Ready to Go Home? Nurses' Perspectives of Prolonged Admission for Patients Undergoing Video-Assisted Thoracic Surgery for Non-Small-Cell Lung Cancer in Denmark.
Malene MisselPernille Orloff DonselRené Horsleben PetersenMalene BeckPublished in: Qualitative health research (2024)
Enhanced recovery after surgery programs with median postoperative hospitalization of 2 days improve outcomes after lung cancer surgery. This article explores nursing care practices for patients with lung cancer who remain hospitalized despite having recovered somatically. Qualitative focus group interviews were conducted with 16 nurses. Ricoeur's phenomenological hermeneutics underpins the methodology applied in this study, and we relied on Benner and Wrubel's theory. The nurses emphasized that the thoughts of patients with a recent lung cancer diagnosis revolve around more than the surgery. Nursing comprises not only practicalities but also attending to patients' stress and their coping with being struck with lung cancer and having undergone surgery. A counterculture emerged to counteract the logic of productivity, indicating that caring as a worthy end in itself may be underestimated in protocol-driven care. Prolonging hospitalization largely depends on clinical judgment. The nurses' aim is not to keep patients in the hospital but to avoid any needless suffering, allowing them to reclaim the primacy of caring.
Keyphrases
- healthcare
- end stage renal disease
- mental health
- patients undergoing
- minimally invasive
- chronic kidney disease
- coronary artery bypass
- ejection fraction
- prognostic factors
- primary care
- randomized controlled trial
- public health
- peritoneal dialysis
- systematic review
- depressive symptoms
- social support
- quality improvement
- coronary artery disease
- palliative care
- health insurance
- adverse drug
- atrial fibrillation
- drug induced