The paradoxical image of chemotherapy: a phenomenological description of nurses' experiences of administering chemotherapy

Eur J Cancer Care (Engl). 2008 Sep;17(5):500-8. doi: 10.1111/j.1365-2354.2007.00909.x. Epub 2008 Jul 9.

Abstract

The paradoxical image of chemotherapy: a phenomenological description of nurses' experiences of administering chemotherapyA sample of nine nurses who were employed within a haematology ward, a bone marrow transplant unit and a chemotherapy outpatient department of a single hospital Trust in the UK, and who regularly administered cytotoxic chemotherapy were recruited to participate in the study. A qualitative phenomenological design was used with a semi-structured interview format. The findings revealed a 'Paradoxical image of chemotherapy' that was related to the overall damaging effects of chemotherapy where it both serves as a curative treatment and 'another chance of life' and also causes damage (morbidity) while it cures. The nurses administering chemotherapy were found to also experience 'damage' as a result of seeing the suffering of their patients and being involved in dilemmas regarding administering chemotherapy treatments. The patient experiences are described from the nurses' perspective.

MeSH terms

  • Antineoplastic Agents / administration & dosage*
  • Antineoplastic Agents / adverse effects*
  • Attitude of Health Personnel
  • Burnout, Professional / psychology*
  • Humans
  • Neoplasms / drug therapy*
  • Neoplasms / nursing
  • Nurse's Role / psychology
  • Nurses
  • Oncology Nursing*
  • Qualitative Research
  • Stress, Psychological

Substances

  • Antineoplastic Agents