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Descriptions of Fundamental Care needs in cancer care - an exploratory study
Department of Medical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, Sweden / Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden / Adelaide Nursing School, University of Adelaide, SA, Australia / Department of Emergency Care and Internal Medicine, Uppsala University Hospital, Uppsala, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Högskolan i Skövde, Institutionen för hälsa och lärande.ORCID iD: 0000-0003-0976-531X
Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Huddinge, Sweden & Karolinska University Hospital, Radiumhemmet, Stockholm, Sweden.
Adelaide Nursing School, University of Adelaide, SA, Australia / Centre for Evidence based Practice South Australia, Adelaide Nursing School, Faculty of Health Sciences, The University of Adelaide, SA, Australia.
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2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 11-12, p. 2322-2332Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To explore the experiences of the fundamentals of care for people with a cancer diagnosis, from diagnosis to after adjuvant treatment.

BACKGROUND: More focus is needed on the experience of people living with cancer, as current cancer care more emphasises on independence and resilience without fully acknowledging that there will be moments in the cancer journey where patients will need 'basic nursing care' to manage their symptoms and care pathways.

DESIGN: Secondary analysis of qualitative data.

METHOD: Secondary thematic analysis of interview data from 30 people with a diagnosis of breast (n=10), colorectal (n=10) or prostate (n=10) cancer was undertaken.

RESULTS: The findings revealed vivid descriptions of the fundamentals of care (i.e. basic needs) and participants described physical, psychosocial and relational aspects of the delivery of care. Both positive (e.g. supportive and kind) and negative (e.g. humiliating) experiences related to the relationship with the healthcare professionals were re-counted and affected the participants' experiences of the fundamentals of care. Participants' accounts of their fundamental care needs were provided without them identifying who, within the health care system, was responsible for providing these needs. Specific nursing interventions were seldom described.

CONCLUSION: Some people with a cancer diagnosis have to strive for help and support from the nursing staff to manage to regain control over their recovery. Nurses in cancer care need to focus on the patients' fundamental care needs to optimise their patients' recovery.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 27, no 11-12, p. 2322-2332
Keywords [en]
Cancer care, fundamentals of care, nursing care, person-centred care, qualitative study, secondary analysis
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
URN: urn:nbn:se:hj:diva-39225DOI: 10.1111/jocn.14251ISI: 000434127600012PubMedID: 29292542Scopus ID: 2-s2.0-85047805189OAI: oai:DiVA.org:hj-39225DiVA, id: diva2:1201748
Available from: 2018-01-03 Created: 2018-04-26 Last updated: 2022-12-12Bibliographically approved

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Browall, Maria

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