‘Each loss left an imprint on me’: A grounded theory study exploring end-of-life care experiences in pediatric oncology nurses


GÜRCAN M., Kumbul E., ATAY TURAN S.

European Journal of Oncology Nursing, cilt.76, 2025 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 76
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1016/j.ejon.2025.102872
  • Dergi Adı: European Journal of Oncology Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Anahtar Kelimeler: Cancer, End-of-life care, Nursing, Pediatric oncology, Qualitative research
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Purpose: This study aimed to develop an explanatory framework to examine pediatric oncology nurses' experiences and emotional challenges in providing end-of-life care. Method: This qualitative study employed a grounded theory methodology. During data collection, 14 pediatric oncology nurses participated in semi-structured interviews. Data collection and analysis were carried out simultaneously. Data analysis followed the open, axial, and selective coding techniques. Results: Four main categories, and 10 subcategories, were identified to construct the grounded theory: Transition to the End-of-Life Stage, Management of the End-of-Life Care Process, Challenges at the Moment of Death, and Impact on Nurses Following Engagement in Care. These categories encompass the emotional, task-related, and relational dynamics experienced by nurses throughout the end-of-life care process. Conclusions: The study developed a grounded theory to guide how end-of-life care and loss experiences impact pediatric oncology nurses, providing a chronological overview of their emotions and experiences. Participants underlined that each loss left an imprint on them, as they formed a bond with the children. Nurses require support to develop their practical skills and competencies in coping with the challenging nature of end-of-life care and facing death.