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European Journal of Oncology Nursing
journal homepage: www.elsevier.com/locate/ejon
Associations of individualized nursing care and quality oncology nursing care in patients diagnosed with cancer
Maria Kousouloua, Riitta Suhonenb, Andreas Charalambousa,c,∗
aCyprus University of Technology, Limassol, Cyprus b University of Turku, Department of Nursing Science and Director of Nursing, Turku University Hospital and City of Turku, Welfare Division, Turku, Finland cDocent University of Turku, Department of Nursing Science, Turku, Finland
Individualized nursing care
Quality of oncology nursing care
Patients diagnosed with cancer
Individualized care scale (ICS)
Quality oncology nursing care scale (QONCS)
Purpose: To assess patients’ diagnosed with cancer perceptions on individualized nursing care and quality of oncology nursing care in Cyprus. Methods: This was a descriptive correlational research with 150 patients diagnosed with cancer and receiving treatment as in-patients at three diﬀerent urban hospitals of Cyprus, based on predetermined inclusion and exclusion criteria. Data were collected with the Individualized Care Scale-ICS and the Quality Oncology Nursing Care Scale-QONCS. Statistical significance was set at the 0.05 level.
Results: Data showed that a medium level of support of patients’ individuality was provided by nurses (ICS-A mean = 3.41, SD = 0.98) and a high level of realization of perceived individuality in the provided care. Quality of oncology nursing care was found high on three dimensions of care, i.e. being supported and confirmed, being respected and having a sense of belonging. A statistically significant positive correla-tion was observed between the two scales of ICS, i.e. ICS-A and ΙCS-B (r = 0.80), and four of the dimensions of QONCS, i.e. “Being supported and confirmed”, “Being cared for religiously and spiritually”, “Sense of Belonging” and “Being respected” and all the subscales, i.e. Clinical Situation (r = 0.45, 0.27, 0.41, 0.42), Personal life sit-uation (r = 0.30, 0.51, 0.44, 0.35) and Decision control (r = 0.35, 0.46, 0.35, 0.40).
Conclusion: The correlations found between individualized care and quality of oncology nursing care, highlight the need to provide a more personalized nursing care as a means to achieve a high level of quality nursing care.
Being treated for cancer is not only accompanied by negative side-eﬀects but also it has serious implications on patients diagnosed with cancer and their families. Because of the range of symptoms and side-eﬀects and the nature of the disease, patients with cancer have diﬀerent and more complex needs compared to other patients (Helliwell et al., 2016; Shin, 2014). Thus, patients with cancer need to manage their feelings towards their disease and treatment, to improve their coping ability, to reduce their anxiety and mood disturbances and be prepared for a rather lengthy period of treatment and medical interventions (Shin, 2014). In order to improve the well-being of these patients and holistically meet their needs, it is important to provide individualized and quality nursing care in a behavioural, cognitive and comprehensive way, as a right of all the patients (Browall et al., 2013).