Ethical Challenges Faced by Nurses in Oncology Care During Breaking Bad News: A Qualitative Study

Ethical Challenges Faced by Nurses

Authors

  • Adeela Qayyum Department of Nursing, University of Health Sciences, Lahore, Pakistan
  • Samina Kousar Department of Nursing, University of Health Sciences, Lahore, Pakistan
  • Samina Farooqi Department of Nursing, University of Health Sciences, Lahore, Pakistan
  • Tahira Kalsoom Department of Nursing, University of Health Sciences, Lahore, Pakistan
  • Saima Kousar Department of Nursing, University of Health Sciences, Lahore, Pakistan
  • Fouzia Sattar Department of Nursing, University of Health Sciences, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i05.763

Keywords:

Ethical Challenges, Breaking Bad News, Oncology

Abstract

The emphasis of this paper is on the ethical challenges faced by nurses who broke bad news and worked in a tertiary care hospital in Punjab, Pakistan, with patients who were diagnosed with cancer. Objective: To explore the Ethical challenges faced by nurses in oncology care during breaking bad news. Methods: A qualitative phenomenological research design was employed. From the Oncology Department, 15 nurses with at least one year of experience were chosen as a sample. The University of Health Sciences in Lahore served as the study's setting. The Jinnah and Mayo Hospitals in Lahore, Pakistan, Oncology Departments were used to collect the data. Using an interview guide, semi-structured, in-depth face-to-face interviews were conducted to collect data. Thematic analysis framework approach was used to analyses the data that had been gathered. Results: The study's conclusions showed that nurses typically steer clear of BBN because of ethical issues. Conclusions: To give nurses sound knowledge and competence of BBN at the institutional level, capacity building and ongoing nursing education programmes must be set up.

References

Baysal E, Sari D, Erdem H. Ethical decision-making levels of oncology nurses. Nursing Ethics. 2019 Nov; 26(7-8): 2204-12. doi: 10.1177/0969733018803662. DOI: https://doi.org/10.1177/0969733018803662

Campbell C and Cornish F. Towards a “fourth generation” of approaches to HIV/AIDS management: creating contexts for effective community mobilisation. AIDS Care. 2010 Dec; 22(sup2): 1569-79. doi: 10.1080/09540121.2010.525812. DOI: https://doi.org/10.1080/09540121.2010.525812

Erichsen E, Danielsson EH, Friedrichsen M. A phenomenological study of nurses’ understanding of honesty in palliative care. Nursing Ethics. 2010 Jan; 17(1): 39-50. doi: 10.1177/0969733009350952. DOI: https://doi.org/10.1177/0969733009350952

Fallowfield L and Jenkins V. Communicating sad, bad, and difficult news in medicine. The Lancet. 2004 Jan; 363(9405): 312-9. doi: 10.1016/S0140-6736(03)15392-5. DOI: https://doi.org/10.1016/S0140-6736(03)15392-5

Griffiths J, Ewing G, Wilson C, Connolly M, Grande G. Breaking bad news about transitions to dying: a qualitative exploration of the role of the district nurse. Palliative Medicine. 2015 Feb; 29(2): 138-46. doi: 10.1177/0269216314551813. DOI: https://doi.org/10.1177/0269216314551813

Gunawan J. Ensuring trustworthiness in qualitative research. Belitung Nursing Journal. 2015 Dec; 1(1): 10-1. doi: 10.33546/bnj.4. DOI: https://doi.org/10.33546/bnj.4

Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative content analysis: A focus on trustworthiness. SAGE Open. 2014 Feb; 4(1): 2158244014522633. doi: 10.1177/2158244014522633. DOI: https://doi.org/10.1177/2158244014522633

Helft PR, Chamness A, Terry C. Oncology nurses' attitudes toward prognosis-related communication: A pilot mailed survey of oncology nursing society members. InOncology nursing forum. Oncology Nursing Society. 2011 Jul; 38(4): 468. doi: 10.1188/11.ONF.468-474. DOI: https://doi.org/10.1188/11.ONF.468-474

Innes S and Payne S. Advanced cancer patients’ prognostic information preferences: a review. Palliative Medicine. 2009 Jan; 23(1): 29-39. doi: 10.1177/0269216308098799. DOI: https://doi.org/10.1177/0269216308098799

Jones MN, Hills TT, Todd PM. Hidden processes in structural representations: A reply to Abbott, Austerweil, and Griffiths. Psychological Review. 2015; 122(3): 570–4. doi: 10.1037/a0039248. DOI: https://doi.org/10.1037/a0039248

Pavlish C and Hunt R. An exploratory study about meaningful work in acute care nursing. InNursing forum. Malden, USA: Blackwell Publishing Inc. 2012 Apr; 47(2): 113-22. doi: 10.1111/j.1744-6198.2012.00261.x. DOI: https://doi.org/10.1111/j.1744-6198.2012.00261.x

Prouty CD, Mazor KM, Greene SM, Roblin DW, Firneno CL, Lemay CA, et al. Providers’ perceptions of communication breakdowns in cancer care. Journal of General Internal Medicine. 2014 Aug; 29: 1122-30. doi: 10.1007/s11606-014-2769-1. DOI: https://doi.org/10.1007/s11606-014-2769-1

Randall TC and Wearn AM. Receiving bad news: patients with haematological cancer reflect upon their experience. Palliative Medicine. 2005 Dec; 19(8):5 94-601. doi: 10.1191/0269216305pm1080oa. DOI: https://doi.org/10.1191/0269216305pm1080oa

Rassin M, Dado KP, Avraham M. The role of health care professionals in breaking bad news about death: the perspectives of doctors, nurses and social workers. International Journal of Caring Sciences. 2013 May; 6(2): 227.

Rassin M, Levy O, Schwartz T, Silner D. Caregivers' role in breaking bad news: patients, doctors, and nurses' points of view. Cancer Nursing. 2006 Jul; 29(4): 302-8. doi: 10.1097/00002820-200607000-00009. DOI: https://doi.org/10.1097/00002820-200607000-00009

Robinson GE, Fernald RD, Clayton DF. Genes and social behavior. Science. 2008 Nov; 322(5903): 896-900. doi: 10.1126/science.1159277. DOI: https://doi.org/10.1126/science.1159277

Robinson LF, Adkins JF, Frank N, Gagnon AC, Prouty NG, Roark EB, et al. The geochemistry of deep-sea coral skeletons: a review of vital effects and applications for palaeoceanography. Deep Sea Research Part II: Topical Studies in Oceanography. 2014 Jan; 99: 184-98. doi: 10.1016/j.dsr2.2013.06.005. DOI: https://doi.org/10.1016/j.dsr2.2013.06.005

Tobin GA and Begley C. Receiving bad news: a phenomenological exploration of the lived experience of receiving a cancer diagnosis. Cancer Nursing. 2008 Sep; 31(5): E31-9. doi: 10.1097/01.NCC.0000305767.42475.7a. DOI: https://doi.org/10.1097/01.NCC.0000305767.42475.7a

Warnock C, Tod A, Foster J, Soreny C. Breaking bad news in inpatient clinical settings: role of the nurse. Journal of Advanced Nursing. 2010 Jul; 66(7): 1543-55. doi: 10.1111/j.1365-2648.2010.05325.x. DOI: https://doi.org/10.1111/j.1365-2648.2010.05325.x

Wittenberg-Lyles E. Communication in palliative nursing. Oxford University Press. 2013.

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Published

2023-05-31
CITATION
DOI: 10.54393/pjhs.v4i05.763
Published: 2023-05-31

How to Cite

Qayyum , A. . ., Kousar, S. ., Farooqi, S. ., Kalsoom, T. ., Kousar, S. ., & Sattar, F. . (2023). Ethical Challenges Faced by Nurses in Oncology Care During Breaking Bad News: A Qualitative Study: Ethical Challenges Faced by Nurses. Pakistan Journal of Health Sciences, 4(05), 207–211. https://doi.org/10.54393/pjhs.v4i05.763

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