@article{2987821,
    title = "Nurses' Caring Behaviors Toward Patients Undergoing Chemotherapy in Greece: A Mixed-Methods Study",
    author = "Karlou, C. and Papadopoulou, C. and Papathanassoglou, E. and Lemonidou, C. and Vouzavali, F. and Zafiropoulou-Koutroubas, A. and Katsaragakis, S. and Patiraki, E.",
    journal = "Journal of Cancer Nursing",
    year = "2018",
    volume = "41",
    number = "5",
    pages = "399-408",
    publisher = "Lippincott Williams and Wilkins",
    issn = "1364-9825",
    doi = "10.1097/NCC.0000000000000562",
    keywords = "adult;  article;  cancer chemotherapy;  case report;  clinical article;  content analysis;  continuing education;  empathy;  fear;  female;  Greece;  human;  interview;  male;  married person;  multicenter study;  nurse;  oncology ward;  professional standard;  qualitative analysis;  skill;  empathy;  evaluation study;  Greece;  health personnel attitude;  information processing;  middle aged;  neoplasm;  nurse patient relationship;  nursing;  nursing staff;  patient satisfaction;  psychology;  questionnaire, Adult;  Attitude of Health Personnel;  Empathy;  Evaluation Studies as Topic;  Female;  Focus Groups;  Greece;  Humans;  Male;  Middle Aged;  Neoplasms;  Nurse-Patient Relations;  Nursing Staff, Hospital;  Patient Satisfaction;  Surveys and Questionnaires",
    abstract = "Background Nurses' caring behaviors are central in the quality of care of patients undergoing sophisticated chemotherapy protocols. However, there is a scarcity of research regarding these behaviors in non-Anglo-Saxon countries. Objective The aim of this study was to explore caring behaviors that nurses perceive as important in caring for patients in Greece receiving chemotherapy. Methods We used a mixed-methods design, including a survey in 7 oncology wards in 3 cancer hospitals in Attica, Greece, and a subsequent qualitative focus group investigation. Caring behaviors were explored through the Caring Behavior Inventory 24 and content analysis of 3 focus group interviews. Results A sample of 72 nurses (response rate, 68.5%) were surveyed, and 18 nurses participated in the focus groups. "Knowledge/skills" (5 [SD, 0.7]) was the most important caring behaviors. No significant associations with nurses' characteristics were noted, except for higher scores in caring behaviors in participants who were married (P <.02). Six caring-related categories emerged from the qualitative analysis: "the concept of care," "respect," "nurse-patients' connection," "empathy," "fear of cancer," and "nurses' professional role." Moreover, they stressed barriers they faced in each category. Conclusions Integrated quantitative and qualitative data concur that operational tasks are central in Greek nurses' caring behaviors. In addition, qualitative findings highlighted those skills equipping nurses to provide holistic individualized care in a hectic care environment. Implications for Practice Supporting nurses in attaining excellence in technical skills and in meaningfully engaging with patients receiving chemotherapy is essential in the realization of their caring role. These should be priorities for continuing education and practice improvement initiatives. © 2018 Wolters Kluwer Health, Inc."
}