title: Care of women with breast cancer on a surgical ward: nurses' opinions of the need for support for women, relatives and themselves.
abstract: BACKGROUND
  In Sweden women with newly diagnosed breast cancer are admitted to surgical wards in order to undergo surgery and receive postoperative care. On these wards, nursing staff take care of women both with newly diagnosed breast cancer and those with cancer in advanced stages. Nurses have to meet the varying needs of patients and their relatives.
  
  
  OBJECTIVE
  To describe nurses' opinions of the need for care and support for women and their relatives in connection with surgery for breast cancer, as well as their own need for support on a surgical ward.
  
  
  METHODS
  Thirty-one nurses from a surgical ward participated in semi-structured interviews. The interviews were tape-recorded and transcribed verbatim. Thereafter a step-by-step, qualitative content analysis was carried out.
  
  
  RESULTS
  The nurses described the need to talk and receive information as being the most important among women and their relatives, as well as among themselves. Only a few nurses mentioned the need for physical care among the women. Contact with relatives was described as being almost nonexistent. There was a discrepancy between what nurses described as important needs and how these needs were provided for.
  
  
  CONCLUSIONS
  This study shows that what the nurses described as being the most important needs, and the way how these needs were provided for, was more often seen from a theoretical point of view with few examples of self-experienced situations in the daily care. Needs among women and their relatives seemed to be not fully known to nurses and therefore, possibly, were not met. Nurses themselves had a pronounced need for support, which was sometimes unsatisfactorily met.
authors.affiliation: Department of Nursing, Umeå University, Umeå, Sweden. gunvor.odling@mh.se
authors.forename: Gunvor
authors.initials: G
authors.lastname: Odling
authors.forename: Astrid
authors.initials: A
authors.lastname: Norberg
authors.forename: Ella
authors.initials: E
authors.lastname: Danielson
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001943:Breast Neoplasms / Q000451:nursing* / Q000601:surgery*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D011182:Postoperative Care / Q000451:nursing*; D012944:Social Support; D013548:Sweden