Contributions and difficulties of the nursing team in the implementation of palliative care for cancer patients




Cancer; Nursing care; Terminal pacient; Oncology nursing.


Cancer is an overwhelming disease and palliative care must be present from the moment the disease becomes aggressive and at an advanced stage, and it is an assignment of the nursing team to plan and offer it to patients. The objective was to analyze the contributions and difficulties of nursing in the implementation of palliative care to terminal cancer patients. The search for articles was performed in the databases indexed in the Virtual Health Library, between July and November 2020, using the Prisma methodology. The sample included 14 articles that addressed the theme, 92.8% in the English language and only 7.1% national. In addition, 35.7% are productions from European countries and 28.5% are from North America. The largest number of publications in European countries may be related to the fact that Europe is the birthplace of the study on palliative care. The studies included the importance of oncology nursing in the provision of end-of-life care. However, these professionals have difficulty dealing with the physical and emotional pain stems from patients, fears about anticipating palliative care planning, lack of confidence in communicating with the patient in times of concern, fears and longings regarding the death and dying process, emotional attachment, doubts of what are their real duties in care and limitations such as lack of time to perform face-to-face or online training/training.


Buchanan, A., Davies, A., & Geerling, J. (2014). Breakthrough cancer pain: the role of the nurse. International journal of palliative nursing, 20(3), 126-129.

Carvalho, R. T. D., & Parsons, H. A. (2012). Manual de cuidados paliativos ANCP. Porto Alegre; Sulina; (2a ed.) 590 p. ilus, tab.

Carmo, S. A., & dos Santos Oliveira, I. C. (2015). Criança com câncer em processo de morrer e sua família: enfrentamento da equipe de enfermagem. Revista Brasileira de Cancerologia, 61(2), 131-138.

Ercole, F. F., Melo, L. S. D., & Alcoforado, C. L. G. C. (2014). Revisão integrativa versus revisão sistemática. Revista Mineira de Enfermagem, 18(1), 9-12.

Feldenzer, K., Rosenzweig, M., Soodalter, J. A., & Schenker, Y. (2019). Nurses' perspectives on the personal and professional impact of providing nurse-led primary palliative care in outpatient oncology settings. International journal of palliative nursing, 25(1), 30-37.

Fernandes, M. A., Evangelista, C. B., Platel, I. C. D. S., Agra, G., Lopes, M. D. S., & Rodrigues, F. D. A. (2013). Percepção dos enfermeiros sobre o significado dos cuidados paliativos em pacientes com câncer terminal. Ciência & Saúde Coletiva, 18(9), 2589-2596.

Figueiredo, N. M. A., Leite, J. L., Machado, W. C. A., Moreira, M. C., & Tonini, T. (2009). Enfermagem Oncológica: Conceitos e Práticas Yendis Editora.

Fliedner, M., Zambrano, S., Schols, J. M., Bakitas, M., Lohrmann, C., Halfens, R. J., & Eychmüller, S. (2019). An early palliative care intervention can be confronting but reassuring: A qualitative study on the experiences of patients with advanced cancer. Palliative medicine, 33(7), 783-792.

Galvão, T, F., Pansani, T. S. A., & Harrad, D. (2015). Principais itens para relatar revisões sistemáticas e Meta-análises: A recomendação PRISMA*. Epidemiol. Serv. Saúde, Brasília. 10.5123/S1679-49742015000200017.

Gomes, A. L. Z. & Othero, M. B. (2016). Cuidados paliativos. Estudos Avançados, 30 (88), 155-166.

Henoch, I., Danielson, E., Strang, S., Browall, M., & Melin-Johansson, C. (2013). Training intervention for health care staff in the provision of existential support to patients with cancer: a randomized, controlled study. Journal of pain and symptom management, 46(6), 785-794.

Hermes, H. R., & Lamarca, I. C. A. (2013) Cuidados paliativos: uma abordagem a partir das categorias profissionais de saúde. Ciência e Saúde Coletiva, 18(9), 5577-2588.

Instituto Nacional de Câncer José Alencar Gomes da Silva [Inca]. (2019). Estimativa 2020: incidência de câncer no Brasil. Inca, 120 p.: il. color.

Leclerc, B. S., Lessard, S., Bechennec, C., Le Gal, E., Benoit, S., & Bellerose, L. (2014). Attitudes toward death, dying, end-of-life palliative care, and interdisciplinary practice in long term care workers. Journal of the American Medical Directors Association, 15(3), 207-213.

Medeiros, M. O. S. F., Meira, M. V., Fraga, F. M.. R., Sobrinho, C. L. N., Rosa. D. O.S., & Silva, R. S. (2020). Conflitos bioéticos nos cuidados de fim de vida. Revista Bioética.

Mendes, K. D. S., Silveira, R. C. C. P., & Galvão, C. M. (2008). Revisão integrativa: Método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Revista Texto & Contexto Enfermagem.

Paiva, F. C. L., Júnior, J. J. A., & Damásio, A. C. (2014). Ética em cuidados paliativos: concepções sobre o fim da vida. Rev. Bioét. 22(3), 550-560.

Pastrana, T. L. L., Wenk, R. E. J., Monti, C. J., Centeno, C. (2012). Atlas de Cuidados Paliativos de Latinoamérica. ALCP. 1a edición. Houston: IAHPC Press.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM.

Phillips, J. L., Lovell, M., Luckett, T., Agar, M., Green, A., & Davidson, P. (2015). Australian survey of current practice and guideline use in adult cancer pain assessment and management: The community nurse perspective. Collegian, 22(1), 33-41.

Phungrassami, T., Thongkhamcharoen, R., & Atthakul, N. (2013). Palliative care personnel and services: a national survey in Thailand 2012. Journal of palliative care, 29(3), 133-139.

Reiser, V., Rosenzweig, M., Welsh, A., Ren, D., & Usher, B. (2019). The support, education, and advocacy (sea) program of care for women with metastatic breast cancer: a nurse-led palliative care demonstration program. American Journal of Hospice and Palliative Medicine®, 36(10), 864-870.

Rodrigues, A. J., Bushatsky, M., & Viaro, W. D. (2015). Cuidados paliativos em crianças com câncer: revisão integrativa. Rev enferm UFPE online, Recife, 9(2):718-30. 10.5205/r euol.7028-60723-1-SM.0902201530.

Samara, J., Larkin, D., Chan, C. W., & Lopez, V. (2013). Advance care planning in the oncology settings. International Journal of Evidence‐Based Healthcare, 11(2), 110-114.

Schneider, A. S., Ludwig, M. C. F., Neis, M., Ferreira, A. M., & Issi, H. B. (2020). Percepções e vivências da equipe de enfermagem frente ao paciente pediátrico em cuidados paliativos. Ciênc. cuid. saúde, 9-9.

Seow, H., Sutradhar, R., McGrail, K., Fassbender, K., Pataky, R., Lawson, B., & Barbera, L. (2016). End-of-life cancer care: temporal association between homecare nursing and hospitalizations. Journal of palliative medicine, 19(3), 263-270.

Silva, S. M. A. (2017). Os Cuidados ao Fim da Vida no Contexto dos Cuidados Paliativos. Revista Brasileira de Cancerologia.

Slev, V. N., Molenkamp, C. M., Eeltink, C. M., Pasman, H. R. W., Verdonck-de Leeuw, I. M., Francke, A. L., & van Uden-Kraan, C. F. (2020). A nurse-led self-management support intervention for patients and informal caregivers facing incurable cancer: A feasibility study from the perspective of nurses. European Journal of Oncology Nursing, 45, 101716.

Soares, Cassia Baldini, Hoga, Luiza Akiko Komura, Peduzzi, Marina, Sangaleti, Carine, Yonekura, Tatiana, & Silva, Deborah Rachel Audebert Delage. (2014). Revisão integrativa: conceitos e métodos utilizados na enfermagem. Revista da Escola de Enfermagem da USP, 48(2), 335-345.

Sugimura, A., Ando, S., & Tamakoshi, K. (2017). Palliative care and nursing support for patients experiencing dyspnoea. International journal of palliative nursing, 23(7), 342-351.

Veldhuisen, H., Zweers, D., de Graaf, E., & Teunissen, S. (2016). Assessment of anxiety in advanced cancer patients: a mixed methods study. International journal of palliative nursing, 22(7), 341-350.

World Health Organization (WHO). (2002). National cancer control programmes: policies and managerial guidelines. (2a ed.), WHO.



How to Cite

SALES, C. L. C. .; SILVA, J. S. H. .; NODARI, P. R. G. .; COSTA, D. A. V. da .; SANTOS, T. M. dos . Contributions and difficulties of the nursing team in the implementation of palliative care for cancer patients. Research, Society and Development, [S. l.], v. 10, n. 3, p. e30410312460, 2021. DOI: 10.33448/rsd-v10i3.12460. Disponível em: Acesso em: 17 apr. 2021.



Health Sciences