Do oncology nurses provide more care to patients with high levels of emotional distress?
OBJECTIVE
To investigate nurses' planning and implementation of individualized patient care in relation to patients' emotional distress as assessed by nurses and whether nurses and patients perceived the implemented care in a similar manner.


METHODS
Prospective, comparative.


METHODS
Five oncologic-hematologic wards in Sweden.


METHODS
90 individual nurse-patient pairs were recruited and 81 were intact after three consecutive days. Each pair consisted of a patient with cancer and a nurse responsible for that patient's care.


METHODS
Nurse-patient pairs were followed using questionnaires. Outcome measures were nurses' identification of patients' emotional distress, care planning, and nurse-patient ratings of implemented care.


METHODS
Patients' emotional distress and nurses' implemented care.


RESULTS
Nurses identified a variety of emotional issues among patients and planned individual nursing interventions. Nurse and patient perceptions of implemented care demonstrated weak correlations for individually planned interventions and nurses' general caring behavior. With one exception, nurse self-reports did not indicate any differences in nurses' caring behavior directed to more and less distressed patients. Nurses reported providing comfort more frequently to patients with high levels of emotional distress, but this was not substantiated in patients' ratings.


CONCLUSIONS
Nurses showed an intention to provide individualized care. However, with one exception, nurses did not report providing more care to patients with cancer with high levels of emotional distress than to less distressed patients.


CONCLUSIONS
To ensure individualized care, nurses in cancer care should closely validate the accuracy of their interpretation of patients' needs and their planning of care in collaboration with the patients.
Mårtensson
Gunilla
G
Department of Caring and Social Sciences, University of Gävle, Gävle, Sweden. gls@hig.se
Carlsson
Marianne
M
Lampic
Claudia
C
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D004645:Empathy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications*; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000523:psychology*; D009859:Oncology Nursing / Q000458:organization & administration*; D010347:Patient Care Planning / Q000458:organization & administration; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D013315:Stress, Psychological / Q000209:etiology / Q000451:nursing / Q000523:psychology; D011795:Surveys and Questionnaires; D013548:Sweden