End of life care from the perspectives of patients with cancer and nurses

The aim of this study was to determine the views of patients with cancer and their nurses regarding end-of-life care and to contribute to the care needs of patients. This was a phenomenological study. In-depth interview technique was used. The study was conducted between 05.09.2017 and 22.01.2018 at Hacettepe University Hospital. Study sample consisted of 15 patients with cancer at the end-of-life and 15 nurses who care for them. Data were collected using a data collection form introducing socio-demographic characteristics and a semi-structured interview guide. A content analysis of the data was conducted using the induction method, and then, themes and sub-themes were identified. For patients with cancer at the end-of-life, 6 themes and 4 sub-themes were identified. These themes were "end of life, desperation, painless death, increased needs, feeling loved and quality care." 4 themes and 3 sub-themes were identified for nurses. These themes were "increased care needs, providing quality death, multidisciplinary team approach and providing support." In general, patients and nurses defined end-of-life care as a time when painless death is near, physical and psychological needs increase and team collaboration is absolutely necessary. It was also found that although nurses want to provide the necessary care, they are not able to do so due to excess workload. Thus, the result of this study will be shared with nurses and related institutions, and necessary training and cooperation will be planned to improve the quality of care provided to patients with cancer at the end-of-life by healthcare professionals.