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Ready to Go Home? Nurses' Perspectives of Prolonged Admission for Patients Undergoing Video-Assisted Thoracic Surgery for Non-Small-Cell Lung Cancer in Denmark

Bibliographic Data

ID4633458
AuthorsMalene Missel (0000-0003-3267-8038, Department of Cardiothoracic Surgery, Rigshospitalet, Copenhagen University Hospital, Kobenhavn, Denmark, corresponding author), Pernille Orloff Donsel (0000-0003-4798-752X, Department of Cardiothoracic Surgery, Rigshospitalet, Copenhagen University Hospital, Kobenhavn, Denmark), René Horsleben Petersen (0000-0002-3586-1869, Department of Cardiothoracic Surgery, Rigshospitalet, Copenhagen University Hospital, Kobenhavn, Denmark), Malene Beck (0000-0003-4163-263X, Pediatric Unit, Head of Nursing Research, Zealand University Hospital, Roskilde, Denmark)
Year2024
Volume34
Issue11
Pages1096-1107
Publication date2024-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/10497323231191709
PMID38196241
OpenAlexW4390698297
LanguageEN
References cited52

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

Cardiothoracic surgery · General surgery · Lung cancer · Enhanced Recovery After Surgery · Lung Cancer Diagnosis and Treatment · Medicine · Palliative Care and End-of-Life Issues · Oncology · Surgery

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