Recommendations to support nurses and improve the delivery of oncology and palliative care in India
| Autor: | Usha Lakshmi Pilla, Padma Vennela, Gayatri Palat, Beaulah John Battula Jamima, Yadamma Shapuram, Nireekshana Podduturi, Sudha Sinha, Vineela Rapelli, Zahra Lalani, Sanjeeva Kumari Chinta, Susan L. Beck, Virginia T. LeBaron |
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| Rok vydání: | 2017 |
| Předmět: |
District nurse
Oncology medicine.medical_specialty Surgical nursing Palliative care media_common.quotation_subject Psychological intervention India Context (language use) Participant observation nurses 03 medical and health sciences 0302 clinical medicine Nursing Internal medicine Chemotherapy Medicine media_common lcsh:R5-920 Teamwork palliative care 030504 nursing Social work business.industry Health Policy Public Health Environmental and Occupational Health 030220 oncology & carcinogenesis Family medicine oncology recommendations Original Article lcsh:Medicine (General) 0305 other medical science business |
| Zdroj: | Indian Journal of Palliative Care Indian Journal of Palliative Care, Vol 23, Iss 2, Pp 188-198 (2017) |
| ISSN: | 0973-1075 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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