Nurses’ Experience in the Introduction of Palliative Sedation for Patients with Terminal Lung Cancer in Respiratory Medicine Wards
- VernacularTitle:終末期肺がん患者に対する苦痛緩和のための鎮静導入に関わる呼吸器内科病棟看護師の体験
- Author:
Chihiro YAMASHITA
1
;
Ayumi SUGIMURA
2
;
Kazuki SATO
2
;
Shoko ANDO
2
Author Information
- Keywords: palliative sedation; nurses; end-of-life care; lung cancer; general ward
- From:Palliative Care Research 2021;16(2):197-207
- CountryJapan
- Language:Japanese
- Abstract: Palliative sedation (PS) is an effective way to alleviate the refractory symptom of terminally ill cancer patients, however it can be ethical. PS is now being implemented in general wards, and there is an urgent need to understand the actual conditions of sedation care for general ward nurses and improve the quality of care. In this study, a semi-structured interview was conducted with nurses working in a respiratory medicine ward of a core cancer treatment hospital. By Krippendorff’s content analysis, 16 categories of nurses’ actions/judgments, 8 categories of positive thoughts, and 5 categories of negative thoughts were extracted. Nurses have always sought the best way to alleviate the pain of patients and their families, and have endeavored to be close to their feelings. However, there was a difference in confidence and positivity regarding multidisciplinary collaboration and sedation discussions. It was suggested that the confident efforts of nurses may support the decision-making of patients and their families and consider methods for pain relief and QOL.
