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

Authors

DOI:

https://doi.org/10.33448/rsd-v10i3.12460

Keywords:

Cancer; Nursing care; Terminal pacient; Oncology nursing.

Abstract

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.

References

Buchanan, A., Davies, A., & Geerling, J. (2014). Breakthrough cancer pain: the role of the nurse. International journal of palliative nursing, 20(3), 126-129. https://doi.org/10.12968/ijpn.2014.20.3.126

Carvalho, R. T. D., & Parsons, H. A. (2012). Manual de cuidados paliativos ANCP. Porto Alegre; Sulina; (2a ed.) 590 p. ilus, tab. http://biblioteca.cofen.gov.br/wp-content/uploads/2017/05/Manual-de-cuidados-paliativos-ANCP.pdf

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. https://doi.org/10.32635/2176-9745.RBC.2015v61n2.300

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. http://www.dx.doi.org/10.5935/1415-2762.20140001

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. https://doi.org/10.12968/ijpn.2019.25.1.30

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. http://dx.doi.org/10.1590/S1413-81232013000900013.

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. https://doi.org/10.1177/0269216319847884

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. https://dx.doi.org/10.1590/s0103-40142016.30880011

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. https://doi.org/10.1016/j.jpainsymman.2013.01.013

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. https://www.scielosp.org/pdf/csc/2013.v18n9/2577-2588/pt

Instituto Nacional de Câncer José Alencar Gomes da Silva [Inca]. (2019). Estimativa 2020: incidência de câncer no Brasil. Inca, 120 p.: il. color. https://www.inca.gov.br/publicacoes/livros/estimativa-2020-incidencia-de-cancer-no-brasil

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. https://doi.org/10.1016/j.jamda.2013.11.017

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. https://doi.org/10.1590/1983-80422020281375

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. https://doi.org/10.1590/S0104-07072008000400018

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. https://doi.org/10.1590/1983-80422014223038.

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. https://dadun.unav.edu/bitstream/10171/34465/1/Atlas%20de%20Cuidados%20Paliativos%20de%20Latinoamerica.pdf

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

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. https://doi.org/10.1016/j.colegn.2013.11.002

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. https://doi.org/10.1177/082585971302900301

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. https://doi.org/10.1177/1049909119839696

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. https://doi.org/10.1111/1744-1609.12011

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. https://doi.org/10.4025/cienccuidsaude.v19i0.41789

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. https://doi.org/10.1089/jpm.2015.0229

Silva, S. M. A. (2017). Os Cuidados ao Fim da Vida no Contexto dos Cuidados Paliativos. Revista Brasileira de Cancerologia. https://doi.org/10.32635/2176-9745.RBC.2016v62n3.338

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. https://doi.org/10.1016/j.ejon.2019.101716

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. https://doi.org/10.1590/S0080-6234201400002000020

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. https://doi.org/10.12968/ijpn.2017.23.7.342

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. https://doi.org/10.12968/ijpn.2016.22.7.341

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

Published

17/03/2021

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: https://rsdjournal.org/index.php/rsd/article/view/12460. Acesso em: 20 apr. 2024.

Issue

Section

Health Sciences