Oncology Nurse Managers’ Perceptions of Palliative Care and End-of-Life Communication

Kathleen J. Sawin, Kathleen E. Montgomery, Claretta Yvonne Dupree, Joan Haase, Celeste Phillips-Salimi, Verna L. Hendricks-Ferguson

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to describe pediatric oncology nurse managers’ (NMs) perspectives of palliative care/end-of-life (PC/EOL) communication. The study, guided by group-as-a-whole theory and empirical phenomenology, was part of a larger, multisite study aimed at understanding pediatric oncology nurses’ experiences of PC/EOL communication. Nurses were assigned to focus groups based on length or type of experience (i.e., nurses with <1, 2–5, or >5 years’ work experience and NMs). Eleven NMs from three Midwestern pediatric hospitals with large oncology programs participated in one focus group. The participants’ mean years of experience was 15.8 in nursing and 12 in pediatric oncology; 90% had a BSN or higher degree; all had supervisory responsibilities. The authors identified 2,912 meaning statements, which were then analyzed using Colaizzi’s method. Findings include NMs’ overall experience of “Fostering a Caring Climate,” which includes three core themes: (1) Imprint of Initial Grief Experiences and Emotions; (2) Constant Vigilance: Assessing and Optimizing Family-Centered Care; and (3) Promoting a Competent, Thoughtful, and Caring Workforce. Findings indicate that pediatric oncology NMs draw on their own PC/EOL experiences and their nursing management knowledge to address the PC/EOL care learning needs of nursing staff and patient/family needs. NMs need additional resources to support nursing staff’s PC/EOL communication training, including specific training in undergraduate and graduate nursing programs and national and hospital-based training programs.

Original languageEnglish (US)
Pages (from-to)178-190
Number of pages13
JournalJournal of Pediatric Oncology Nursing
Volume36
Issue number3
DOIs
StatePublished - May 1 2019

Fingerprint

Nurse Administrators
Palliative Care
Communication
Nursing
Nursing Staff
Focus Groups
Nurses
Knowledge Management
Pediatric Hospitals
Foster Home Care
Terminal Care
Grief
Climate
Emotions
Learning
Pediatrics
Education
Pediatric Nurses

Keywords

  • communication
  • nurse managers
  • palliative care/end of life
  • pediatric oncology

ASJC Scopus subject areas

  • Pediatrics
  • Oncology(nursing)

Cite this

Oncology Nurse Managers’ Perceptions of Palliative Care and End-of-Life Communication. / Sawin, Kathleen J.; Montgomery, Kathleen E.; Dupree, Claretta Yvonne; Haase, Joan; Phillips-Salimi, Celeste; Hendricks-Ferguson, Verna L.

In: Journal of Pediatric Oncology Nursing, Vol. 36, No. 3, 01.05.2019, p. 178-190.

Research output: Contribution to journalArticle

Sawin, Kathleen J. ; Montgomery, Kathleen E. ; Dupree, Claretta Yvonne ; Haase, Joan ; Phillips-Salimi, Celeste ; Hendricks-Ferguson, Verna L. / Oncology Nurse Managers’ Perceptions of Palliative Care and End-of-Life Communication. In: Journal of Pediatric Oncology Nursing. 2019 ; Vol. 36, No. 3. pp. 178-190.
@article{297e274095d0497c8eb2edecd539ecc5,
title = "Oncology Nurse Managers’ Perceptions of Palliative Care and End-of-Life Communication",
abstract = "The purpose of this study was to describe pediatric oncology nurse managers’ (NMs) perspectives of palliative care/end-of-life (PC/EOL) communication. The study, guided by group-as-a-whole theory and empirical phenomenology, was part of a larger, multisite study aimed at understanding pediatric oncology nurses’ experiences of PC/EOL communication. Nurses were assigned to focus groups based on length or type of experience (i.e., nurses with <1, 2–5, or >5 years’ work experience and NMs). Eleven NMs from three Midwestern pediatric hospitals with large oncology programs participated in one focus group. The participants’ mean years of experience was 15.8 in nursing and 12 in pediatric oncology; 90{\%} had a BSN or higher degree; all had supervisory responsibilities. The authors identified 2,912 meaning statements, which were then analyzed using Colaizzi’s method. Findings include NMs’ overall experience of “Fostering a Caring Climate,” which includes three core themes: (1) Imprint of Initial Grief Experiences and Emotions; (2) Constant Vigilance: Assessing and Optimizing Family-Centered Care; and (3) Promoting a Competent, Thoughtful, and Caring Workforce. Findings indicate that pediatric oncology NMs draw on their own PC/EOL experiences and their nursing management knowledge to address the PC/EOL care learning needs of nursing staff and patient/family needs. NMs need additional resources to support nursing staff’s PC/EOL communication training, including specific training in undergraduate and graduate nursing programs and national and hospital-based training programs.",
keywords = "communication, nurse managers, palliative care/end of life, pediatric oncology",
author = "Sawin, {Kathleen J.} and Montgomery, {Kathleen E.} and Dupree, {Claretta Yvonne} and Joan Haase and Celeste Phillips-Salimi and Hendricks-Ferguson, {Verna L.}",
year = "2019",
month = "5",
day = "1",
doi = "10.1177/1043454219835448",
language = "English (US)",
volume = "36",
pages = "178--190",
journal = "Journal of Pediatric Oncology Nursing",
issn = "1043-4542",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - Oncology Nurse Managers’ Perceptions of Palliative Care and End-of-Life Communication

AU - Sawin, Kathleen J.

AU - Montgomery, Kathleen E.

AU - Dupree, Claretta Yvonne

AU - Haase, Joan

AU - Phillips-Salimi, Celeste

AU - Hendricks-Ferguson, Verna L.

PY - 2019/5/1

Y1 - 2019/5/1

N2 - The purpose of this study was to describe pediatric oncology nurse managers’ (NMs) perspectives of palliative care/end-of-life (PC/EOL) communication. The study, guided by group-as-a-whole theory and empirical phenomenology, was part of a larger, multisite study aimed at understanding pediatric oncology nurses’ experiences of PC/EOL communication. Nurses were assigned to focus groups based on length or type of experience (i.e., nurses with <1, 2–5, or >5 years’ work experience and NMs). Eleven NMs from three Midwestern pediatric hospitals with large oncology programs participated in one focus group. The participants’ mean years of experience was 15.8 in nursing and 12 in pediatric oncology; 90% had a BSN or higher degree; all had supervisory responsibilities. The authors identified 2,912 meaning statements, which were then analyzed using Colaizzi’s method. Findings include NMs’ overall experience of “Fostering a Caring Climate,” which includes three core themes: (1) Imprint of Initial Grief Experiences and Emotions; (2) Constant Vigilance: Assessing and Optimizing Family-Centered Care; and (3) Promoting a Competent, Thoughtful, and Caring Workforce. Findings indicate that pediatric oncology NMs draw on their own PC/EOL experiences and their nursing management knowledge to address the PC/EOL care learning needs of nursing staff and patient/family needs. NMs need additional resources to support nursing staff’s PC/EOL communication training, including specific training in undergraduate and graduate nursing programs and national and hospital-based training programs.

AB - The purpose of this study was to describe pediatric oncology nurse managers’ (NMs) perspectives of palliative care/end-of-life (PC/EOL) communication. The study, guided by group-as-a-whole theory and empirical phenomenology, was part of a larger, multisite study aimed at understanding pediatric oncology nurses’ experiences of PC/EOL communication. Nurses were assigned to focus groups based on length or type of experience (i.e., nurses with <1, 2–5, or >5 years’ work experience and NMs). Eleven NMs from three Midwestern pediatric hospitals with large oncology programs participated in one focus group. The participants’ mean years of experience was 15.8 in nursing and 12 in pediatric oncology; 90% had a BSN or higher degree; all had supervisory responsibilities. The authors identified 2,912 meaning statements, which were then analyzed using Colaizzi’s method. Findings include NMs’ overall experience of “Fostering a Caring Climate,” which includes three core themes: (1) Imprint of Initial Grief Experiences and Emotions; (2) Constant Vigilance: Assessing and Optimizing Family-Centered Care; and (3) Promoting a Competent, Thoughtful, and Caring Workforce. Findings indicate that pediatric oncology NMs draw on their own PC/EOL experiences and their nursing management knowledge to address the PC/EOL care learning needs of nursing staff and patient/family needs. NMs need additional resources to support nursing staff’s PC/EOL communication training, including specific training in undergraduate and graduate nursing programs and national and hospital-based training programs.

KW - communication

KW - nurse managers

KW - palliative care/end of life

KW - pediatric oncology

UR - http://www.scopus.com/inward/record.url?scp=85064000490&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064000490&partnerID=8YFLogxK

U2 - 10.1177/1043454219835448

DO - 10.1177/1043454219835448

M3 - Article

VL - 36

SP - 178

EP - 190

JO - Journal of Pediatric Oncology Nursing

JF - Journal of Pediatric Oncology Nursing

SN - 1043-4542

IS - 3

ER -