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Journal articles on the topic 'The meaning of being an oncology nurse'

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Published: 4 June 2021
Last updated: 1 February 2022

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1

Davis, Lindsey Ann, Frances Fothergill-Bourbonnais, and Christine McPherson. "Le sens de la vocation d’infirmière en oncologie : s’investir pour aider vraiment." Canadian Oncology Nursing Journal 27, no. 1 (February 6, 2017): 15–21. http://dx.doi.org/10.5737/236880762711521.

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2

Davis, Lindsey Ann, Frances Fothergill-Bourbonnais, and Christine McPherson. "The meaning of being an oncology nurse: Investing to make a difference." Canadian Oncology Nursing Journal 27, no. 1 (February 6, 2017): 9–14. http://dx.doi.org/10.5737/23688076271914.

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3

Wright, Emily M., Alaina Carr, Barbara J. Cashavelly, William F. Pirl, and Lara Traeger. "Oncology nurse perspectives on the nature and meaning of their positive relationships with seriously ill patients." Journal of Clinical Oncology 35, no. 31_suppl (November 1, 2017): 42. http://dx.doi.org/10.1200/jco.2017.35.31_suppl.42.

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42 Background: Inpatient oncology nurses regularly care for patients at or near the end of life. Given increasing attention to risk of compassion fatigue in this setting, we conducted a qualitative study to explore nurses’ perspectives on the nature and meaning of their positive relationships with patients who were seriously ill or dying. Methods: We conducted in-depth interviews with 24 registered nurses (RN)s working on an inpatient medical oncology unit at an academic medical center. We used a semi-structured interview guide to elicit RNs’ descriptions of ‘good’ relationships they had with patients/families with attention to aspects that made these relationships meaningful. Using a framework approach, including an iterative coding process, two team members independently coded all interview data (Kappa = .80) and worked with a multidisciplinary team to identify themes. Results: RNs (95.8% female; 95.8% non-Hispanic white, M age = 32.7 yrs [SD = 10.8 yrs], median yrs as RN = 4.0 [range: 1.5-35.0 yrs]) described specific cases in which they felt they had developed ‘good’ relationships with patients and families. RN descriptions centered on highly intimate and transformative moments in patient/family care. These unique moments occurred in the context of longitudinal nurse-patient relationships in which RNs felt able to 1) facilitate patient/family processing of emotions and disclosure of treatment preferences that they otherwise were not able to process or disclose to other loved ones or clinicians; 2) provide highly-skilled patient-centered care to reduce patient suffering; and/or 3) facilitate patient/family prognostic understanding and peace at the end of life. RNs felt privileged to serve these roles. Memorable transformative moments enriched RNs’ professional identities and inspired their continued work. Conclusions: Inpatient oncology nurse-patient relationships serve distinctive functions for both patient-centered care and RN well being. Results underscore the importance of assisting RNs in managing patient symptoms, forming longitudinal relationships with patients/families, and coping with factors that impede ‘good’ relationships.
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Gomes, Lucas Vinicios Sodré, Rosenilda Viana Alves, Lidiane Xavier de Sena, Sônia Cristina de Albuquerque Vieira, and Silvo Eder Dias da Silva. "Imagens e significações: um estudo interpretativo de desenhos sobre espiritualidade." Revista Recien - Revista Científica de Enfermagem 11, no. 33 (March 29, 2021): 318–26. http://dx.doi.org/10.24276/rrecien2021.11.33.318-326.

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Identificar os desenhos produzidos por enfermeiros sobre espiritualidade em um hospital oncológico infantil na cidade de Belém do Pará. Estudo qualitativo com análise através dos núcleos de significação, realizado com 21 enfermeiros de um hospital público de médio porte de referência em oncologia infantil no estado do Pará. Utilizando instrumento de criação própria do tipo formulário tendo como procedimento principal, a construção do desenho. Os dados coletados foram descritos e organizados em duas categorias que emergiram das narrativas dos enfermeiros a partir da elaboração dos desenhos: Associado a uma confissão religiosa e Não associados a uma confissão religiosa. Os desenhos produzidos trouxeram a construção da representação da espiritualidade através da visão dos enfermeiros assistencialistas diante de situações de fragilidade emocional, melhora material e cura, bem como a predisposição para melhora da espiritualidade do paciente.Descritores: Espiritualidade, Oncologia, Enfermagem. Images and meanings: an interpretative study of drawings on spiritualityAbstract: To identify the drawings produced by nurses about spirituality in a children’s cancer hospital in the city of Belé do Pará – Brazil. Qualitative study with analysis through the meaning centers, performed with 21 nurses of a public hospital of medium-size of reference in child oncology in the state of Pará. A self-created form-type instrument was used with the main procedure being the construction of the drawing. The data collected were described and organized in to two categories that emerged from the nurses' narratives from the elaboration of the drawings: Associated with a religious confession and not associated with a religious confession. The drawings produced brought the construction of the representation of spirituality through the view of assistential nurses in situations of emotional fragility, material improvement and healing, as well as the predisposition to improve the patient's spirituality.Descriptors: Spirituality, Oncology, Nursing. Imágenes y significados: un estudio interpretativo de dibujos sobre espiritualidadResumen: Indentificar los dibujos producidos por enfermeros sobre espiritualidad en un hospital oncológico infantil en la ciudad de Belém do Pará. Estudio cualitativo con análisis a través de los núcleos de significación, realizado con 21 enfermeros de un hospital público de mediano porte de referencia en oncología infantil en el estado de Pará. Utilizando instrumento de creación propia del tipo formulario que tiene como procedimiento principal, la construcción del dibujo. Los datos recopilados fueron descritos y organizados en dos categorías que surgieron de las narrativas de los enfermeros a partir de la elaboración de los dibujos: Asociado a una confesión religiosa y no asociados a una confesión religiosa. Los dibujos producidos, trajeron la construcción de la representación de la espiritualidad a través de la visión de los enfermeros asistencialistas ante situaciones de fragilidad emocional, mejora material y cura, así como la predisposición para la mejora de la espiritualidad del paciente.Descriptores: Espiritualidad, Oncología, Enfermería.
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5

Sigurđsson, Hrafn Óli. "The Meaning of Being a Perioperative Nurse." AORN Journal 74, no. 2 (August 2001): 202–17. http://dx.doi.org/10.1016/s0001-2092(06)61529-9.

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6

Galuska, Lee A., and Brenda Bursch. "Meaning, Joy, and Critical Care Nurse Well-Being." Critical Care Nursing Clinics of North America 32, no. 3 (September 2020): 349–67. http://dx.doi.org/10.1016/j.cnc.2020.04.002.

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7

Almeida, Carla Simone Leite de, Catarina Aparecida Sales, and Sônia Silva Marcon. "The existence of nursing in caring for terminally ills’life: a phenomenological study." Revista da Escola de Enfermagem da USP 48, no. 1 (February 2014): 34–40. http://dx.doi.org/10.1590/s0080-623420140000100004.

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By taking care of cancer patients in their process of end of life, nursing experience situations of suffering before the anguish of others. This study aimed to understand the meaning and significance attributed by the nurses from the palliative care cancer hospital. This is a phenomenological research, grounded in Heidegger’s thinking, performed with 13 nurses, who work at Oncology hospitalward, through semi-structured interviews, which were analyzed according to the steps recommended by Josgrilberg. From understanding the statementsof the subjects, two ontological themesemerged: Feeling satisfaction and love in the care offered and Feeling anger and inabilitytowards terminally ill patients.We inferred that working in Oncology Ward is something rewarding for these professionals, but it entails physical and mental suffering, from feeling helpless before the death-dying process. Thus, we showedthat nursing professionals need to be recognized as human beings and as such, also deserving of care.
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8

Jacobs, Arthur M., and Johannes C. Ziegler. "Has Glenberg forgotten his nurse?" Behavioral and Brain Sciences 20, no. 1 (March 1997): 26–27. http://dx.doi.org/10.1017/s0140525x97310012.

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Glenberg's conception of “meaning from and for action” is too narrow. For example, it provides no satisfactory account of the “logic of Elfland,” a metaphor used by Chesterton to refer to meaning acquired by being told something.All that we call spirit and art and ecstasy only means that for one awful instant we remember that we forget.G. K. Chesterton (in Gardner 1994, p. 101)
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9

Bäck-Pettersson,, Siv, Kirsten Pryds Jensen,, and Kerstin Segesten,. "The Meaning of Being Touched Deeply Inside in a Nurse- Patient Encounter-Excellent Nurse Encounter-Excellent Nurse Experiences." International Journal of Human Caring 2, no. 3 (April 1998): 16–23. http://dx.doi.org/10.20467/1091-5710.2.3.16.

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This article explores the meaning to nurses of being touched deeply inside in a nurse-patient encounter. The manuscript reflects the caring perspectives of Pellegrino, Watson, Gadow, Carper, and Eriksson. Caring is viewed from a lifeworld perspective according to the phenomenological philosophy of Husserl and Merleau-Ponty. Giorgi’s descriptive phenomenological method was applied and data were collected through open interviews with five excellent nurses. The analysis resulted in a general structure of the phenomenon sbtudied including four key constituents: witnessing patient exposed to suffering and unfairness; sensing closeness, understanding, and involvement in patient/person; experiencing extreme difficulties as a challenge to act accordingly; and growing professionally. The results are consistent with literature about moral sensing, and caring values and attitudes. Being touched deeply inside appeared to be crucial in fostering professional growth and excellence in nursing.
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10

Laurencelle, Francine L., Judith M. Scanlan, and Anne Liners Brett. "The meaning of being a nurse educator and nurse educators' attraction to academia: A phenomenological study." Nurse Education Today 39 (April 2016): 135–40. http://dx.doi.org/10.1016/j.nedt.2016.01.029.

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11

Kim, Go-Un, Eunyoung Jung, Mikyeong Cho, Soo Y. Han, Mira Jang, Mikyung Lee, Sumi Lee, et al. "Revisiting The Meaning of A Good Nurse." Open Nursing Journal 13, no. 1 (February 28, 2019): 75–84. http://dx.doi.org/10.2174/1874434601913010075.

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Background:The health care paradigm is being challenged to put greater emphasis on promoting a healthy lifestyle and provide patient-customized care in a rapidly changing Korean society. Within such changes, it is worthwhile to identify how the meaning of a good nurse may be changing.Objective:This study explores the meaning of a good nurse from the perspective of nurses themselves.Methods:In-depth interviews were conducted with ten nurses who worked at senior general hospitals or governmental agencies using purposeful sampling. Individual interviews were done until data saturation was reached. The key question was “What does a good nurse mean to you?” After the interview, content analysis was done.Results:Six main themes and 16 subthemes were identified. The main themes showed that a good nurse was someone who ‘leans in toward the patient’, ‘provides professional care’, ‘keeps the cornerstone of one’s mind with a positive attitude’, ‘maintains a good relationship with colleagues’, ‘matures with her/his nursing philosophy and conviction’, ‘contributes to society’.Conclusion:This study provides basic data for exploring nurses’ self-image as a professional. Specifically, social role and macro level responsibilities were identified with nurses’ internal aspects such as a positive attitude, and nursing philosophy. The necessity of socio-environmental support for nurses was also emphasized. In addition, the results of this study can be used at the policy level to provide a better balance for development of good nursing.
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12

Enskär, Karin. "Being an Expert Nurse in Pediatric Oncology Care." Journal of Pediatric Oncology Nursing 29, no. 3 (May 2012): 151–60. http://dx.doi.org/10.1177/1043454212446344.

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13

Richards, Jennifer, and Cheryl Bowles. "The Meaning of Being a Primary Nurse Preceptor for Newly Graduated Nurses." Journal for Nurses in Staff Development 28, no. 5 (2012): 208–13. http://dx.doi.org/10.1097/nnd.0b013e318269fde8.

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&NA;. "The Meaning of Being a Primary Nurse Preceptor for Newly Graduated Nurses." Journal for Nurses in Staff Development 28, no. 5 (2012): 214–15. http://dx.doi.org/10.1097/nnd.0b013e31826e5ff4.

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15

Dowling, Maura. "The meaning of nurse–patient intimacy in oncology care settings: From the nurse and patient perspective." European Journal of Oncology Nursing 12, no. 4 (September 2008): 319–28. http://dx.doi.org/10.1016/j.ejon.2008.04.006.

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16

Reblin, Maija, Lauren Kane, Brian R. Baucom, Margaret F. Clayton, and Lee Ellington. "Shared understanding: Predicting home hospice nurse-cancer family caregiver communication similarity." Journal of Clinical Oncology 35, no. 31_suppl (November 1, 2017): 40. http://dx.doi.org/10.1200/jco.2017.35.31_suppl.40.

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40 Background: In cancer home hospice, families provide 24/7 care with support from a nurse-led hospice team. Effective patient-caregiver-nurse communication can facilitate a “shared understanding,” resulting in better patient caregiver outcomes. Shared understanding may be evidenced by high similarity in language usage/meaning. Objective: Describe communication caregiver-nurse similarity (relatedness in word usage/meaning) in cancer home hospice using latent semantic analysis (LSA) and to identify nurse communication processes, confidence, and preferences that predict communication similarity. Methods: As part of a larger study, nurse home hospice visits to spouse cancer caregivers were audio recorded. Interaction analysis was used to quantify caregiver and nurse emotion talk, nurse partnering, and nurse dominance (ratio of total nurse/caregiver talk). Nurses completed questionnaires to capture preference for patient oriented care and confidence in their communication. Verbatim transcripts were analyzed using LSA, a tool that assesses the similarity of communication (range 0-1 where higher scores indicate greater similarity). Descriptive statistics and bivariate correlations were calculated. Results: 31 nurse-caregiver home hospice interactions were analyzed. Nurses were female, average age 44.03 (SD = 9.8), with an average 14.6 years experience. Spouse caregivers were 77% female, average age 64.7 (SD = 10.9). The average LSA score was .83 (range = .66-.89). Higher LSA values were significantly associated with more nurse partnering (r = .36, p = .05) and lower nurse dominance (r = -.39, p = .03), but not caregiver or nurse emotion talk (ps > .05). Higher LSA values also predicted more nurse-reported preference for patient-oriented care (r = -.75, p < .01) and lower nurse communication confidence (r = -.46, p = .01). Conclusions: Our findings suggest that hospice nurses who are more patient-oriented, listen to and encourage caregivers’ concerns are more likely to use concordant meaning and language usage in their home hospice visits. Further research should examine if a nurse’s use of language similarity strategies improve caregiver understanding, competency and satisfaction with care.
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Calman, Lynn. "Lessons Learned From Being a Lung Cancer Nurse Researcher." Cancer Nursing 34, no. 1 (January 2011): 85–86. http://dx.doi.org/10.1097/ncc.0b013e3181f1ef26.

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18

Turkel,, Marian C. "A Journey into Caring as Experienced by Nurse Managers." International Journal of Human Caring 7, no. 1 (February 2003): 20–26. http://dx.doi.org/10.20467/1091-5710.7.1.20.

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The purpose of this phenomenological research was to capture the meaning of caring as experienced by nurse managers during interactions with staff nurses. Data analysis was guided by the phenomenological method (Ray, 1985; van Manen, 1990). Essential themes of growth, listening, support, intuition, receiving gifts, and frustration were described by participants. Variant themes of touch, humor, flexibility, counseling, limitations, and competency also emerged. Interpretive themes of nurses’ way of being, reciprocal caring, and caring moment as transcendence were identified. The unity of meaning, which unfolded, is presented as a poetic expression. Implications for transforming nursing administration into a practice grounded in caring are presented.
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Öhlen, Joakim, Jan Bengtsson, Carola Skott, and Kerstin Segesten. "Being in a Lived Retreat—Embodied Meaning of Alleviated Suffering." Cancer Nursing 25, no. 4 (August 2002): 318–25. http://dx.doi.org/10.1097/00002820-200208000-00008.

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20

Brännström, Margareta, Christine Brulin, Astrid Norberg, Kurt Boman, and Gunilla Strandberg. "Being a Palliative Nurse for Persons with Severe Congestive Heart Failure in Advanced Homecare." European Journal of Cardiovascular Nursing 4, no. 4 (December 2005): 314–23. http://dx.doi.org/10.1016/j.ejcnurse.2005.04.007.

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Advanced homecare for persons with congestive heart failure is a ‘new’ challenge for palliative nurses. The aim of this study is to illuminate the meaning of being a palliative nurse for persons with severe congestive heart failure in advanced homecare. Narrative interviews with 11 nurses were conducted, tape-recorded, and transcribed verbatim. A phenomenological-hermeneutic method was used to interpret the text. One meaning of being a palliative nurse is being firmly rooted and guided by the values of palliative culture. Being adaptable to the patient's way of life carries great weight. On one hand nurses live out this value, facilitating for the patients to live their everydaylife as good as possible. Being a facilitator is revealed as difficult, challenging, but overall positive. On the other hand nurses get into a tight corner when values of palliative culture clash and do not correspond with the nurses interpretation of what is good for the person with congestive heart failure. Being in such a tight corner is revealed as frustrating and giving rise to feelings of inadequacy. Thus, it seems important to reflect critical on the values of palliative culture.
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Black, Sharon, Joan Curzio, and Louise Terry. "Failing a student nurse." Nursing Ethics 21, no. 2 (August 28, 2013): 224–38. http://dx.doi.org/10.1177/0969733013495224.

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The factors preventing registered nurses from failing students in practice are multifaceted and have attracted much debate over recent years. However, writers rarely focus on what is needed to fail an incompetent pre-registration nursing student in their final placement. This hermeneutic study explored the mentor experience of failing a pre-registration nursing student in their final placement. A total of 19 mentors were recruited from 7 different healthcare organisations in both inner city and rural locations in the southeast of England. Participants took part in individual reflective interviews about their experience of failing a pre-registration nursing student in their final placement. These experiences were interpreted through a hermeneutic discovery of meaning. The new horizon of understanding which developed as a result of this research is framed within the context of moral stress, moral integrity and moral residue with the overall synthesis being that these mentors’ stories presented a new horizon of moral courage.
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22

Rajcan, Lois, Joan Such Lockhart, and Linda M. Goodfellow. "Generating Oncology Patient Trust in the Nurse: An Integrative Review." Western Journal of Nursing Research 43, no. 1 (January 2020): 85–98. http://dx.doi.org/10.1177/0193945920930337.

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An integrative review was conducted to evaluate the extent and quality of literature regarding adult oncology patients’ trust in nurses. Nineteen studies met the inclusion criteria. Three themes were identified, which are as follows: nurse trust facilitating behaviors, nurse attributes, and the influence of patient-nurse trust on health and psychosocial well-being. Findings indicate that the extent of literature is limited in specific examples of nurse interventions that facilitate interpersonal patient-nurse trust. Future research should include more detailed nurse actions and attributes that build patient-nurse trust to fully understand the benefits of trust in oncology patients.
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Rasmussen, Birgit H., Per-Olof Sandman, and Astrid Norberg. "Stories of being a hospice nurse: A journey towards finding one's footing." Cancer Nursing™ 20, no. 5 (October 1997): 330–41. http://dx.doi.org/10.1097/00002820-199710000-00004.

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24

Oates, Jennifer, Timothy Worth, and Sam Coster. "You’re not a normal student. The meaning of wellbeing for student nurses." Journal of Mental Health Training, Education and Practice 16, no. 5 (August 11, 2021): 353–63. http://dx.doi.org/10.1108/jmhtep-01-2021-0002.

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Purpose This study aims to explore how student nurses conceptualise their well-being and their views on how to improve student nurses’ well-being. Design/methodology/approach Qualitative inquiry using semi-structured interviews with 17 final year students. Tran-scripts were thematically analysed using Braun and Clark’s six-phase approach. Findings Three themes were identified as follows: “student nurses” “experience of the university”, “the meaning of student nurse well-being” and “how the faculty could improve student well-being”. The findings are interpreted with reference to notions of social capital and a sense of belonging. Practical implications University nursing programmes should embed approaches to student well-being. Higher education institutions should ensure that their social and pastoral offer is accessible and relevant to nursing students. Originality/value The study offers unique insight into student nurses’ self-concept as “university students” in the context of their well-being.
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Hinds, Pamela S. "Being a Nurse to Patients who Refuse Treatment for Cancer." Journal of Pediatric Oncology Nursing 12, no. 2 (January 1995): 49–50. http://dx.doi.org/10.1177/104345429501200201.

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26

HINDS, P. "Being a nurse to patients who refuse treatment for cancer." Journal of Pediatric Oncology Nursing 12, no. 2 (April 1995): 49–50. http://dx.doi.org/10.1016/1043-4542(95)90012-8.

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De Sá, Ana Cristina. "Some words about being a nurse and the future of nursing." Cuidado y salud : Kawsayninchis 2, no. 2 (October 30, 2017): 175–76. http://dx.doi.org/10.31381/cuidado_y_salud.v2i2.1125.

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In the last few years, I was wondering a lot about the meaning of being a nurse and doing Nursing, it seems clear to me that the nurse’s look is that of a health professional and not of illness. It means that I look at the individual/family/community that will be the target of care, and see this individual/family/community as a psycho-social, cultural and spiritual whole besides the biological. I look forward to understand this individual, its aspirations, how it adapts or not itself to the internal conditions and those of its environment, and how I can be a facilitator in such dimensions, so that its adaptation reaches the greatest health and self-care potential as possible. However, I still notice the existence of people, who holds the title of nurses, and they wear the professional of the disease in their eyes, those who fits the being/ family/community within a moan or in a specific organ and who considers the psychosocial- Spiritual as an "entertainment" and absolutely secondary component to be treated. This way of thinking -to create- is diametrically opposed to the philosophical sense of Nursing because of its priorities and because this is part of an essential profession for the future of humanity.
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Rocha, Renata Carla Nencetti Pereira, Eliane Ramos Pereira, Rose Mary Costa Rosa Andrade Silva, Angelica Yolanda Bueno Bejarano Vale de Medeiros, Sueli Maria Refrande, and Neusa Aparecida Refrande. "Spiritual needs experienced by the patient's family caregiver under Oncology palliative care." Revista Brasileira de Enfermagem 71, suppl 6 (2018): 2635–42. http://dx.doi.org/10.1590/0034-7167-2017-0873.

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ABSTRACT Objective: To understand the spiritual needs of the patients' family caregiver under Oncology palliative care. Method: A descriptive, qualitative study with 20 family caregivers of patients hospitalized in an Oncology palliative unit. The data were collected through a phenomenological interview, and analyzed by the method of Amadeo Giorgi supported in the Merleau-Ponty's Phenomenology of Perception. Results: The categories were unveiled: "Spirituality as a foundation for life"; "Spiritual needs sublimated by the family caregiver"; and "Care expected by the nurse". Conclusion: Family caregivers appropriate spirituality as a coping strategy and meeting the purpose and meaning of the moment experienced. It is profitable for the nurse to contemplate the spiritual needs of the caregiver in order to provide a guided assistance in the humanization of care and comprehensive care. Therefore, there is a need for new studies that address this dimension to the family caregiver in the field of Oncology, since this care is incipient by the nurse.
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Sebold, Luciara Fabiane, and Telma Elisa Carraro. "The authenticity of the being nursing-professor in the nursing care teaching practice: a Heideggerian hermeneutics." Texto & Contexto - Enfermagem 22, no. 1 (March 2013): 22–28. http://dx.doi.org/10.1590/s0104-07072013000100003.

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This qualitative study aimed to unveil the authenticity of the being nurse-professor in the nursing care teaching practice. The study applied the theoretical-methodological framework of Heideggerian hermeneutics. The strategy used to capture meaning was the phenomenological interview carried out with 11 professors. The organization and analysis of data allowed for the unfolding of the authenticity of the being nurse-professor, revealing that both are authentic in their professional careers and, as such, teach and learn in a different way. This feature makes a difference in the nursing care teaching practice. When led to states of anguish, they seek to follow other roads in order to ratify their responsibility in the care teaching process. Through their freedom to choose their paths, they are made unique beings and thus reveal their authentic existence.
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Oliveira, Ana Luíza Barreto de, and Tânia Maria de Oliva Menezes. "The meaning of religion/religiosity for the elderly." Revista Brasileira de Enfermagem 71, suppl 2 (2018): 770–76. http://dx.doi.org/10.1590/0034-7167-2017-0120.

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ABSTRACT Objective: To understand the meaning of religion/religiosity for the elderly. Method: A qualitative, phenomenological study, based on Martin Heidegger. Thirteen older women registered in an Urban Social Center of Salvador, Bahia, Brazil aged between 60 and 84 years participated in the study. The collection of testimonies was carried out from November 2013 to May 2014 through phenomenological interviews. Results: Hermeneutics has unveiled the unit of meaning: Meanings of religion/religiosity in the daily life of the elderly. Religion/religiosity offers comfort and well-being to the elderly person, helping to overcome changes arising from the aging process. Final considerations: The nurse, while providing care, should expand his/her vision in relation to the subjectivity of the elderly, in order to understand that religion/religiosity gives meaning to their existence.
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Freitas, Genival Fernandes de, Taka Oguisso, and Miriam Aparecida Barbosa Merighi. "Ethical events in nursing: daily activities of nurse managers and nursing ethics committee members." Revista Latino-Americana de Enfermagem 14, no. 4 (August 2006): 497–502. http://dx.doi.org/10.1590/s0104-11692006000400005.

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This study aimed to understand the meaning of nurses' actions related to ethical occurrences involving nursing professionals. Data were collected through interviews with nurse managers and members of a Nursing Ethics Committee who experienced the phenomenon. Data were analyzed in the framework of social phenomenology. The nurses' experiences gave rise to the following categories of meaning, as these professionals seek: the humanization of nursing care; continuous improvement of the care process; professional credibility; patients' satisfaction; demystification of the fear of punishment; partnership in the educational process; respect for ethical secrecy and expectation related to the event being forwarded to the Nursing Ethics Committee. The social typification was described at the end. Nurses' actions in cases of ethical events attract the interest of nursing professionals, who want to ensure a risk or damage-free care and to promote the valuation of these professionals.
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Prince-Paul, Maryjo. "Understanding the Meaning of Social Well-Being at the End of Life." Oncology Nursing Forum 35, no. 3 (May 1, 2008): 365–71. http://dx.doi.org/10.1188/08.onf.365-371.

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33

M. Pool, Natalie. "Nurses' Experiences of Establishing Meaningful and Effective Relationships With American Indian Patients in the Cancer Care Setting." SAGE Open Nursing 5 (January 2019): 237796081982679. http://dx.doi.org/10.1177/2377960819826791.

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Introduction The establishment of caring relationships with racial and ethnic minority populations is challenging for many cancer care nurses. Nurses serving American Indian (AI) patients frequently encounter population-specific issues, yet their experiences are largely unknown. Objective The purpose of this study was to describe the meaning of the AI patient–cancer care nurse relationship from nurses' perspectives. The study included three objectives: (a) to describe the immediate experiences of nurses that have engaged in cancer care relationships with AI patients, (b) to identify the underlying structures of the AI patient–cancer care nurse relationship as described by nurses, and (c) to interpret the meaning of the patient–nurse relationship within the context of AI cancer care experiences. Methods This was an interpretive phenomenological study using a hermeneutical process for data collection and analysis of multiple, exploratory interviews. Thematic reduction was completed to explicate the fundamental structures of this particular relationship. Reduction of individually situated themes resulted in seven shared meta-themes including from task to connection; unnerving messaging; we are one; the freedom of unconditional acceptance; attuning and opening; atoning for the past, one moment at a time; and humanizing the inhumane. Results Nine cancer care nurses participated. Reconstitution of data and reflective writing suggested that the essential meaning of the AI patient–cancer care nurse relationship was expressed in contradictory yet simultaneous patterns for nurses. Nurses sought synchronicity with their AI patients despite their contextual differences and similarities, yet most lacked adequate cultural safety training. Being in relationship provided nurses great purpose within the universal human context of caring. Conclusions Results contribute to the development of interventions designed to improve both the AI cancer care experience and the support and training of nurses. The mutually dependent nature of the patient–nurse relationship implies that strengthening and improving support for one entity may in turn positively impact the other.
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Wolf,, Zane Robinson, and Suzanne R. Langner,. "The Meaning of Nursing Practice in the Stories and Poems of Nurses Working in Hospitals: A Phenomenological Study." International Journal of Human Caring 4, no. 3 (April 2000): 7–17. http://dx.doi.org/10.20467/1091-5710.4.3.7.

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This study explored the experience of being a nurse working in a hospital. Using an interpretive phenomenological approach (M. van Manen, 1990), investigators employed text-based analysis to understand and elucidate the themes inherent in the experience. For 4 years, nurses working in 2 urban hospitals contributed stories and poems. These narratives bring to the fore the familiar but infrequently articulated caring work of hospital nurses.
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Cureton, A., W. Pritham, M. Royce, and K. Zahn. "Nurse practitioner-led breast cancer survivorship clinic." Journal of Clinical Oncology 27, no. 15_suppl (May 20, 2009): e20723-e20723. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.e20723.

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e20723 Background: The 2.5 million breast cancer survivors in the US demands increasing awareness of and need for healthcare organizations to address survivorship issues. Cancer survivorship care has become a specialty emphasizing health promotion, disease prevention, and patient satisfaction. It is a natural setting for advanced practice nurses to be leaders. This abstract presents a model for a nurse practitioner-led breast cancer survivorship clinic. Methods: Eligible patients are those previously diagnosed with invasive and/or in situ breast cancer and at least 5 years post-diagnosis without recurrence. Eligible survivors are identified annually through the University of New Mexico Tumor Registry. Clinic notes are reviewed to confirm the patient has not had a recurrence, new diagnosis, or death. Letters are sent to eligible survivors introducing the Breast Cancer Survivorship Clinic (Clinic) and inviting them to participate, and oncologists are encouraged to transfer eligible patients into the Clinic. Results: Eighty-six survivors are currently participating in the Clinic. Survivors are seen on an annual basis after mammogram. Each survivor receives a personalized Survivorship Care Plan at the first visit. The care plan was developed by a multi-disciplinary team of a breast oncologist, psychologist, social worker, nutritionist, and patient educator to provide input on the issues that survivors face. Components of Survivorship Care Plan: pathologic and genetic findings, summary of treatment, bloodwork, bone health, lymphedema, secondary malignancies, health maintenance recommendations, psychological assessment, nutrition/weight assessment. Conclusions: The establishment of the Clinic has several advantages: Breast cancer survivors are being followed in this specialty clinic after 5 years instead of being discharged from the Cancer Center. The Clinic has allowed oncologists more time for patients actively on therapy and more time to accommodate newly diagnosed patients. The Clinic addresses the unique issues faced by long term survivors, which could increase patient satisfaction. A multi-disciplinary team is key to developing a care plan for a survivorship clinic. However, the day-to-day operation of the clinic can be effectively led by a nurse practitioner. No significant financial relationships to disclose.
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McKelvey, Michele M. "Finding Meaning Through Kristen Swanson’s Caring Behaviors: A Cornerstone of Healing for Nursing Education." Creative Nursing 24, no. 1 (2018): 6–11. http://dx.doi.org/10.1891/1078-4535.24.1.6.

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Swanson’s (1991) middle range theory of caring has traditionally been used to define the care of patients and family members. Swanson’s caring theory outlines five caring processes: knowing, being with, doing for, enabling, and maintaining belief (p. 163). Nurse educators can utilize these caring processes to teach nursing students by cultivating meaningful, healing relationships. This article presents an example of a nursing faculty member’s application of this theory to her teaching pedagogy. This account serves to guide therapeutic teaching as well as to encourage further scholarly work examining the relationship between Swanson’s caring theory and nursing education.
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Sawin, Kathleen J., Kathleen E. Montgomery, Claretta Yvonne Dupree, Joan E. Haase, Celeste R. Phillips, and Verna L. Hendricks-Ferguson. "Oncology Nurse Managers’ Perceptions of Palliative Care and End-of-Life Communication." Journal of Pediatric Oncology Nursing 36, no. 3 (April 3, 2019): 178–90. http://dx.doi.org/10.1177/1043454219835448.

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The purpose of this study was to describe pediatric oncology nurse managers’ (NMs) perspectives of palliative care/end-of-life (PC/EOL) communication. The study, guided by group-as-a-whole theory and empirical phenomenology, was part of a larger, multisite study aimed at understanding pediatric oncology nurses’ experiences of PC/EOL communication. Nurses were assigned to focus groups based on length or type of experience (i.e., nurses with <1, 2–5, or >5 years’ work experience and NMs). Eleven NMs from three Midwestern pediatric hospitals with large oncology programs participated in one focus group. The participants’ mean years of experience was 15.8 in nursing and 12 in pediatric oncology; 90% had a BSN or higher degree; all had supervisory responsibilities. The authors identified 2,912 meaning statements, which were then analyzed using Colaizzi’s method. Findings include NMs’ overall experience of “Fostering a Caring Climate,” which includes three core themes: (1) Imprint of Initial Grief Experiences and Emotions; (2) Constant Vigilance: Assessing and Optimizing Family-Centered Care; and (3) Promoting a Competent, Thoughtful, and Caring Workforce. Findings indicate that pediatric oncology NMs draw on their own PC/EOL experiences and their nursing management knowledge to address the PC/EOL care learning needs of nursing staff and patient/family needs. NMs need additional resources to support nursing staff’s PC/EOL communication training, including specific training in undergraduate and graduate nursing programs and national and hospital-based training programs.
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Miller, Eleanor. "Bridging community and academic cancer centers using nurse navigation." Journal of Clinical Oncology 34, no. 7_suppl (March 1, 2016): 102. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.102.

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102 Background: The Penn Cancer Network was formed in the early 1990’s to bridge a connection between the community oncology setting and The University of Pennsylvania, an academic medical center. Aspects of the network contracts include cancer program assessment and development, accreditation preparation, and most recently dedicated access to cancer care via the network nurse navigator. This poster emphasizes the impact of a network nurse navigator has as a highly sought link between health systems, providers and patients to streamline patient referrals, with a formal process evolving over time. Methods: The establishment, growth and success of the referral process can be attributed to multiple efforts on behalf of the nurse navigator and administration, including but not limited to strong relationship development among nurse navigators and administrators at the hospitals and a formalized process developed by the nurse navigators using an online portal for referrals directly to the nurse navigator. Metrics are also maintained to demonstrate clinical and financial outcomes. Results: Since the establishment of a dedicated nurse navigator in 2010, referrals have increased year over year and two hospitals have since joined Penn Medicine, in part due to these strong relationships. Systematic chart reviews and data analysis have been completed annually to present to administration, with hundreds of patients being referred annually for second opinions, complex surgeries or clinical trials. A comprehensive financial analysis has been done to demonstrate the impact of these patient referrals on the health system, increasing annually. Conclusions: Access to the network nurse navigator has been emphasized as a major advantage to being a network hospital. A nurse navigator is well positioned to triage to subspecialties, assess patient and provider needs, and be knowledgeable in the operations of both systems. Data analysis has been paramount in demonstrating the impact of this program, both clinically and financially. This process could be done for formal network relationships or informal, but it certainly builds a great pattern to improve patient’s access to care.
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Breitbart, William, Shannon Poppito, Barry Rosenfeld, Andrew J. Vickers, Yuelin Li, Jennifer Abbey, Megan Olden, et al. "Pilot Randomized Controlled Trial of Individual Meaning-Centered Psychotherapy for Patients With Advanced Cancer." Journal of Clinical Oncology 30, no. 12 (April 20, 2012): 1304–9. http://dx.doi.org/10.1200/jco.2011.36.2517.

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Purpose Spiritual well-being and sense of meaning are important concerns for clinicians who care for patients with cancer. We developed Individual Meaning-Centered Psychotherapy (IMCP) to address the need for brief interventions targeting spiritual well-being and meaning for patients with advanced cancer. Patients and Methods Patients with stage III or IV cancer (N = 120) were randomly assigned to seven sessions of either IMCP or therapeutic massage (TM). Patients were assessed before and after completing the intervention and 2 months postintervention. Primary outcome measures assessed spiritual well-being and quality of life; secondary outcomes included anxiety, depression, hopelessness, symptom burden, and symptom-related distress. Results Of the 120 participants randomly assigned, 78 (65%) completed the post-treatment assessment and 67 (56%) completed the 2-month follow-up. At the post-treatment assessment, IMCP participants demonstrated significantly greater improvement than the control condition for the primary outcomes of spiritual well-being (b = 0.39; P <.001, including both components of spiritual well-being (sense of meaning: b = 0.34; P = .003 and faith: b = 0.42; P = .03), and quality of life (b = 0.76; P = .013). Significantly greater improvements for IMCP patients were also observed for the secondary outcomes of symptom burden (b = −6.56; P < .001) and symptom-related distress (b = −0.47; P < .001) but not for anxiety, depression, or hopelessness. At the 2-month follow-up assessment, the improvements observed for the IMCP group were no longer significantly greater than those observed for the TM group. Conclusion IMCP has clear short-term benefits for spiritual suffering and quality of life in patients with advanced cancer. Clinicians working with patients who have advanced cancer should consider IMCP as an approach to enhance quality of life and spiritual well-being.
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Dázio, Eliza Maria Rezende, Helena Megumi Sonobe, and Márcia Maria Fontão Zago. "The meaning of being a man with intestinal stoma due to colorectal cancer: an anthropological approach to masculinities." Revista Latino-Americana de Enfermagem 17, no. 5 (October 2009): 664–69. http://dx.doi.org/10.1590/s0104-11692009000500011.

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This study analyzes the meanings that men with intestinal stoma attribute to their colorectal cancer experience and its treatment. The medical anthropology framework, gender identity and the ethnographic methods were used. A total of 16 men from 40 to 79 years of age, residents in Ribeirão Preto and neighboring cities, SP, Brazil participated in the study. Data collection was carried out through participant observation and semi-structured interviews. Two groups of meanings were selected through inductive data analysis: acknowledging the severity of the disease and the distress of having cancer, and being submitted to surgery and suffering from a stoma. These meanings revealed the tension that develops between traditional patterns of masculinity and the new identities resulting from the experience. The understanding of these meanings from a cultural perspective favors nurse-patient communication and enables planning of care appropriate to these patients' needs.
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Rettig, Amy. "As an Oncology Nurse, What Does It Look Like to Be a Well-Being Clinician?" Clinical Journal of Oncology Nursing 25, no. 3 (June 1, 2021): 352. http://dx.doi.org/10.1188/21.cjon.352.

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Buiting, Hilde M., Femke Botman, Veerle Busink, Elzbeth Oomen, and Vincent K. Y. Ho. ""Everything that is not curative is now palliative": A nurse perspective." Journal of Clinical Oncology 36, no. 34_suppl (December 1, 2018): 127. http://dx.doi.org/10.1200/jco.2018.36.34_suppl.127.

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127 Background: Advances in oncology increasingly result in protracted disease trajectories for patients with incurable cancer. This phase can be described as advanced / metastatic cancer and in which anti-cancer treatment should control symptoms, slow disease progression, and/or prolong life. It poses new challenges for patients and their doctors; it is unknown how and which disease labels are used by nurses. Methods: Qualitative ethnographic study, based on in-depth interviews with 13 oncology nurses at the day-care unit in a Dutch comprehensive cancer hospital. Results: A substantial number of nurses reported not to know whether patients were treated with a curative or palliative intent, and to follow a patient-centred approach. Other nurses clearly demarcated palliative patients, and some distinguished "real palliative patients" from patients with long-standing incurable cancer. When nurses were explicitly asked about medical terminology, many nurses were not very positive about the term "palliative". They considered this to be an old term, e.g. "Now everything that is not curative is palliative". Moreover, the term "palliative" could have an ambiguous/threatening meaning, especially for patients. Whereas nurses often associated the term "palliative" with alleviating symptoms, for patients this term was frequently associated with the approaching death. Most nurses therefore preferred not to use the term "palliative" in front of the patient; but only amongst nurses themselves. Since nurses had not previously been provoked to think about other terms, they were unsure whether "chronic" was the right term. Some indicated that cancer was rather different compared to other chronic diseases, others felt unsure when to use the term "chronic" at all. Conclusions: According to nurses, the use of specific medical terms such as "chronic" to describe the situation of patients in protracted disease trajectories is unclear. Although they acknowledge differences across the palliative care continuum, they refrain from using the word "palliative" in front of the patient. Nurses’ awareness of the disease stage (curative/palliative/ "chronic") might be important to optimise to patients’ specific needs in every disease phase.
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Trasmundi, Sarah Bro, and Sune Vork Steffensen. "Meaning Emergence in the Ecology of Dialogical Systems." Psychology of Language and Communication 20, no. 2 (December 1, 2016): 154–81. http://dx.doi.org/10.1515/plc-2016-0009.

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AbstractThis article is an empirically based theoretical contribution to the investigation of meaningmaking in the ecology of human interaction and interactivity. It presents an ecological perspective on meaning-making that pivots on how agents pick up information directly in their organism-environment-system; i.e. as an activity that does not presuppose inner cognitive operations. We pursue this line of thought by presenting an analysis of how a doctor and a nurse make a decision about a specific medical procedure (catheterisation) based on meaning-making activity. As we do not see meaning as a linguistic (symbolic) or a cognitive (representational) phenomenon external to an agent/user, but as emergent in coordinated interaction, we zoom in on how the practitioners recalibrate the organism-environmentsystem by shift ing between a multi-agentive mode and an individual mode. We useCognitive Event Analysisto investigate how the agents oscillate between being a multi-agent-system with shared, tightly coordinated agency and a loosely coupled dialogical system where the individuals bring forth an understanding based on their professional backgrounds and expertise. On this view, an ecological approach to meaning-making takes a starting point in how local interaction is constrained by previous events, emergent affordances in the environment, and real-time inter-bodily dynamics. Accordingly, meaning-making is seen as a joint activity emerging from the system’s coordinative actions rather than as a result of individual interpretation of symbolic content.
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44

Recine, Ann Gentry, Louis Recine, and Tenzin Paldon. "How People Forgive: A Systematic Review of Nurse-Authored Qualitative Research." Journal of Holistic Nursing 38, no. 2 (February 27, 2019): 233–51. http://dx.doi.org/10.1177/0898010119828080.

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Purpose: The aim of this systematic review of qualitative forgiveness studies by nurse authors is to contribute to the body of holistic nursing knowledge by discovering answers to the following research questions: (a) where/how does a person get the power to forgive? and (b) what are the people who forgive like? Method: We conducted a systematic search of the English language, peer-reviewed literature for nurse-authored, primary qualitative research that answered our research questions. A total of 188 potential studies were found, and 11 studies met the inclusion criteria. Results: Study participants used interpersonal, intrapersonal, and transpersonal sources of power to forgive, including prayer, meditation, and support from family, friends, and nurses. The findings also revealed the cognitive, emotional, and spiritual traits of forgiving people, including being faith oriented, empathetic, and understanding the meaning of forgiveness as letting go of negative emotions. The findings confirm activities listed under “Forgiveness Facilitation” (2018) in Nursing Interventions Classification (NIC) and suggest additions. Conclusion: This literature review adds to nursing knowledge by synthesizing the findings of the review in a way that provides guidance to nurses to help facilitate forgiveness with patients who want that.
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Roy, Megan, Katie Fanslau, Maria Malloy, Suzanne Sweeney, Eleanor Miller, and Margaret Rummel. "Right patient, right appointment, right provider at the right time." Journal of Clinical Oncology 35, no. 8_suppl (March 10, 2017): 125. http://dx.doi.org/10.1200/jco.2017.35.8_suppl.125.

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125 Background: Patients with a suspicious scan or confirmed cancer diagnosis are anxious to be seen by an oncology provider. It’s important that patients are scheduled to see the most appropriate providers in the right order and timing for their clinical needs. At one large academic medical center, where patient volumes are high, the system is complex, and patients often travel. It was identified that patients were being scheduled out of order, had incomplete information, or could have been scheduled with improved timing and with additional support. This occurred in multiple disease sites. Methods: Based on this assessment, a process has been initiated to where the intake forms completed on each new patient scheduled are routed to the oncology nurse navigators via the electronic medical record. The nurse navigators then reach out to the patient prior to their appointment to further triage their needs, identify barriers and provide education and additional resources. Results: This intervention, while in early stages, has improved nurse navigator involvement with the new oncology patients to ensure they are set up appropriately, with accurate information, and has decreased providers scrambling to add patients on the same day. Outcomes from the navigator’s assessment can include any of the following: leave the appointment as is, reschedule it with the same or different provider, coordinate with another provider, or add additional information to the chart as the patient’s story evolves. Regardless, the patient receives an introduction to the nurse navigator, education, and support prior to being seen. Conclusions: By identifying an area where nurse navigators can improve patient care processes, patients are now able to get personalized assessment and appropriate appointments, no matter how they present to the cancer center. Not only are patients able to be seen by the most appropriate provider at correct timing, but the assessment for clinical needs and barriers to care can be addressed proactively. This wouldn’t be possible without the collaboration of staff and providers, willing and eager to improve the process for patient care.
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Vos, Joël. "Meaning and existential givens in the lives of cancer patients: A philosophical perspective on psycho-oncology." Palliative and Supportive Care 13, no. 4 (June 26, 2014): 885–900. http://dx.doi.org/10.1017/s1478951514000790.

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AbstractObjective:Many cancer patients report changes in how they experience meaning in life and being confronted with life's limitations, understanding themselves as being vulnerable, finite, and free beings. Many would like to receive psychotherapeutic help for this. However, psychotherapy for these concerns often either focuses primarily on meaning in life (e.g., meaning-centered/logotherapy) or on existential givens (e.g., supportive–expressive therapy). The relationship between meaning in life and existential givens seems relatively unexplored, and it seems unclear how therapists can integrate them. The present article aims to explore the relationship between meaning and existential givens.Method:Martin Heidegger was a founder of existentialism, inspiring both meaning therapies and supportive–expressive therapies. Therefore, we systematically apply his understanding of these phenomena, elucidated by four elements in his central metaphor of “the house.”Results:(1) Walls: In everyday life, we construct ordinary meanings, like the walls of a house, to protect us from our surroundings, wind, and rain. (2) Surroundings (“existential givens”): Confronted with cancer, the meanings/walls of this house may collapse; people may start seeing their surroundings and understand that they could have built their house at a different location, that is, they understand the broad range of possibilities in life, their responsibility to choose, and the contingency of current meanings. (3) How to design, build, and dwell: People may design, build, and dwell in their house in different ways: they may lock themselves in their house of impermeable “ordinary meanings” and deny the existence of existential surroundings; they may feel overwhelmed by all possibilities and be unable to experience meaning; they may build the house as their true home, use life's possibilities, and listen to their true self by building permeable “existential meanings.” (4). Navigator: People may experience inner guidance to navigate in designing, building, and dwelling in this house.Significance of results:Meaning in life and existential givens are intertwined. Therefore, we suggest that it is necessary for psycho-oncologists to address both. Further clinical validation is required.
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Rodgers, Georgina T. "Development of an infusion nurse staffing model for outpatient chemotherapy centers." Journal of Clinical Oncology 34, no. 7_suppl (March 1, 2016): 103. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.103.

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103 Background: Nursing roles and responsibilities within ambulatory oncology infusion suites across our health system are not clearly defined and it is not understood what the appropriate staffing ratio should be per site. It is not clear if employees are working to the highest level of their licensure or skill, and if the appropriate activities are performed by the correct department. A standard staffing model to provide efficiency of clinical services and patient safety does not exist, and nursing roles are variable between the sites. Similar patient populations are being treated at each site and the variability of the roles introduces unnecessary costs to the system as a whole. The purpose of this project was to define roles of the infusion nurse to insure performance to the highest level of licensure, create efficiencies within the clinical setting, potentially reduce RN staffing requirements, achieve a cost savings, and develop a target nurse to patient ratio while maintaining quality care. Methods: Daily patient volume and hours of operation were compiled for each outpatient site and three methodologies were used to determine nurse to patient ratio. We utilized an acuity based ratio tool, hours per unit (HPU) method using billed charges for technical procedures and finally a simple 1:6 ratio based upon patient volume. Each methodology showed similar results and a final target ratio of 1:6 was chosen. Results: A staffing template was created to predict the number of RN’s necessary for treatment and an analysis of infusion sites was also completed to observe workflows and determine potential staffing adjustments. Our pilot site was initially staffed with 14 RN FTE’s and analysis showed many non-clinical, non-nursing duties were being performed by RN’s. Through process improvement we have created clear role delineation and the site currently functions with 5 RN FTE’s. We have maximized the efficiency of the nursing team, reduced costs, and there has been no decline or compromise in quality or patient safety. Conclusions: The implications of establishing this standard for infusion nursing has allowed us to duplicate the methodology across the health system and achieve a level of staffing that matches well with patient care needs.
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Malusky, Sheila. "A Concept Analysis of Family-Centered Care in the NICU." Neonatal Network 24, no. 6 (November 2005): 25–32. http://dx.doi.org/10.1891/0730-0832.24.6.25.

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Family-centered care (FCC) has been implemented in many NICUs throughout the U.S. It is valuable in helping families whose infants require hospitalization cope with the stress, fear, and altered parenting roles that may accompany their child’s condition and hospitalization. To employ such a significant philosophy of care, nurses must understand what the FCC concept signifies. A concept analysis can often aid understanding of abstract ideas such as FCC. This article utilizes a 1995 framework for concept analysis to clarify the meaning of FCC for the neonatal nurse. Incorporating FCC into daily professional practice can enable nurses to improve the emotional and physical well- being of each family they encounter.
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Blackmore, Brook, Nicole Centers, and Troy Gifford. "QIM119-120: Utilizing Technology to Identify Oncology Patients to Impact Patient Care." Journal of the National Comprehensive Cancer Network 17, no. 3.5 (March 8, 2019): QIM119–120. http://dx.doi.org/10.6004/jnccn.2018.7119.

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Background: Sarah Cannon has established a standardized nurse navigation program for breast, lung, and Gi cancer patients. Navigators play a significant role in addressing barriers that may adversely impact patient outcomes. Historically, nurse navigators were spending up to 65% of their time data mining to identify new patients for navigation. This lost time compromises a navigator’s ability to effectively support patients. Sarah Cannon implemented a technology solution to address this manual process. Methods: A patient identification software application (patient ID), utilizing natural language processing technology, was developed to identify positive pathology reports across the enterprise in real time. Patient ID instantly routes those reports to a tumor site-specific oncology nurse navigator. The impact of this technology was assessed in 3 Hospital Corporation of America (HCA) markets from December 2016–March 2017. Total patient recall, total volume of reports reviewed, navigated patient volumes, navigator time allocation, and time from diagnosis to first treatment were studied. Results: Patient ID reviewed 47,544 pathology reports during the 4-month pilot, identifying 7,224 potential cancer reports. 2,782 of those represented breast, lung, or Gi cancer patients and were routed to a nurse navigator. Patient ID performed with an overall total patient recall of 98%, respectively. Decreased time spent data mining was observed, and navigator caseload increased by 71%. Time from diagnosis to first treatment decreased by an average of 6 days. Time allocated to direct patient contact and physician interaction increased by 35%. Conclusions: Implementation of a technology solution to rapidly identify new cancer patients for navigation in a community health system is feasible and associated with multiple benefits. Increased navigator patient volumes and navigator productivity were observed. Navigator time spent with patients and physicians increased with a concurrent reduction in data mining time. Timeliness of care metrics improved, suggesting a favorable impact on quality. This technology is now being deployed across the HCA enterprise.
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Tofthagen, Randi, Anne-Grethe Talseth, and Lisbeth Fagerström. "Mental Health Nurses’ Experiences of Caring for Patients Suffering from Self-Harm." Nursing Research and Practice 2014 (2014): 1–10. http://dx.doi.org/10.1155/2014/905741.

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The aim of this study was to explore mental health nurses’ experiences of caring for inpatients who self-harm during an acute phase. The setting was four psychiatric clinics in Norway. Fifteen mental health nurses (MHNs) were recruited. Semistructured interviews comprised the method for data collection, with content analysis used for data analysis. Two main categories emerged: challenging and collaborative nurse-patient relationship and promoting well-being through nursing interventions. The underlying meaning of the main categories was interpreted and formulated as a latent theme: promoting person-centered care to patients suffering from self-harm. How MHNs promote care for self-harm patients can be described as a person-centered nursing process. MHNs, through the creation of a collaborative nurse-patient relationship, reflect upon nursing interventions and seek to understand each unique patient. The implication for clinical practice is that MHNs are in a position where they can promote patients’ recovery processes, by offering patients alternative activities and by working in partnership with patients to promote their individual strengths and life knowledge. MHNs strive to help patients find new ways of living with their problems. The actual study highlighted that MHNs use different methods and strategies when promoting the well-being of self-harm patients.
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