Examining Undergraduate Nursing Students' Oncology Clinic Palliative Care Experiences: A Qualitative Study

Yıl 2025, Cilt: 4 Sayı: 1, 17 - 28, 30.04.2025

Kani Altar Öztürk , Figen Okcin

Öz

Nursing students encounter cancer patients who need palliative care during their education. It is known that nursing students experience serious psychological distress during the palliative care process. This study aims to examine the experiences of nursing undergraduate students in an oncology palliative clinic. Materials and methods: The study was conducted with a phenomenological design. Data collection tools: Student Introduction Form, Semi-Structured Questionnaire Form. A total of 7 participants were included in the study. Findings: The main theme of the students' physical dimension was related to the subthemes of fatigue and insomnia; the main theme of the psychological dimension was related to the subthemes of existential concerns, difficulty in coping and difficulty in communicating with patients; and the main theme of the social dimension was determined to be related to lack of education and communication problems. Conclusion: Nursing students' experiences in palliative care consist of three main themes: physical dimension, psychological dimension and social dimension. Appropriate educational planning and clinical support of students are important.

Anahtar Kelimeler

Palliative care , nursing education , qualitative study

Proje Numarası

1919B012200691

Hemşirelik Lisans Öğrencilerinin Onkoloji Kliniği Palyatif Bakım Deneyimlerinin İncelenmesi: Nitel Bir Çalışma

Öz

Hemşirelik öğrencileri eğitim süreçlerinde palyatif bakım ihtiyacı olan kanser hastaları ile karşılaşmaktadırlar. Palyatif bakım sürecinde hemşirelik öğrencilerinin ağır bir psikolojik zorlanma yaşadıkları bilinmektedir. Bu çalışmada amaç, hemşirelik lisans öğrencilerinin onkoloji palyatif kliniğindeki deneyimleri üzerinden yaşadıklarının incelenmesidir. Gereç yöntem: Çalışma fenomenolojik bir tasarım ile yürütülmüştür. Veri toplama araçları: Öğrenci Tanıtım Formu, Yarı Yapılandırılmış Soru Formundan oluşmuştur. Çalışmaya toplam 7 katılımcı dahil edilmiştir. Bulgular: Öğrencilerin, yorgunluk ve uykusuzluk alt temaları ile ilişkili fiziksel boyut ana teması; varoluşsal kaygılar, baş etmede zorlanma ve hastalarla iletişimde zorlanma alt temaları ile ilişkili psikolojik Boyut ana teması ve eğitim eksikliği, iletişim sorunları ile ilişkili sosyal boyut ana teması belirlenmiştir. Sonuç: Hemşirelik öğrencilerinin palyatif bakımdaki deneyimleri fiziksel boyut, psikolojik boyut ve sosyal boyut olarak üç ana temadan oluşmuştur. Öğrencilerin uygun eğitim planlaması ve klinik süreç içinde desteklenmeleri önem taşımaktadır.

Anahtar Kelimeler

Palyatif bakım , hemşirelik eğitimi , nitel çalışma

Etik Beyan

Çalışmanın yürütülmesinde Helsinki İnsan Hakları Bildirgesi kurallarına uyulmuştur.

Destekleyen Kurum

Tübitak

Proje Numarası

1919B012200691

Teşekkür

Projemizi destekleyen kuruma ve katkı sağlayan tüm katılımcılara teşekkür ederiz.

Kaynakça

• Abu‐Odah, H., Leung, D., Chan, A., Bayuo, J., Su, J., Ho, K., Lam, K., Yuen, J., Zhao, I., Allsop, M., Zoubi, F., Khaldi, M., Krakauer, E., & Molassiotis, A. (2024). Oncology Nurses' Lived Experience Of Caring For Patients With Advanced Cancer İn Healthcare Systems Without Palliative Care Services. International Journal Of Palliative Nursing, 30 7, 370-378. Https://Doi.Org/10.12968/İjpn.2024.30.7.370
• Altre, R., & Chou, F. Y. (2022). Nursing students’ knowledge and attitude toward cancer survivorship. Journal of Cancer Education, 37(5), 1312-1321. https://doi.org/10.1007/s13187-020-01953-5
• Amicucci, M., Trigoso, E., Nori, M., Colomer-Lahiguera, S., Rostagno, E., Biagioli, V., Sansone, V., Zibaldo, A., Mastria, A., Partel, M., Canesi, M., Schiopu, A., & Dall’oglio, I. (2024). Role, Education, Policies And Competencies For Advanced Practice İn Paediatric Haematology-Oncology Nursing İn Europe: A Scoping Review.. Pediatric Blood & Cancer, E31325. Https://Doi.Org/10.1002/Pbc.31325
• Andersson, E, Salickiene, Z, Rosengren, K, To be Involved – a qualitative study of nurses’ experiences of caring for dying patients, Nurse Education Today,2016, (38) 144-149. https://doi.org/10.1016/j.nedt.2015.11.026
• Bagheri, M., Ashouri, E., & Mohammadi Pelarti, A. (2023). Nursing students’ reflections on the clinical learning environment of the oncology unit: a qualitative study. Journal of Qualitative Research in Health Sciences, 12(3), 129-136. doi:10.34172/jqr.2023.19
• Bearzot, S., Ortez, G., Cadorin, L., Ghirotto, L., & Bressan, V. (2024). Navigating Improper Care Settings: Nurses' Experiences Assisting Oncological Patients At The End Of Life İn Surgical Departments.. Cancer Nursing. Https://Doi.Org/10.1097/Ncc.0000000000001388
• Creswell, A.(2013). Qualitative Research Methods Qualitative Research and Research Design According to Five Approaches. Bütün, M. Demir, ŞB.(Translator).
• Domingo-Osle, M., La Rosa-Salas, V., & García-Vivar, C. (2023). Educational Intervention for family nursing students in long-term cancer survivorship: a randomized pilot trial. Journal of family nursing, 29(3), 248-262. https://doi.org/10.1177/10748407231167438
• Duarte, A., Da Silva, C., & Barbieri-Figueiredo, M. (2024). Construction And Validation Of A Simulation Scenario For Teaching Family-Focused Care İn Pediatric Oncology.. Journal Of Family Nursing, 10748407231223768. Https://Doi.Org/10.1177/10748407231223768
• Garrino, L, Contratto, C, Massariello, P, Dimento, V, Caring for dying patient and their families: the lived experiences of nursing students in Italy, Journal of Palliative Care, 2017, 32(3-4) 127-133. https://doi.org/10.1177/0825859717745169
• Gürbüz, S., Şahin, F., “Qualitative Research Designs and Qualitative Data Analysis” Translation Book, “Research Methods in Social Sciences”.2018; 407-437.
• Hedenstrom, M. L., Sneha, S., Nalla, A., & Wilson, B. (2021). Nursing student perceptions and attitudes toward patients with cancer after education and mentoring: integrative review. JMIR Cancer 2021;7(3):e27854. doi:10.2196/27854
• Kauffman, S., & Prosdocimo, B. (2024). Redesigning Competency Assessment: A Blended Approach Of Clinical Education For Oncology Nurses.. Journal For Nurses in Professional Development. Https://Doi.Org/10.1097/Nnd.0000000000001085
• Kim, B., Patterson, P., & White, K. (2024). Supportive Communication Between Emerging Adults With Cancer And Nurses During Diagnosis And Cancer Treatment: An Exploratory Qualitative Study Using Interviews.. Cancer Nursing. Https://Doi.Org/10.1097/Ncc.0000000000001323
• Özdemir, S. T., & Yeşilbalkan, Ö. U. Adherence to Treatment in Geriatric Oncology Patients. Sağlık Bakım ve Rehabilitasyon Dergisi, 3(3), 70-78.
• Shih, Y., Wang, C., Ali, A., Huang, X., & Lu, Q. (2024). Oncology Nurses' Communication Practices And Challenges Towards Advance Care Planning: A Sequential Explanatory Mixed-Method Study.. Journal Of Advanced Nursing. Https://Doi.Org/10.1111/Jan.16413
• Sürücü, H. A., Topdemir, E. A., Baksi, A., & Besen, D. B. (2021). Empathic approach to reducing the negative attitudes of nursing undergraduate students towards cancer. Nurse education today, 105, 105039. https://doi.org/10.1016/j.nedt.2021.105039
• Uzun, S. (2024). Ethical Dilemmas And Coping Experiences Of Nurses Caring For Patients With Hematologic Cancer: A Phenomenological Study.. Journal Of Hospice And Palliative Nursing : Journal of Hospice & Palliative Nursing 26(5):p E163-E169, October 2024. | DOI: 10.1097/NJH.0000000000001053