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Recommendations to Support Nurses and Improve the Delivery of Oncology and Palliative Care in India
CONTEXT: Nurses in India often practice in resource-constrained settings and care for cancer patients with high symptom burden yet receive little oncology or palliative care training. AIM: The aim of this study is to explore challenges encountered by nurses in India and offer recommendations to impr...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5412128/ https://www.ncbi.nlm.nih.gov/pubmed/28503040 http://dx.doi.org/10.4103/IJPC.IJPC_153_16 |
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author | LeBaron, Virginia T Palat, Gayatri Sinha, Sudha Chinta, Sanjeeva Kumari Jamima, Beaulah John Battula Pilla, Usha Lakshmi Podduturi, Nireekshana Shapuram, Yadamma Vennela, Padma Rapelli, Vineela Lalani, Zahra Beck, Susan L |
author_facet | LeBaron, Virginia T Palat, Gayatri Sinha, Sudha Chinta, Sanjeeva Kumari Jamima, Beaulah John Battula Pilla, Usha Lakshmi Podduturi, Nireekshana Shapuram, Yadamma Vennela, Padma Rapelli, Vineela Lalani, Zahra Beck, Susan L |
author_sort | LeBaron, Virginia T |
collection | PubMed |
description | CONTEXT: Nurses in India often practice in resource-constrained settings and care for cancer patients with high symptom burden yet receive little oncology or palliative care training. AIM: The aim of this study is to explore challenges encountered by nurses in India and offer recommendations to improve the delivery of oncology and palliative care. METHODS: Qualitative ethnography. SETTING: The study was conducted at a government cancer hospital in urban South India. SAMPLE: Thirty-seven oncology/palliative care nurses and 22 others (physicians, social workers, pharmacists, patients/family members) who interact closely with nurses were included in the study. DATA COLLECTION: Data were collected over 9 months (September 2011– June 2012). Key data sources included over 400 hours of participant observation and 54 audio-recorded semi-structured interviews. ANALYSIS: Systematic qualitative analysis of field notes and interview transcripts identified key themes and patterns. RESULTS: Key concerns of nurses included safety related to chemotherapy administration, workload and clerical responsibilities, patients who died on the wards, monitoring family attendants, and lack of supplies. Many participants verbalized distress that they received no formal oncology training. CONCLUSIONS: Recommendations to support nurses in India include: prioritize safety, optimize role of the nurse and explore innovative models of care delivery, empower staff nurses, strengthen nurse leadership, offer relevant educational programs, enhance teamwork, improve cancer pain management, and engage in research and quality improvement projects. Strong institutional commitment and leadership are required to implement interventions to support nurses. Successful interventions must account for existing cultural and professional norms and first address safety needs of nurses. Positive aspects from existing models of care delivery can be adapted and integrated into general nursing practice. |
format | Online Article Text |
id | pubmed-5412128 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-54121282017-05-12 Recommendations to Support Nurses and Improve the Delivery of Oncology and Palliative Care in India LeBaron, Virginia T Palat, Gayatri Sinha, Sudha Chinta, Sanjeeva Kumari Jamima, Beaulah John Battula Pilla, Usha Lakshmi Podduturi, Nireekshana Shapuram, Yadamma Vennela, Padma Rapelli, Vineela Lalani, Zahra Beck, Susan L Indian J Palliat Care Original Article CONTEXT: Nurses in India often practice in resource-constrained settings and care for cancer patients with high symptom burden yet receive little oncology or palliative care training. AIM: The aim of this study is to explore challenges encountered by nurses in India and offer recommendations to improve the delivery of oncology and palliative care. METHODS: Qualitative ethnography. SETTING: The study was conducted at a government cancer hospital in urban South India. SAMPLE: Thirty-seven oncology/palliative care nurses and 22 others (physicians, social workers, pharmacists, patients/family members) who interact closely with nurses were included in the study. DATA COLLECTION: Data were collected over 9 months (September 2011– June 2012). Key data sources included over 400 hours of participant observation and 54 audio-recorded semi-structured interviews. ANALYSIS: Systematic qualitative analysis of field notes and interview transcripts identified key themes and patterns. RESULTS: Key concerns of nurses included safety related to chemotherapy administration, workload and clerical responsibilities, patients who died on the wards, monitoring family attendants, and lack of supplies. Many participants verbalized distress that they received no formal oncology training. CONCLUSIONS: Recommendations to support nurses in India include: prioritize safety, optimize role of the nurse and explore innovative models of care delivery, empower staff nurses, strengthen nurse leadership, offer relevant educational programs, enhance teamwork, improve cancer pain management, and engage in research and quality improvement projects. Strong institutional commitment and leadership are required to implement interventions to support nurses. Successful interventions must account for existing cultural and professional norms and first address safety needs of nurses. Positive aspects from existing models of care delivery can be adapted and integrated into general nursing practice. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5412128/ /pubmed/28503040 http://dx.doi.org/10.4103/IJPC.IJPC_153_16 Text en Copyright: © 2017 Indian Journal of Palliative Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article LeBaron, Virginia T Palat, Gayatri Sinha, Sudha Chinta, Sanjeeva Kumari Jamima, Beaulah John Battula Pilla, Usha Lakshmi Podduturi, Nireekshana Shapuram, Yadamma Vennela, Padma Rapelli, Vineela Lalani, Zahra Beck, Susan L Recommendations to Support Nurses and Improve the Delivery of Oncology and Palliative Care in India |
title | Recommendations to Support Nurses and Improve the Delivery of Oncology and Palliative Care in India |
title_full | Recommendations to Support Nurses and Improve the Delivery of Oncology and Palliative Care in India |
title_fullStr | Recommendations to Support Nurses and Improve the Delivery of Oncology and Palliative Care in India |
title_full_unstemmed | Recommendations to Support Nurses and Improve the Delivery of Oncology and Palliative Care in India |
title_short | Recommendations to Support Nurses and Improve the Delivery of Oncology and Palliative Care in India |
title_sort | recommendations to support nurses and improve the delivery of oncology and palliative care in india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5412128/ https://www.ncbi.nlm.nih.gov/pubmed/28503040 http://dx.doi.org/10.4103/IJPC.IJPC_153_16 |
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