%0 Journal Article
%T Oncology Nurse Managers¡¯ Perceptions of Palliative Care and End
%A Celeste R. Phillips
%A Claretta Yvonne Dupree
%A Joan E. Haase
%A Kathleen E. Montgomery
%A Kathleen J. Sawin
%A Verna L. Hendricks-Ferguson
%J Journal of Pediatric Oncology Nursing
%@ 1532-8457
%D 2019
%R 10.1177/1043454219835448
%X The purpose of this study was to describe pediatric oncology nurse managers¡¯ (NMs) perspectives of palliative care/end-of-life (PC/EOL) communication. The study, guided by group-as-a-whole theory and empirical phenomenology, was part of a larger, multisite study aimed at understanding pediatric oncology nurses¡¯ experiences of PC/EOL communication. Nurses were assigned to focus groups based on length or type of experience (i.e., nurses with <1, 2¨C5, or >5 years¡¯ work experience and NMs). Eleven NMs from three Midwestern pediatric hospitals with large oncology programs participated in one focus group. The participants¡¯ mean years of experience was 15.8 in nursing and 12 in pediatric oncology; 90% had a BSN or higher degree; all had supervisory responsibilities. The authors identified 2,912 meaning statements, which were then analyzed using Colaizzi¡¯s method. Findings include NMs¡¯ overall experience of ¡°Fostering a Caring Climate,¡± which includes three core themes: (1) Imprint of Initial Grief Experiences and Emotions; (2) Constant Vigilance: Assessing and Optimizing Family-Centered Care; and (3) Promoting a Competent, Thoughtful, and Caring Workforce. Findings indicate that pediatric oncology NMs draw on their own PC/EOL experiences and their nursing management knowledge to address the PC/EOL care learning needs of nursing staff and patient/family needs. NMs need additional resources to support nursing staff¡¯s PC/EOL communication training, including specific training in undergraduate and graduate nursing programs and national and hospital-based training programs
%K communication
%K pediatric oncology
%K nurse managers
%K palliative care/end of life
%U https://journals.sagepub.com/doi/full/10.1177/1043454219835448