Towards a theory of quality nursing care for patients with cancer through hermeneutic phenomenology.
OBJECTIVE
This paper is a report of a study to describe the attributes of quality nursing narrated by a sample of patients with cancer, their advocates and their nurses.


BACKGROUND
Quality nursing care is a multifaceted concept which is open to interpretation. Studies show that while nurses are striving to succeed in providing quality care for their patients and the patients are urging for better nursing care, the complexity in understanding the concept often causes confusion among patients and nurses.


METHODS
The study was a phenomenological hermeneutical study based on the ideas of the French Philosopher Paul Ricoeur. Twenty-five patients with cancer, six advocates and twenty cancer nurses were recruited in Cyprus by a purposive method. The informants were encouraged to narrate their lived experiences of receiving and providing quality nursing care. A discussion follows whether the findings can be regarded as a theory of quality in cancer care.


RESULTS
Based on the informants' narratives the following six attributes of quality nursing care materialized: a) being valued, b) being respected c) being cared for by communicative and supportive nurses, d) being confirmed, e) being cared for religiously and spiritually and f) belonging.


CONCLUSIONS
The six attributes can be proposed as a descriptive theory of quality nursing care within the tension between empirical data and pre-understanding. The theory emphasizes the existential needs such as communicated with, being respected, and being cared for which should be considered important when providing nursing care to patients with cancer.
Charalambous
Andreas
A
Lecturer of Oncology Nursing, Department of Nursing, School of Health Sciences, Cyprus University of Technology, Palaios Dromos Lemesou, Strovolos, Nicosia, Cyprus. a.charalambous@hotmail.co.uk
Papadopoulos
I Rena
IR
Beadsmoore
Alan
A
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003142:Communication; D003535:Cyprus; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing* / Q000523:psychology; D009723:Nurse-Patient Relations; D009742:Nursing Theory; D010358:Patient Participation; D011368:Professional-Family Relations; D011787:Quality of Health Care; D012944:Social Support; D029181:Spirituality