Suffering Among Patients with Cancer: A Concept Analysis and Implications for Oncology Nurses
The number of patients with cancer and cancer survivors have increased globally, due to the increase in the complexity and intensity of cancer treatment modalities. This increase in intensity cause suffering in patients with cancer who experience these kinds of treatment. The purpose of this article was to conduct a concept analysis on suffering through analyzing the existing literature. Suffering needs to be defined and examined by qualitative oncology nursing research to provide a precise, complete picture of the nature and possibility of suffering in patients with cancer. Knowledge of how these patients experience suffering would facilitate oncology nurses to create interventions to avoid or reduce this suffering. Overall, this concept is relevant to nursing and further studies should use this concept in generating knowledge about understanding and reducing suffering among patients with cancer. Cultural differences need to be examined in a large more diverse sample size to ensure the suffering concept applicability and validity cross culturally.
Dhuha Youssef Wazqar,
Suffering Among Patients with Cancer: A Concept Analysis and Implications for Oncology Nurses, International Journal of Clinical Oncology and Cancer Research.
Vol. 2, No. 5,
2017, pp. 113-122.
Torre, L. A., Bray, F., Siegel, R. L., Ferlay, J., Lortet-Tieulent, J., & Jemal, A. (2015). Global Cancer Statistics, 2012. A Cancer Journal for Clinicians, 65 (2), 87–108.
Saudi Cancer Registry. (2016). Cancer incidence report Saudi Arabia 2013. http://www.chs.gov.sa/Ar/HealthCenters/NCC/CancerRegistry/CancerRegistryRports/2013.pdf. Accessed at 21st July 2017.
National Cancer Registry. (2001). Cancer incidence report, Saudi Arabia: 1997–1998. Ministry of Health, Kingdom of Saudi Arabia.
Fochman, D. (2006). The concept of suffering in children and adolescents with cancer. Journal of Pediatric Oncology Nursing, 23 (2), 92-102.
Clark, M., Rummans, T., Sloan, J., Jensen, A., Atherton, P., Frost, M., et. al. (2006). Quality of life of caregivers of patients with advanced-stage cancer. American Journal of Hospice and Palliative Medicine, 23(3), 185-191.
Chin, P. L., & Kramer, M. K. (2008). Integrated theory and knowledge development in nursing (7th ed.). United State of America: Mosby. pp. 179-218.
Meleis, A. (1991). Theoretical nursing development and progress (2ed ed.). Philadelphia: J. B. Lippincott Co.
Barber, K., fitzgerald, H., Howell, T., & Pontisso, R. (2005). Oxford Canadian dictionary of current English. Canada: Oxford University Press.
Seyama, R., & Kanda, K. (2008). Suffering among the families of cancer patients: Conceptual analysis. Kitakanto Medicine Journal, 58, 71-76.
Viktor, F. E. (2006). Man's search for meaning (pp. 132). Boston: Beacon Press.
Ronald, B. M. (2005). Suffering in psychology: The demoralization of psychotherapeutic practice. Journal of Psychotherapy Integrations, 15(3), 299-336.
Kleinman, A. (1998). The illness narratives: Suffering, healing, and the human condition. Doubleday: Dell Publishing Group.
Black, H, & Rubinstein, R. (2004). Themes of suffering in the late life. The Journal of Gerontology, 59, 17-24.
Haq, I. (2002). Faith and suffering in Islam. The Stauros Notebook, 12(3), 8.
Adams, A. (2017). Suffering Under a Great Injustice. https://www.loc.gov/loc/lcib/02034/internment.html. Accessed at 1st August 2017.
Cassell, E. J. (1991). The nature of suffering and the goals of medicine. New York: Oxford University Press. pp. 33 & 531.
Ferrell, B. R., & Coyle, N. (2008). The nature of suffering and the goals of nursing. Oncology Nursing Forum, 35(2), 241-247.
Kaneeko, M., Majima, T., et al. (2006). Development of suffering questionnaire. Journal of Japan Academic Nursing, 26 (3), 3-12.
Cassell, E. J. (1999). Diagnosing suffering: A perspective. Annals of Internal Medicine, 131, 531-534.
Rowe, J. (2003). The suffering of the healer. Nursing Forum, 38(4), 16-20.
Fineberg, I. C., Wenger, N., & Saltzman, K. B. (2006). Unrestricted opiate administration for pain and suffering at the end of life: Knowledge and attitudes as barriers to care. Journal of Palliative medicine, 9 (4), 873-883.
Holm, A. L., & Severinsson, E. (2006). The emotional pain and distress of borderline personality disorder: A review of the literature. Journal of Mental Health Nursing, 17, 27-35.
Arman, M., Rehnsfeldt, A., Lindholm, L., & Hamrin, E. (2002). The face of suffering among women with breast cancer—Being in a field of forces. Cancer Nursing, 25(2), 96-103.
Kahn, D. L., & Steeves, R. H. (1996). An understanding of suffering grounded in Clinical practice and research. In B. R. Ferrell (Ed.), Suffering. Sudbury, MA: Jones & Bartlett. pp. 3-47.
Ferrell, B. R. (1996). Suffering. United State of America: Jones & Bartlett Publishers International. pp. 105.
Travelbee J. (1971). Interpersonal aspects of nursing (2nd ed.). Philadelphia: FA Davis Company.
Spross, J. A. (1993). Pain, suffering, and spiritual well-being: Assessment and interventions. Quality of Life. A Nursing Challenge, 2, 71-79.
Morse, J. M., & Carter, B. (1996). The essence of enduring and suffering: The reformulation of self. Scholarly Inquiry for Nursing Practice, 10(1), 43-50.
Rawnsley, M. M. (1996). Response to “The essence of enduring and expressions of suffering: The reformulation of self.” Scholarly Inquiry for Nursing Practice. 10(1), 61-6.
Morse, J. M. (2001). Toward a praxis theory of suffering. Advances in Nursing Science, 24(1), 47-59.
Hinds, P. S., Quargnenti, A. G., & Wentz, T. J. (1992). Measuring symptom distress in adolescents with cancer. Journal of Pediatric Oncology Nursing, 9(1), 84-86.
Rodgers, B., & Cowles, K. (1997). A conceptual foundation for human suffering in nursing care and research. Journal of Advanced Nursing, 25(5), 1048-1053.
Dodd, M., Janson, S., Facione, N., Faucett, J., Froelicher, E. S., Humphreys, J., et al. (2001). Advancing the science of symptom management. Journal of Advanced Nursing, 33(5), 668- 676.
Coyle, N. (2003). Phenomenology: Learning from our patients and ourselves. International Journal of Palliative Nursing, 9(11), 464-466.
Harrison, E. (2001). Advancing nursing scholarship through the interpretation of imaginative literature: Ancestral connectedness and the survival of the sufferer. Advances in Nursing Science, 24(2), 65-80.
Kane, J. R., Hellsten, M. B., & Coldsmith, A. (2004). Human suffering: The need for relationship-based research in pediatric end-of-life care. Journal of Pediatric Oncology Nursing, 21(3), 180-185.
Mystakidou, K., Parpa, E., Katsouda, E., & Galanos, A. (2005). Pain and desire for hastened in death in terminally ill cancer patients. Cancer Nursing, 28(4), 318-324.
Schwartzberg, L. S. (2007). Chemotherapy-induced nausea and vomiting: Clinician and patient perspectives. The Journal of Supportive Oncology, 5(2), 5-12.
Ross, D., & Alexander, C. (2001). Management of common symptoms in terminally ill patient: part I: Fatigue, anorexia, cachexia, nausea and vomiting. American Family Physician, 64(5), 807-814.
Phipps, S., Hinds, P. S., Channell, S., & Bell, G. L. (1994). Measurement of behavioral, affective, and somatic responses to pediatric bone marrow transplantation: Development of the BASES scale. Journal of Pediatric Oncology Nursing, 1(3), 109-117.
Collins, J. J., Byrnes, M. E., Dunkel, I. J., Lapin, J., Nadel, T., Thaler, H. T., et al. (2000). The measurement of symptoms in children with cancer. Journal of Pain and Symptom Management, 19(5), 363-377.
Naar-King, S., Ellis, D. A., & Frey, M. A. (2004). Assessing children’s well-being: A handbook of measures. Hillsdale, NJ: Lawrence Erlbaum.
Berde, C., & Wolfe, J. (2003). Pain, anxiety, distress and suffering: Interrelated, but not interchangeable. Journal of Pediatrics, 142, 361-363.
Lobchuk, M. M. (2003). The Memorial Symptom Assessment Scale: Modified for use in understanding family caregivers’ perceptions of cancer patients’ symptom experience. Journal of Pain and Symptom Management, 26(1), 644-654.
Wolfe, J., Klar, N., Grier, H., Duncan, J., Salem-Schatz, S., Emmanuel, E. J., et al. (2000). Understanding of prognosis among parents of children who died of cancer. Journal of the American Medical Association, 284(19), 2469-2475.
Woodgate, R. L. (2005). A different way of being: Adolescents’ experiences with cancer. Cancer Nursing, 28(1), 8-15.
Martinson, I. M. (1989). Impact of childhood cancer on family care in Taiwan. Pediatric Nursing, 15(6), 636-637.
Martinson, I. M., Chiang, C. Y. L., & Liang, Y. H. (1997). Distress symptoms and support symptoms of Chinese parents of children with cancer. Cancer Nursing, 20(2), 1-6.
Martinson, I. M., Leavitt, M., Liu, C., Armstrong, V., Hornberger, L., Ziang, J. Q., et al. (1999). Common themes and ethnic differences in family caregiving the first year after diagnosis of childhood cancer: Part I. Journal of Pediatric Nursing. 14(2), 99-109.
Martinson, I. M., & Liang, Y. H. (1992). The reactions of Chinese children who have cancer. Pediatric Nursing, 18(4), 345-349.
Martinson, I. M., & Yee, K. H. (2003). Parental involvement in restoring health of a child with cancer in Hong Kong. Journal of Pediatric Oncology Nursing, 20(5), 233-244.
Simpson J. A. & Weiner E. S. C. (1989). The Oxford English Dictionary (2nd ed.). Oxford, UK: Clarendon Press.
Spraycar, M. (1995). Stedman’s Medical Dictionary (26th ed.). Baltimore, MD: Williams & Wilkins Inc.
Merriam-Webster’s Collegiate Dictionary (11th ed.). (2014). United State of America: Merriam-Webster Incorporated.
Gove P. B. (2000). Webster’s third new international dictionary of the English language unabridged. Springfield, MA: G & C Merriam Co.
Newman W. A. (2003). Dorland’s Illustrated Medical Dictionary (30th ed.). Philadelphia, PA: W. B. Saunders Co.
McCorkle, R., & Young, K. (1978). Development of a symptom distress scale. Cancer Nursing, 5, 373–378.
Rhodes, V. A., & Watson, P. M. (1987). Symptom distress–the concept: Past and present. Seminars in Oncology Nursing, 3, 242–247.
Selye, H. (1976). Further thoughts on ‘‘stress without distress’’. Medical Times, 104, 124–132.
Heliker, D. (1992). Re-evaluation of nursing diagnosis: Spiritual distress. Nursing Forum, 27, 15–20.
Merskey, H. (1964). An Investigation of pain in psychological illness. Pain Journal, 5 (6), 250.
Mc Caffery, M. (1999). Pain clinical manual. St Louis: Mosby.
Carr, D. B., Loeser, D. J., & Morris, D. B. (2005). Narrative, pain, and suffering. The new English Journal of Medicine, 15, 353-1637.
Blog, S. (2007). The meeting of the minds: pain verses suffering. http://hansensinenglish.blogspot.com/2007/10/pain-versus-suffering.html. Accessed at 1st August 2017.
Saboo, B. (2008). Adverse psychological consequences: Compassions fatigue, burnout and vicarious traumatisation: Are nurses who provide palliative and haematological cancer care vulnerable? Indian Journal of Palliative Care, 14(1), 23-29.
Lataslski, M., Kulik, T. B., Skorzynska, H., & Zolnierczuk, K. (2001). Social consequences of breast cancer for women suffering from the disease. Wiadomosci Lekarskie, 54(7-8), 391-398.
Murray, S., Grand, E., & Kendall, M. (2008). Dying from cancer in developed and developing countries: Lessons from two qualitative interview studies of patients and their carers. Journal of Palliative Medicine, 326, 1-5.