Experiences of Nurses in Providing Care for Patients on the Cancer Journey: A Cross-Sectional Survey
DOI:
https://doi.org/10.31674/mjn.2024.v16i01.021Abstract
Background: The interaction between nursing care and cancer patients is beneficial for patients' health outcomes, as they successfully manage and live with cancer. This study was conducted to assess the quality-of-care interaction between nurses and patients in oncology hospitals. Methods: A cross-sectional survey was conducted among 113 cancer patients in oncology teaching hospitals in Baghdad, Iraq, from August 14th, 2023, to January 30th, 2024. The Caring Nurse-Patients Interaction-23 Scale was utilized to examine the nurse-related orientation of caring interaction between nurse and patient. It is assessed on a 5-point Likert scale and contains 23 questions pertaining to four primary domains: “humanistic care, relational care, clinical care, and comforting care." Data were analyzed by descriptive and inferential data analysis. Results: The findings showed that most of the study sample were female (72.6%), unemployed (75.2%), and patients were not smokers (88.5%). Most of the patients had breast cancer (44.2%); and more than half of them were treated with chemotherapy (68.1%). The mean patients’ interaction with caring provided by oncology nurses was moderate in most domains, and the humanistic and comforting interactions were more impacted. There was a significant relationship between patients’ employment status, cancer type and type of treatment that they received (p value = 0.001), and their caring interaction with oncology nurses. Conclusion: The study concluded that the majority of the cancer patients felt a moderately caring interaction with oncology nurses. Nurses must focus on humanistic and comforting interactions with patients to build a positive caring relationship and improve patients’ health outcomes.
Keywords:
Cancer, Oncology Nurses, Patients, Quality-of-Care InteractionDownloads
References
Alhussin, E. M., Mohamed, S. A., Hassan, A. A., Al-Qudimat, A. R., Doaib, A. M., & Alhawsawy, E. D. (2024). Patients’ satisfaction with the quality of nursing care: A cross-section study. International Journal of Africa Nursing Sciences, 20, 100690. https://doi.org/10.1016/j.ijans.2024.100690
Ahmed, F. F., & Hassan, H. B. (2022). Effectiveness of an instructional program on patients with ulcerative colitis adherence for medication and diet to prevent colorectal cancer: Case and control study. Iraqi National Journal of Nursing Specialties, 35(1), 70-81. https://doi.org/10.58897/injns.v35i1.505
Antonsen, L. K., Lassen, A. T., Nielsen, D., & Østervang, C. (2024). Receiving person‐centred care in a hospital—a qualitative study of socially marginalised patients' experiences of social nursing. Scandinavian Journal of Caring Sciences, 38(1), 220-230. https://doi.org/10.1111/scs.13212
Bahrami, M., Parnian, R., & Samimi, M. A. (2012). The effect of nursing consultation involving cancer survivors on newly diagnosed cancer patients’ quality of life. Iranian Journal of Nursing and Midwifery Research, 17(5), 338-342. https://journals.lww.com/jnmr/fulltext/2012/17050/The_effect_of_nursing_consultation_involving.3.aspx. Accessed on 23rd June, 2023.
Cecon-Stabel, N., Salm, S., Pfaff, H., Dresen, A., & Krieger, T. (2023). Patients’ perspectives on the quality of care of a new complex psycho-oncological care programme in Germany–external mixed methods evaluation results. BMC Health Services Research, 23(1), 759. https://doi.org/10.1186/s12913-023-09714-y
Donmez, E., Dolu, I., Dulger, Z., Bayram, Z., Can, G., & Akman, M. (2022). Care needs and satisfaction with nursing care quality of cancer patients, 9: e2312. https://doi.org/10.32113/wcrj_20225_2312
Fortuno, A., Oco, D., & Clores, M. (2017). Influential components of caring nurse-patient interaction (cnpi) in a tertiary hospital in the Philippines: Towards improving health outcomes of patients. International Journal of Nursing Science, 7(4), 84-90. https://doi.org/ 10.5923/j.nursing.20170704.02
Gebhardt, S., Wolak, A. M., & Huber, M. T. (2013). Patient satisfaction and clinical parameters in psychiatric inpatients—the prevailing role of symptom severity and pharmacologic disturbances. Comprehensive Psychiatry, 54(1), 53-60. https://doi.org/10.1016/j.comppsych.2012.03.016
Gomes, P., Ribeiro, S., Silva, M., Cruchinho, P., Nunes, E., Nascimento, C., & Lucas, P. (2024). Cross-Cultural Validation of the Portuguese Version of the Quality of Oncology Nursing Care Scale. Cancers, 16(5), 859. https://doi.org/10.3390/cancers16050859
He, H., Zhu, N., Lyu, B., & Zhai, S. (2023). Relationship between nurses’ psychological capital and satisfaction of elderly cancer patients during the COVID-19 pandemic. Frontiers in Psychology, 14. 1121636. https://doi.org/10.3389/fpsyg.2023.1121636
İspir Demir, Ö., Yilmaz, A., & Sönmez, B. (2024). Relationship between care dependency, adverse events, trust in nurses and satisfaction with care: The mediating role of patient‐reported missed care. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16176
Karlou, C., Papadopoulou, C., Papathanassoglou, E., Lemonidou, C., Vouzavali, F., Zafiropoulou-Koutroubas, A., Katsaragakis, S., & Patiraki, E. (2018). Nurses’ Caring Behaviors Toward Patients Undergoing Chemotherapy in Greece: A Mixed-Methods Study. Cancer Nursing, 41(5), 399-408. https://doi.org/10.1097/ncc.0000000000000562
Labrague, L. J., McEnroe-Petitte, D. M., Papathanasiou, I. V., Edet, O. B., & Arulappan, J. (2015). Impact of Instructors’ Caring on Students’ Perceptions of Their Own Caring Behaviors. Journal of Nursing Scholarship, 47(4), 338-346. https://doi.org/10.1111/jnu.12139
Lai, Y.-C., Chen, Y.-H., Wu, Y.-C., Liang, F.-W., Wang, J.-J., Lim, S.-W., & Ho, C.-H. (2022). The Association between Smoking and Mortality in Women with Breast Cancer: A Real-World Database Analysis. Cancers, 14(19), 4565. https://www.mdpi.com/2072-6694/14/19/4565 . Accessed on 28th April, 2023
Lake, E. T., Germack, H. D., & Viscardi, M. K. (2016). Missed nursing care is linked to patient satisfaction: a cross-sectional study of US hospitals. BMJ Quality & Safety, 25(7), 535-543.https://doi.org/10.1136/bmjqs-2015-003961
Lilu, F. K. A., & Al-Jubouri, M. B. A. (2023). Assessment of Challenges Encountering Nurses in Delivering Care to Patients with Cerebrovascular Accident. Iraqi National Journal of Nursing Specialties, 36(2), 80-91. https://doi.org/10.58897/z4e4z448
Mohammed Alhussin, E., Mohamed, S. A., Hassan, A. A., Al-Qudimat, A. R., Doaib, A. M., al jonidy, R. M., al harbi, L. I., & Alhawsawy, E. D. (2024). Patients’ satisfaction with the quality of nursing care: A cross-section study. International Journal of Africa Nursing Sciences, 20, 100690. https://doi.org/10.1016/j.ijans.2024.100690
Mulyadi, N., & Katuuk, M. E. (2017). Hubungan motivasi kerja dengan perilaku caring perawat di instalasi gawat darurat dan intensive care unit di rsu pancaran kasih gmim manado. Jurnal keperawatan, 5(2). [Mulyadi, N., & Katuuk, M. E. (2017). The relationship between work motivation and the caring behavior of nurses in the emergency department and intensive care unit at the Radian Kasih General Hospital, GMIM Manado. Nursing Journal, 5(2).] https://doi.org/10.35790/jkp.v5i2.25159
Ntarangwi, T. K., Mutunga-Mwenda, C. S., & Nkoroi, B. (2019). Satisfaction with nursing care among cancer patients admitted in oncology wards at a national referral hospital in Kenya. Saudi Journal of Nursing and Health Care, 2(11), 374-380. https://doi.org/10.36348/sjnhc.2019.v02i11.005
Qassim, S. K., Sadeq, A. F., & PourGhaznein, T. (2023). Efficacy of a Pre-Radiotherapy, Nurse-Led Instructional Program to Enhance the Level of Awareness of Patients Receiving Radiotherapy for First Time. Iraqi National Journal of Nursing Specialties, 36(2), 67-79. https://doi.org/10.58897/7201ep84
Sandnes, L., & Uhrenfeldt, L. (2022). Caring touch in intensive care nursing: a qualitative study. International Journal of Qualitative Studies on Health and Well-being, 17(1), 2092964. https://doi.org/10.1080/17482631.2022.2092964
Sharour, L. A. (2021). Translation and Validation of the Arabic Version of the Caring Nurse-Patient Interaction Scale–Patient Version (CNPI-23P). Cancer Nursing, 44(2), E62-E67. https://doi.org/10.1097/ncc.0000000000000755
Sharour, L. A., Al Sabei, S., Al Harrasi, M., Anwar, S., Salameh, A. B., & Al Qadire, M. (2022). Quality of oncology nursing care as perceived by patients with cancer: Results from three Arab Countries. Cancer Nursing, 45(2), E545-E551. https://doi.org/10.1097/ncc.0000000000000993
Schilsky, R. L., Nass, S., Le Beau, M. M., & Benz Jr, E. J. (2020). Progress in cancer research, prevention, and care. The New England Journal of Medicine, 383(10), 897-900. https://doi.org/10.1056/NEJMp2007839
Upadhyay, S., & Jones, J. (2024). Patient–provider communication quality: Socioeconomic disparities in smoking outcomes. Tobacco Prevention & Cessation, 10(March),14. https://doi.org/10.18332/tpc/184050
Villacarlos, F. A., & Daño, J. C. (2020). Impetus Of Clinical Nurse Managers: Countless Stories of Nurses. Malaysian Journal of Medical Research (MJMR), 4(1), 9-19. https://doi.org/10.31674/mjmr.2020.v04i01.002
Vujanić, J., Prlić, N., & Lovrić, R. (2020). Nurses’ Self-Assessment of Caring Behaviors in Nurse–Patient Interactions: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 17(14), 5255. https://doi.org/10.3390/ijerph17145255
Alhussin, E. M., Mohamed, S. A., Hassan, A. A., Al-Qudimat, A. R., Doaib, A. M., & Alhawsawy, E. D. (2024). Patients’ satisfaction with the quality of nursing care: A cross-section study. International Journal of Africa Nursing Sciences, 20, 100690. https://doi.org/10.1016/j.ijans.2024.100690
Ahmed, F. F., & Hassan, H. B. (2022). Effectiveness of an instructional program on patients with ulcerative colitis adherence for medication and diet to prevent colorectal cancer: Case and control study. Iraqi National Journal of Nursing Specialties, 35(1), 70-81. https://doi.org/10.58897/injns.v35i1.505
Antonsen, L. K., Lassen, A. T., Nielsen, D., & Østervang, C. (2024). Receiving person‐centred care in a hospital—a qualitative study of socially marginalised patients' experiences of social nursing. Scandinavian Journal of Caring Sciences, 38(1), 220-230. https://doi.org/10.1111/scs.13212
Bahrami, M., Parnian, R., & Samimi, M. A. (2012). The effect of nursing consultation involving cancer survivors on newly diagnosed cancer patients’ quality of life. Iranian Journal of Nursing and Midwifery Research, 17(5), 338-342. https://journals.lww.com/jnmr/fulltext/2012/17050/The_effect_of_nursing_consultation_involving.3.aspx. Accessed on 23rd June, 2023.
Cecon-Stabel, N., Salm, S., Pfaff, H., Dresen, A., & Krieger, T. (2023). Patients’ perspectives on the quality of care of a new complex psycho-oncological care programme in Germany–external mixed methods evaluation results. BMC Health Services Research, 23(1), 759. https://doi.org/10.1186/s12913-023-09714-y
Donmez, E., Dolu, I., Dulger, Z., Bayram, Z., Can, G., & Akman, M. (2022). Care needs and satisfaction with nursing care quality of cancer patients, 9: e2312. https://doi.org/10.32113/wcrj_20225_2312
Fortuno, A., Oco, D., & Clores, M. (2017). Influential components of caring nurse-patient interaction (cnpi) in a tertiary hospital in the Philippines: Towards improving health outcomes of patients. International Journal of Nursing Science, 7(4), 84-90. https://doi.org/ 10.5923/j.nursing.20170704.02
Gebhardt, S., Wolak, A. M., & Huber, M. T. (2013). Patient satisfaction and clinical parameters in psychiatric inpatients—the prevailing role of symptom severity and pharmacologic disturbances. Comprehensive Psychiatry, 54(1), 53-60. https://doi.org/10.1016/j.comppsych.2012.03.016
Gomes, P., Ribeiro, S., Silva, M., Cruchinho, P., Nunes, E., Nascimento, C., & Lucas, P. (2024). Cross-Cultural Validation of the Portuguese Version of the Quality of Oncology Nursing Care Scale. Cancers, 16(5), 859. https://doi.org/10.3390/cancers16050859
He, H., Zhu, N., Lyu, B., & Zhai, S. (2023). Relationship between nurses’ psychological capital and satisfaction of elderly cancer patients during the COVID-19 pandemic. Frontiers in Psychology, 14. 1121636. https://doi.org/10.3389/fpsyg.2023.1121636
İspir Demir, Ö., Yilmaz, A., & Sönmez, B. (2024). Relationship between care dependency, adverse events, trust in nurses and satisfaction with care: The mediating role of patient‐reported missed care. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16176
Karlou, C., Papadopoulou, C., Papathanassoglou, E., Lemonidou, C., Vouzavali, F., Zafiropoulou-Koutroubas, A., Katsaragakis, S., & Patiraki, E. (2018). Nurses’ Caring Behaviors Toward Patients Undergoing Chemotherapy in Greece: A Mixed-Methods Study. Cancer Nursing, 41(5), 399-408. https://doi.org/10.1097/ncc.0000000000000562
Labrague, L. J., McEnroe-Petitte, D. M., Papathanasiou, I. V., Edet, O. B., & Arulappan, J. (2015). Impact of Instructors’ Caring on Students’ Perceptions of Their Own Caring Behaviors. Journal of Nursing Scholarship, 47(4), 338-346. https://doi.org/10.1111/jnu.12139
Lai, Y.-C., Chen, Y.-H., Wu, Y.-C., Liang, F.-W., Wang, J.-J., Lim, S.-W., & Ho, C.-H. (2022). The Association between Smoking and Mortality in Women with Breast Cancer: A Real-World Database Analysis. Cancers, 14(19), 4565. https://www.mdpi.com/2072-6694/14/19/4565 . Accessed on 28th April, 2023
Lake, E. T., Germack, H. D., & Viscardi, M. K. (2016). Missed nursing care is linked to patient satisfaction: a cross-sectional study of US hospitals. BMJ Quality & Safety, 25(7), 535-543.https://doi.org/10.1136/bmjqs-2015-003961
Lilu, F. K. A., & Al-Jubouri, M. B. A. (2023). Assessment of Challenges Encountering Nurses in Delivering Care to Patients with Cerebrovascular Accident. Iraqi National Journal of Nursing Specialties, 36(2), 80-91. https://doi.org/10.58897/z4e4z448
Mohammed Alhussin, E., Mohamed, S. A., Hassan, A. A., Al-Qudimat, A. R., Doaib, A. M., al jonidy, R. M., al harbi, L. I., & Alhawsawy, E. D. (2024). Patients’ satisfaction with the quality of nursing care: A cross-section study. International Journal of Africa Nursing Sciences, 20, 100690. https://doi.org/10.1016/j.ijans.2024.100690
Mulyadi, N., & Katuuk, M. E. (2017). Hubungan motivasi kerja dengan perilaku caring perawat di instalasi gawat darurat dan intensive care unit di rsu pancaran kasih gmim manado. Jurnal keperawatan, 5(2). [Mulyadi, N., & Katuuk, M. E. (2017). The relationship between work motivation and the caring behavior of nurses in the emergency department and intensive care unit at the Radian Kasih General Hospital, GMIM Manado. Nursing Journal, 5(2).] https://doi.org/10.35790/jkp.v5i2.25159
Ntarangwi, T. K., Mutunga-Mwenda, C. S., & Nkoroi, B. (2019). Satisfaction with nursing care among cancer patients admitted in oncology wards at a national referral hospital in Kenya. Saudi Journal of Nursing and Health Care, 2(11), 374-380. https://doi.org/10.36348/sjnhc.2019.v02i11.005
Qassim, S. K., Sadeq, A. F., & PourGhaznein, T. (2023). Efficacy of a Pre-Radiotherapy, Nurse-Led Instructional Program to Enhance the Level of Awareness of Patients Receiving Radiotherapy for First Time. Iraqi National Journal of Nursing Specialties, 36(2), 67-79. https://doi.org/10.58897/7201ep84
Sandnes, L., & Uhrenfeldt, L. (2022). Caring touch in intensive care nursing: a qualitative study. International Journal of Qualitative Studies on Health and Well-being, 17(1), 2092964. https://doi.org/10.1080/17482631.2022.2092964
Sharour, L. A. (2021). Translation and Validation of the Arabic Version of the Caring Nurse-Patient Interaction Scale–Patient Version (CNPI-23P). Cancer Nursing, 44(2), E62-E67. https://doi.org/10.1097/ncc.0000000000000755
Sharour, L. A., Al Sabei, S., Al Harrasi, M., Anwar, S., Salameh, A. B., & Al Qadire, M. (2022). Quality of oncology nursing care as perceived by patients with cancer: Results from three Arab Countries. Cancer Nursing, 45(2), E545-E551. https://doi.org/10.1097/ncc.0000000000000993
Schilsky, R. L., Nass, S., Le Beau, M. M., & Benz Jr, E. J. (2020). Progress in cancer research, prevention, and care. The New England Journal of Medicine, 383(10), 897-900. https://doi.org/10.1056/NEJMp2007839
Upadhyay, S., & Jones, J. (2024). Patient–provider communication quality: Socioeconomic disparities in smoking outcomes. Tobacco Prevention & Cessation, 10(March),14. https://doi.org/10.18332/tpc/184050
Villacarlos, F. A., & Daño, J. C. (2020). Impetus Of Clinical Nurse Managers: Countless Stories of Nurses. Malaysian Journal of Medical Research (MJMR), 4(1), 9-19. https://doi.org/10.31674/mjmr.2020.v04i01.002
Vujanić, J., Prlić, N., & Lovrić, R. (2020). Nurses’ Self-Assessment of Caring Behaviors in Nurse–Patient Interactions: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 17(14), 5255. https://doi.org/10.3390/ijerph17145255
Xia, C., Dong, X., Li, H., Cao, M., Sun, D., He, S., Yang, F., Yan, X., Zhang, S., Li, N., Chen, W., & Ni, J. (2022). Cancer statistics in China and United States, 2022: profiles, trends, and determinants. Chinese Medical Journal, 135(05), 584-590. https://doi.org/10.1097/CM9.0000000000002108
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
