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Descriptions of Fundamental Care needs in cancer care - an exploratory study
Uppsala University, Sweden / University of Adelaide, SA, Australia / Uppsala University Hospital, Sweden.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Karolinska Institutet, Huddinge, Sweden. (Välbefinnande vid långvariga hälsoproblem, Wellbeing in long-term health problems (WeLHP))ORCID iD: 0000-0003-0976-531X
Karolinska Institutet, Huddinge, Sweden / Karolinska University Hospital, Radiumhemmet, Stockholm, Sweden.
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. This article is protected by copyright. All rights reserved.

Place, publisher, year, edition, pages
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:his:diva-14616DOI: 10.1111/jocn.14251ISI: 000434127600012PubMedID: 29292542Scopus ID: 2-s2.0-85047805189OAI: oai:DiVA.org:his-14616DiVA, id: diva2:1170441
Available from: 2018-01-03 Created: 2018-01-03 Last updated: 2018-07-06Bibliographically approved

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Browall, Maria

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