Recommendations to Support Nurses and Improve the Delivery of Oncology and Palliative Care in India

Indian Journal of Palliative Care
Virginia T LeBaronSusan L Beck

Abstract

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. 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. Qualitative ethnography. The study was conducted at a government cancer hospital in urban South India. 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 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. Systematic qualitative analysis of field notes and interview transcripts identified key themes and patterns. 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. Recommendations to support nurses in India...Continue Reading

References

Jun 11, 2009·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Didier PittetUNKNOWN World Health Organization World Alliance for Patient Safety First Global Patient Safety Challenge Core Group of Experts
Dec 7, 2013·Annals of Oncology : Official Journal of the European Society for Medical Oncology·J ClearyN I Cherny

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Citations

Nov 22, 2017·Journal of Oncology Pharmacy Practice : Official Publication of the International Society of Oncology Pharmacy Practitioners·Himanshu Patel, Parthasarathi Gurumurthy
Aug 8, 2018·Journal of Global Oncology·Hibah OsmanJames F Cleary
Jun 27, 2019·International Journal of Clinical Pharmacy·Himanshu Patel, Parthasarathi Gurumurthy
May 8, 2021·Journal of Clinical Nursing·Mozhgan SoheiliMehran Sharifi

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