Nurses’ Experiences of Caring for Terminally Ill Cancer Patients in Bangkok during the COVID-19 Pandemic

Authors

  • Araya Jeranukul Srisavarindhira Thai Red Cross Institute of Nursing
  • Bualun Hinkaew Srisavarindhira Thai Red Cross Institute of Nursing
  • Saengduean Phromkaewngam School of Nursing, University of Phayao
  • Anchalee Sookkhung Palliative Care Unit, National Cancer Institute
  • Kalayanee Pobkrut Palliative Care Unit, Taksin Hospital

Keywords:

COVID-19, Terminally Ill Cancer Patients, Nurses’ experiences, Care

Abstract

This qualitative descriptive study aimed to explore nurses’ experiences of caring for terminally ill cancer patients in Bangkok during the COVID-19 pandemic. The informants consisted of four administrative nurses and 22 nurses. Data were collected using focus group interviews and individual in-depth interviews. Data were analyzed using content analysis. Lincoln and Guba’s criteria were used to ensure trustworthiness of the findings.

The study findings were identified as five main aspects. The first aspect was that the rapid and severe COVID-19 pandemic led to COVID-19 restrictions and acute worsening of symptoms. The second one was that limitations of terminal care resulted from decreased touching and communication, living and dying alone, and having difficulties and conflicts in terminal care. The third one was adhering to the principle of palliative care such as fully assessing and responding to patients’ needs, maintaining spiritual care, and counselling system of specialist. The fourth one was establishing new services during the crisis of COVID-19 pandemic. The last aspect was that voice and feedback of related people suggested healing psychological health and improving capacity of nurses who taking care for terminally ill cancer patients, lesson learned, and using telehealth services.

Recommendations: Nurses should be improved their capacity for terminal care and supported their emotional and psychological health. Telehealth service system should also be used for optimum benefits of terminal care.

References

Department of disease control, Ministry of Public Health. Handbook of health workers in emergency response cases Coronavirus disease 2019 epidemic in Thailand. Department of disease control; 2020. (in Thai2. Arya A, Buchman S, Gagnon B, Downar J. Pandemic palliative care: beyond ventilators and saving lives. Canadian Medical Association Journal. 2020;14;192(15):E400-4. doi: 10.1503/cmaj.200465.

Tavares P, Rodrigues C, Neto IG. The impact of COVID-19 on palliative care: perspective of healthcare professionals. Cureus 2021;13(11): e19522. doi:10.7759/cureus.19522

Ersek M, Smith D, Griffin H, Carpenter JG, Feder SL, Shreve ST, et al. End of life care in the time of COVID-19: communication matters more than ever. Journal of Pain and Symptom Management. 2021; 6(2):213-22. doi.org/10.1016/j.jpainsymman.2020.12.024

Pakongruk Palliative Care Center, Rajavithi Hospital. Guidelines for palliative care and end-stage; 2021. (in Thai)

Mokcharoenphong C. Pandemic palliative care: beyond ventilators and saving life (Episode 1). Thai Journal of Critical Care Medicine; 2020; 28(1):14-6. (in Thai)

Department of Medical Services. Medical announcement on compliance with supportive care for coronavirus disease 2019. Department of Medical Services; 2021. (in Thai)

Department of disease control, Ministry of Public Health. Report on the 2019 Coronavirus Disease Situation by the Emergency Operations Center, Department of Disease Control; 2021. (in Thai)

National Cancer Institute. Hospital-based Cancer Registry 2021. Bangkok; Medical Record and Databased Cancer Unit, Medical Digital Division National Cancer Institute; 2022. (in Thai)

Strategy and planning division of Office of the Permanent Secretary Ministry of Public Health. [Internet]. Public health statistics A.D.2021.

Health Systems Research Institute, and National Health Security Office [Internet]. Proposal of guideline regarding development of health system administration in special health area, Bangkok; 2023 (in Thai)

Srirattanaball J, Chatkaew P, Srirattanaball P, Ngamkiatpaisarn S, Manatwanich P, Rattananupong T, et al. Guidelines for developing hospice care in Thailand: care options for the quality of life of terminally ill patients. Bangkok: Health Systems Research Institute; 2018. Research Center for Health Service System Development (TRC-HS), and Faculty of Medicine Chulalongkorn University and the Academic Service Center of Chulalongkorn University. (in Thai)

Yongchaiyoot P, Oumtanee A. Nurse’s Experience of Caring for Patients with COVID-19. Journal of The Royal Thai Army Nurses. 2023; 24(2): 162-70. (in Thai)

Chen SC, Lai YH, Tasty AL. Nursing perspective on the impacts of COVID-19. Journal of Nursing Research. 2020;28(3):1-5. doi:10.1097/NRJ.0000000000000389.

Lambert VA, Lambert CE. Qualitative descriptive research: an acceptable design. Pacific Rim International Journal of Nursing Research 2012;16(4):255-6.

Holloway I, Galvin K. Qualitative research in nursing and healthcare. 4thed. Chichester. West Sussex; John Wlley & Sons. 2017.

Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park (CA); SAGE; 1985.

Podgorica N, Rungg C, Bertin B, Perkhofer S, Zenzmaier C. End of life care during the COVID-19 pandemic: a qualitative study on the perspectives of nurses and nurse assistant. Nursing Open. 2023;3881-91. doi:10.1002/nop.2.1646.

Diego-cordero RD, Lopez-Gomez L, Lucchetti G, Badanta, B. Spiritual care in critically ill patients during COVID-19 pandemic. Nursing Outlook. 2022;64-77. doi:10.1016/j.outlook2021.06.017

Mangklakeree N, Mangklakeree T. Telehealth: Alternative self-management promotion in people with diabetes during COVID pandemic. Journal of The Royal Thai Army Nurses. 2023;24(2):1-9. (in Thai)

Dijxhoorn AFQ, Brom L, Linden YMD, Leget C, Raijmakers NJH. Healthcare professionals’ work-related stress in palliative care: a cross-sectional survey. Journal of Pain and Symptom Management. 2021;62(3):e38-45. doi: 10.1016/j.jpainsymman.

Sarakshetrin A, Wongwiwat N, Chuenklin T, Sriyasak A, Kaeowichian N, Nimwatanakul S, et al. Policy synthesis for tertiary health services systems in the situation of Corona 2019 (COVID-19) pandemic in Bangkok metropolitan region. Phetchaburi: Moom Nueng Printing; 2022. Prachomklao College of Nursing, Phetchaburi Province. (in Thai)

Department of Medical Services, Ministry of Public Health [Internet]. Guidelines for organizing services to care for COVID-19 patients for healthcare facilities, 3rd revised edition 2023.

Downloads

Published

10-12-2023

How to Cite

1.
Jeranukul A, Hinkaew B, Phromkaewngam S, Sookkhung A, Pobkrut K. Nurses’ Experiences of Caring for Terminally Ill Cancer Patients in Bangkok during the COVID-19 Pandemic. J Royal Thai Army Nurses [Internet]. 2023 Dec. 10 [cited 2024 Apr. 27];24(3):449-57. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/266320

Issue

Section

Research Articles