all kinds of care, difficulty in communicating, empathy, palliative care needs of the patients and their relatives, low number of personnel, insufficient materials and physical conditions) were determined.
Conclusion: Palliative care, which is a new and important concept for our country, is mostly given at the end of life. In the interviews, shortcomings were identified that should be taken into account in order to improve the services. In line with the results of the study, it is recommended to consider the problems experienced in determining the needs, structuring the palliative issue with in-service trainings before and after graduation and planning palliative care centers.

References

  • Akçiçek F, Akbulut G, Fadıloğlu ZÇ. (2013). Palyatif Bakım evde ve hastanede çalıştay raporu. İzmir, Ege Geriatri Derneği Yayınları.1.
  • Aksayan S, Emiroğlu N. (2004). Araştırma Tasarımı. In: Hemşirelikte Araştırma. Eds: Erefe İ, 3.Baskı. Ankara: Odak Ofset, p. 65-122.
  • Andersson E, Salickiene Z, Rosengren K. (2016). To be involved—A qualitative study of nurses' experiences of caring for dying patients. Nurse Education Today, 38, 144-149.
  • Azami-Aghdash S, Ghojazadeh M, Aghaei MH, Naghavi-Behzad M, Asgarlo Z. (2015). Perspective of patients, patients' families, and healthcare providers towards designing and delivering hospice care services in a middle income country. Indian Journal of Palliative Care, 21(3), 341-348.
  • Baltacı A. (2019). Nitel araştırma süreci: Nitel bir araştırma nasıl yapılır? J Ahi Evran Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 5(2), 368-388.
  • Başkale H. (2016). Nitel araştırmalarda geçerlik, güvenirlik ve örneklem büyüklüğünün belirlenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 9(1), 23-28.
  • Can G. (2015). The implementation and advancement of palliative care nursing in Turkey. Journal of Palliative Care & Medicine, 5, 1-8.
  • Çınar H, Kaya Y, Enginyurt Ö. (2017). Palyatif bakım hastalarında yaşam kalitesi. Turkiye Klinikleri Journal of Family Medicine Special Topics, 8(4), 282-286.
  • Dahlin CM. (2013). Clinical Practice Guidelines for Quality Palliative Care. USA. Elçigil A. (2011). The current status of palliative care in Turkey: a nurse's perspective. Journal of Pediatric Hematology/Oncology, 33, 70-72.
  • Erdoğan S. (2014). Nitel araştırmalar. In: Hemşirelikte Araştırma Süreç, Uygulama ve Kritik. Eds: Erdoğan S, Nahcivan N, Esin M. İstanbul: Nobel Tıp Kitabevleri, p. 133-164.
  • Eskigülek Y, Kav S. (2020). Palyatif bakım hastaları ve hemşirelerinin gözünden itibarlı bakım. Türk Hemşireler Derneği Dergisi, 1(1), 1-18.
  • Farmani AH, Mirhafez SR, Kavosi A, Moghadam Pasha A, Jamali nasab A, Mohammadi G, Moeini V, Aryayi Far MR, Movahedi A. (2019). Dataset on the nurses’ knowledge, attitude and practice towards palliative care. Data in Brief, 22, 319-325.
  • Gültekin M, Özgül N, Olcayto E, Tuncer AM. (2010). Türkiye'de palyatif bakim hizmetlerinin mevcut durumu. Türk Jinekolojik Onkoloji Dergisi, 13(1), 1-6.
  • Harden K, Price D, Duffy E, Galunas L, Rodgers C. (2017). Palliative care: improving nursing knowledge, attitudes, and behaviors. Clinical Journal of Oncology Nursing, 21(5), 232-238.
  • Iranmanesh S, Razban F, Tirgari B, Zahra G. (2014). Nurses' knowledge about palliative care in Southeast Iran. Palliative & Supportive Care, 12(3), 203-210.
  • Kabalak AA. (2017). Türkiye'de palyatif bakım çalışmaları. Türkiye Klinikleri Journal of Anesthesiology Reanimation Special Topics, 10(1), 7-12.
  • Karlsson ILK, Ehnfors M, Ternestedt B-M. (2008). Five nurses' experiences of hospice care in a long-term perspective. Journal of Hospice & Palliative Nursing, 10(4), 224-232.
  • Koç M, Okan İ. (2017). Palyatif bakım hizmeti alan hastaların ailelerinin psikososyal sorunları. Turkiye Klinikleri Journal of Psychiatric Nursing-Special Topics, 3(1), 69-75.
  • Mayer DDM, Winters CA. (2016). Palliative care in critical rural settings. Critical Care Nurse, 36(1), 72-78. McIlfatrick S. (2007). Assessing palliative care needs: views of patients, informal carers and healthcare professionals. Journal of Advanced Nursing, 57(1), 77-86.
  • Moir C, Roberts R, Martz K, Perry J, Tivis LJ. (2015). Communicating with patients and their families about palliative and end-of-life care: comfort and educational needs of nurses. International Journal of Palliative Nursing, 21(3), 109-112. Monterosso L, Ross-Adjie GM, Rogers IR, Shearer FM, Rogers JR. (2016). How well do we understand health care professionals' perceptions and needs in the provision of palliative care? A mixed methods study. Journal of Palliative Medicine, 19(7), 720-727.
  • Nguyen LT, Yates P, Osborne Y. (2014). Palliative care knowledge, attitudes and perceived self-competence of nurses working in Vietnam. International journal of Palliative Nursing, 20(9), 448-456.
  • Öztekin C. (2017). Palyatif bakımda iletişim ve aile görüşmesi. Türkiye Klinikleri Journal of Family Medicine Special Topics, 8(4), 287-291.
  • Pan H-H, Shih H-L, Wu L-F, Hung Y-C, Chu C-M, Wang K-Y. (2017). Path modeling of knowledge, attitude and practice toward palliative care consultation service among Taiwanese nursing staff: a cross-sectional study. BMC Palliative Care, 16(1), 42.
  • Parola V, Coelho A, Sandgren A, Fernandes O, Apóstolo J. (2018). Caring in palliative care: a phenomenological study of nurses’ lived experiences. Journal of Hospice & Palliative Nursing, 20(2), 180-186.
  • Pavlish C, Ceronsky L. (2009). Oncology nurses' perceptions of nursing roles and professional attributes in palliative care. Clinical Journal of Oncology Nursing, 13(4), 404-412.
  • Saad R, Kurdahi LB, Yazbick-Dumit N, Irani C, Muwakkit S. (2020). Paediatric oncology providers' perspectives on early integration of paediatric palliative care. International Journal of Palliative Nursing, 26(3), 100-109.
  • Sato K, Inoue Y, Umeda M, Ishigamori I, Igarashi A, Togashi S, Harada K, Miyashita M, Sakuma Y, Oki J. (2014). A Japanese region-wide survey of the knowledge, difficulties and self-reported palliative care practices among nurses. Japanese Journal of Clinical Oncology, 44(8), 718-728.
  • Seyedfatemi N, Borimnejad L, Mardani Hamooleh M, Tahmasebi M. (2014). Iranian nurses' perceptions of palliative care for patients with cancer pain. International Journal of Palliative Nursing, 20(2), 69-74.
  • Skår R. (2010). Knowledge use in nursing practice: The importance of practical understanding and personal involvement. Nurse Education Today, 30(2), 132-136.
  • Thorn H, Uhrenfeldt L. (2017). Experiences of non-specialist nurses caring for patients and their significant others undergoing transitions during palliative end-of-life cancer care: a systematic review. JBI Database of Systematic Reviews And Implementation Reports, 15(6), 1711-1746.
  • Tong A, Sainsbury P, Craig J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International journal for quality in health care : Journal of the International Society for Quality in Health Care, 19(6), 349-357.
  • Turgay G, Kav S. (2012). Turkish healthcare professionals' views on palliative care. Journal of Palliative Care, 28(4), 267-273.
  • Uslu FŞ, Terzioğlu F (2015). Dünyada ve Türkiye'de palyatif bakım eğitimi ve örgütlenmesi. Cumhuriyet Hemşirelik Dergisi, 4(2), 81-90.
  • World Health Organization, (2014). Global atlas of palliative care at the end of life. Erişim tarihi 15.11.2018. https://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf.
  • Wilson O, Avalos G, Dowling M. (2016). Knowledge of palliative care and attitudes towards nursing the dying patient. British Journal of Nursing, 25, 11, 600-665.
  • Yıldızer ÖF, Oğur S. (2018). Sağlık personellerin palyatif bakım hakkındaki bilgi ve tutumları: Bitlis ili örneği. Journal of Current Researches on Health Sector, 8(2), 411-438.
  • Zewdu F, Kassa H, Hailu M, Murugan R, Woldeyohannes D. (2017). Knowledge, attitude and practice and associated factors towards palliative care among nurses working in selected hospitals, Addis Ababa, Ethiopia. European Journal of Cancer, 72, 161.
There are 37 citations in total.

Details

Primary Language Turkish
Subjects Nursing
Journal Section Araştırma
Authors

Sibel Kıyak 0000-0002-7278-2094

Kamile Altuntuğ 0000-0002-0215-6143

Emel Ege 0000-0002-5640-5563

Early Pub Date September 11, 2022
Publication Date September 11, 2022
Submission Date March 18, 2021
Published in Issue Year 2022 Volume: 5 Issue: 2

Cite

APA Kıyak, S., Altuntuğ, K., & Ege, E. (2022). Hemşirelerin Palyatif Bakım Ünitesinde Çalışma İle İlgili Görüşleri: Kalitatif Çalışma. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 5(2), 191-199. https://doi.org/10.38108/ouhcd.896557