Experiences of non-specialist nurses caring for patients and their significant others undergoing transitions during palliative end-of-life cancer care: a systematic review

Hrønn Thorn, Lisbeth Uhrenfeldt

Research output: Contribution to journalReview articlepeer-review

4 Citations (Scopus)

Abstract

Background: Non-specialist nurses, who are providing palliative end-of-life cancer care to patients and significant others undergoing psychosocial and existential transitions, may experience dissatisfaction, frustration and sorrow. On the other hand, they may also experience happiness, increased knowledge and personal growth.

Objective/question: What are non-specialist nurses’ experiences when providing palliative end-of-life cancer care that involves the psychosocial and existential transitions of their patients and significant others?

Inclusion criteria Types of participants: The current review considered studies that included a description of the experiences of non-specialist trained registered nurses (RNs) working in non-specialist wards.

Phenomena of interest: The current review considered studies that investigated experiences of RNs when providing palliative end-of-life cancer care that involves the psychosocial and existential transitions of their patients and significant others.

Context: The contact and care for patients and their significant others during palliative end-of-life cancer care.

Types of studies: The current review considered studies that focused on qualitative data including, but not limited to, designs such as phenomenology, grounded theory, ethnography, action research and feminist research.

Search strategy: The search aimed at finding both published and unpublished studies in English, Danish, Norwegian, Swedish and German, and was unrestricted by time. Eleven electronic databases and seven websites were searched.

Methodological quality: Methodological validity of the qualitative papers was assessed independently by two reviewers using the standardized critical appraisal instruments from the Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI).

Data extraction: Data were extracted from papers included in the review using the standardized data extraction tool from the JBI-QARI.

Data synthesis: Qualitative research findings were synthesized using the JBI-QARI.

Results: A total of 81 findings were extracted from the three studies and allocated to five categories and merged into a meta-synthesis with the overarching synthesized finding related to the challenges that non-specialist nurses faced when providing palliative end-of-life cancer care. The summary of findings is illustrated below.

Conclusion: The studies in this review provided useful and credible statements from non-specialist nurses working in non-specialist wards about their challenges when providing palliative end-of-life cancer care to patients and their significant others undergoing psychosocial and existential transitions.

Original languageEnglish
JournalJBI Database of Systematic Reviews & Implementation Reports
Volume15
Issue number6
Pages (from-to)1711-1746
ISSN2202-4433
DOIs
Publication statusPublished - 2017

Fingerprint Dive into the research topics of 'Experiences of non-specialist nurses caring for patients and their significant others undergoing transitions during palliative end-of-life cancer care: a systematic review'. Together they form a unique fingerprint.

Cite this