Main Article Content
Background: Caring is an important part of nursing care. Caring is a behavior that interacts emotion with the patient's response.
Purpose: This research aims to determine the caring behavior of nurses in providing palliative nursing care
Methods: The research employed qualitative method (FGD), using hermeneutic phenomenology approach (n=7, chemotherapy nurses) and interview guide instruments. The data analysis used was Interpretative Phenomenology Analysis and has obtained ethics worthy of KEP UNISA Yogyakarta: 1342/KEP-UNISA/IX/2020 and KEP Yogyakarta Regional Public Hospital: 41/KEP/RSUD/X/2020.
Results: Based on the results of the study, there are 2 major themes of professional caring attitudes of nurses in providing palliative care, that are the emotional closeness of nurses to patients and their families and an attitude full of empathy with a sense of humor.
Conclusion: Nurses always provide nursing care in a professional caring manner to patients and their families by prioritizing comfort, emotional closeness and humor.
Alvariza, A., Mjörnberg, M., & Goliath, I. (2020). Palliative care nurses’ strategies when working in private homes—A photo-elicitation study. Journal of Clinical Nursing, 29(1–2), 139–151. https://doi.org/https://doi.org/10.1111/jocn.15072
Bloomer, M. J., O’Connor, M., Copnell, B., & Endacott, R. (2015). Nursing care for the families of the dying child/infant in paediatric and neonatal ICU: Nurses’ emotional talk and sources of discomfort. A mixed methods study. Australian Critical Care, 28(2), 87–92. https://doi.org/https://doi.org/10.1016/j.aucc.2015.01.002
Cecil, P., & Glass, N. (2015). An exploration of emotional protection and regulation in nurse–patient interactions: The role of the professional face and the emotional mirror. Collegian, 22(4), 377–385. https://doi.org/https://doi.org/10.1016/j.colegn.2014.06.002
Clarke, K. (1989). Creation of meaning: An emotional processing task in psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 26(2), 139–1448.
Claxton-Oldfield, S., & Bhatt, A. (2016). Is There a Place for Humor in Hospice Palliative Care? Volunteers Say “Yes”! American Journal of Hospice and Palliative Medicine®, 34(5), 417–422. https://doi.org/10.1177/1049909116632214
Drahošová, L., & Jarošová, D. (2016). Concept caring in nursing. Central European Journal of Nursing and Midwifery, 7(2), 453–460. https://doi.org/10.15452/CEJNM.2016.07.0014
Efstathiou, N., & Clifford, C. (2011). The critical care nurse’s role in End-of-Life care: issues and challenges. Nursing in Critical Care, 16(3), 116–123. https://doi.org/https://doi.org/10.1111/j.1478-5153.2010.00438.x
Emaliyawati, E., Widiasih, R., Sutini, T., Ermiati, E., & Rahayu, U. (2020). Nurses’ Reflections on Challenges and Barriers of Communication in the Intensive Care Unit: A Phenomenology Study. Jurnal Keperawatan Padjadjaran, 8(1), 65–73. https://doi.org/10.24198/jkp.v8i1.1190
Funk, L. M., Peters, S., & Roger, K. S. (2017). The Emotional Labor of Personal Grief in Palliative Care: Balancing Caring and Professional Identities. Qualitative Health Research, 27(14), 2211–2221. https://doi.org/10.1177/1049732317729139
Gautun, H., & Bratt, C. (2017). Caring too much? Lack of public services to older people reduces attendance at work among their children. European Journal of Ageing, 14(2), 155–166. https://doi.org/10.1007/s10433-016-0403-2
Gerow, L., Conejo, P., Alonzo, A., Davis, N., Rodgers, S., & Domian, E. W. (2010). Creating a Curtain of Protection: Nurses’ Experiences of Grief Following Patient Death. Journal of Nursing Scholarship, 42(2), 122–129. https://doi.org/https://doi.org/10.1111/j.1547-5069.2010.01343.x
Giménez-Espert, M. D. C., Castellano-Rioja, E., & Prado-Gascó, V. J. (2020). Empathy, emotional intelligence, and communication in nursing: The moderating effect of the organizational factors. Revista Latino-Americana de Enfermagem, 28, 1–8. https://doi.org/10.1590/1518-8345.3286.3333
Griffiths, J., Speed, S., Horne, M., & Keeley, P. (2012). 'A caring professional attitude’: What service users and carers seek in graduate nurses and the challenge for educators. Nurse Education Today, 32(2), 121–127. https://doi.org/https://doi.org/10.1016/j.nedt.2011.06.005
Guerrero, J. G. (2019). Nurses towards End-of-Life Situations: Sympathy vs. Empathy. Open Journal of Nursing, 09(03), 278–293. https://doi.org/10.4236/ojn.2019.93027
Head, B. A., Song, M.-K., Wiencek, C., Nevidjon, B., Fraser, D., & Mazanec, P. (2018). Palliative Nursing Summit: Nurses Leading Change and Transforming Care: The Nurse’s Role in Communication and Advance Care Planning. Journal of Hospice & Palliative Nursing, 20(1). https://journals.lww.com/jhpn/Fulltext/2018/02000/Palliative_Nursing_Summit__Nurses_Leading_Change.5.aspx
Heffernan, M., Quinn Griffin, M. T., McNulty, S. R., & Fitzpatrick, J. J. (2010). Self-compassion and emotional intelligence in nurses. International Journal of Nursing Practice, 16(4), 366–373. https://doi.org/https://doi.org/10.1111/j.1440-172X.2010.01853.x
Ibrahim, R., Abd-Allah, K., Arafa, O., & Mohammed, S. (2017). Effect of nursing care standards on nurses’ performance in caring for patients with cardiac arrhythmias. Egyptian Nursing Journal, 14(3), 251. https://doi.org/10.4103/2090-6021.233665
Kim, S., Lee, K., & Kim, S. (2020). Knowledge, attitude, confidence, and educational needs of palliative care in nurses caring for non-cancer patients: a cross-sectional, descriptive study. BMC Palliative Care, 19(1), 105. https://doi.org/10.1186/s12904-020-00581-6
Lam, W., Wong, F. Y., & Chan, A. E. (2020). Factors Affecting the Levels of Satisfaction With Nurse-Patient Communication Among Oncology Patients. Cancer Nursing, 43(4). https://journals.lww.com/cancernursingonline/Fulltext/2020/07000/Factors_Affecting_the_Levels_of_Satisfaction_With.12.aspx
Leuna, C. F. M. (2018). Studi Fenomenologi Pengalaman Perawat Dalam Memberikan Asuhan Keperawatan Paliatif Pada Pasien Dengan Penyakit Terminal Di Ruang Icu Rumah Sakit Advent Bandung. Jurnal Skolastik Keperawatan, 4(2), 78–103.
Lovell, M. (2006). Caring for the elderly: Changing perceptions and attitudes. Journal of Vascular Nursing, 24(1), 22–26. https://doi.org/https://doi.org/10.1016/j.jvn.2005.11.001
Lusiani, E. (2019). Pengaruh caring perawat terhadap adaptasi penderita ca colon menurut model kon- sep adaptasi Calista Roy di Komunitas Paliatif Wilayah Kerja Dinas Kesehatan Kota Surabaya. 4(2), 2–5. http://journal.um-surabaya.ac.id/index.php/JKM/article/view/3358/2310
Montgomery, K. E., Sawin, K. J., & Hendricks-Ferguson, V. (2017). Communication During Palliative Care and End of Life: Perceptions of Experienced Pediatric Oncology Nurses. Cancer Nursing, 40(2). https://journals.lww.com/cancernursingonline/Fulltext/2017/03000/Communication_During_Palliative_Care_and_End_of.18.aspx
Pinna, M. Á. C., Mahtani-Chugani, V., Sánchez Correas, M. Á., & Sanz Rubiales, A. (2018). The Use of Humor in Palliative Care: A Systematic Literature Review. American Journal of Hospice and Palliative Medicine®, 35(10), 1342–1354. https://doi.org/10.1177/1049909118764414
Pouthier, V. (2017). Griping and Joking as Identification Rituals and Tools for Engagement in Cross-Boundary Team Meetings. Organization Studies, 38(6), 753–774. https://doi.org/10.1177/0170840616685358
Robalo Nunes, I., José, H., & Capelas, M. L. (2018). Grieving With Humor: A Correlational Study on Sense of Humor and Professional Grief in Palliative Care Nurses. Holistic Nursing Practice, 32(2). https://journals.lww.com/hnpjournal/Fulltext/2018/03000/Grieving_With_Humor__A_Correlational_Study_on.7.aspx
Rodin, G., An, E., Shnall, J., & Malfitano, C. (2020). Psychological Interventions for Patients With Advanced Disease: Implications for Oncology and Palliative Care. Journal of Clinical Oncology, 38(9), 885–904. https://doi.org/10.1200/JCO.19.00058
Ruiz-Junco, N., & Morrison, D. R. (2019). Empathy as Care: the Model of Palliative Medicine. Society, 56(2), 158–165. https://doi.org/10.1007/s12115-019-00344-x
Schroeder, K., & Lorenz, K. (2018). Nursing and the future of palliative care. Asia-Pacific Journal of Oncology Nursing, 5(1), 4–8. https://doi.org/10.4103/apjon.apjon_43_17
Shore, J. C., Gelber, M. W., Koch, L. M., & Sower, E. (2016). Anticipatory Grief: An Evidence-Based Approach. Journal of Hospice & Palliative Nursing, 18(1). https://journals.lww.com/jhpn/Fulltext/2016/02000/Anticipatory_Grief__An_Evidence_Based_Approach.5.aspx
Siagian, E. (2020). Hubungan pengetahuan dan sikap tentang kesehatan terhadap kematian tentang perawatan paliatif. CHMK NURSING SCIENTIFIC JOURNAL, 4(September), 278–284.
World Palliative Care Alliance. (2014). Global atlas of palliative care at the end of life (Issue January). http://www.who.int/cancer/publications/palliative-care-atlas/en/
Yoo, S. Y., & Cho, H. (2020). Exploring the influences of nurses’ partnership with parents, attitude to families’ importance in nursing care, and professional self-efficacy on quality of pediatric nursing care: A path model. International Journal of Environmental Research and Public Health, 17(15), 1–13. https://doi.org/10.3390/ijerph17155452