scholarly journals Safety Considerations of Adaptive Horseback Riding Program for Adults With Dementia and Their Families

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 184-184
Author(s):  
Alicia Oestreich ◽  
Beth Fields
Keyword(s):  
Horseback Riding ◽  
Structured Interviews ◽  
Therapeutic Horseback Riding ◽  
Safety Practices ◽  
Safety Standards ◽  
Key Stakeholders ◽  
Qualitative Descriptive ◽  
Safety Considerations ◽  
Equine Assisted

Abstract Human-animal interactions, including equine-assisted services, are becoming increasingly popular to enhance the quality of life of adults with dementia and their families. However, there is a lack of knowledge on safety considerations when serving this population. The purpose of this qualitative descriptive study was to explore the safety perspectives of key stakeholders involved in an adaptive horseback riding program for adults with dementia and their families. Ten, 30-minute semi-structured interviews and two, 60-minute focus groups were conducted with horseback riding program instructors and staff, dementia specialists, and adults with dementia and their families. Thematic analysis of data were guided by the Professional Association of Therapeutic Horsemanship International’s Core Safety Standards and completed using NVivo 12. Stakeholders described two central themes to consider when offering equine-assisted services at therapeutic horseback riding centers to adults with dementia and their families 1) dementia and horse training parameters, and 2) enrollment procedures. Stakeholders recommended that training should encompass “how to interact and communicate in a positive way with the adult with dementia…redirect if a behavior comes up”, and horses should be specially selected to “tolerate standing in a ramp during a difficult mount”. Stakeholders also shared that enrollment in the program should include learning the adult’s health and prior horse experience, precautions and contraindications, horseback riding readiness, and availability of and support from family. Information gleaned from this study may help researchers, instructors, and staff develop policies that demonstrate optimal safety practices when delivering equine-assisted services to adults with dementia and their families.

scholarly journals Pessoa com Deficiência (PcD): a realidade observada no ambiente organizacional.

Revista Foco ◽  
2019 ◽  
Vol 12 (3) ◽  
pp. 78
Author(s):  
Regiane Freires Dos Santos ◽  
Sabrina Bianca Regis Rocha ◽  
Daniele Oliveira Dos Santos ◽  
Gustavo Yuho Endo ◽  
Alvaro Costa Jardim Neto
Keyword(s):  
Quality Of Life ◽  
Private School ◽  
Educational Institution ◽  
People With Disabilities ◽  
Educational Institutions ◽  
Structured Interviews ◽  
Qualitative Descriptive ◽  
Recruitment And Selection ◽  
Selection Stage

A qualidade de vida dentro do ambiente organizacional não tem refletido de forma positiva para as pessoas com deficiência, pois além de suas características comuns, portam outras que as limitam a executar tarefas que são simples para as demais. Nesse sentido, o estudo tem como objetivo geral analisar a qualidade de vida no trabalho das pessoas com deficiência em instituição de ensino privado. A pesquisa tem caráter qualitativo, descritiva e comparativa. Os dados foram coletados por meio de entrevista semiestruturada, participaram da pesquisa três instituições públicas de ensino e uma instituição privada de ensino. Os principais achados foram que nas instituições públicas de ensino não haviam pessoas com deficiência, não podendo assim analisar a qualidade de vida dos mesmos nessas instituições. Já na instituição privadas existem pessoas com deficiência, ter esse tipo de colaborador é de iniciativa da organização e não somente pelo fato de existirem leis que as obrigam ter uma percentagem desse tipo de colaborador. Esse tipo de colaborador é tratado como os demais colaboradores, desde a etapa de recrutamento e seleção até a avaliação de desempenho. Porém, os mesmos sofrem preconceitos de alunos e colaboradores da própria instituições de ensino. Para que isso diminuía, são propostas ações internas de conscientização.  The quality of life within the organizational environment has not reflected positively on people with disabilities, because in addition to their common characteristics, they carry others that limit them to perform tasks that are simple for others. In this sense, the study aims to analyze the quality of life at work of people with disabilities in private school. The research has qualitative, descriptive and comparative character. Data were collected through semi-structured interviews. Three public educational institutions and one private educational institution participated in the research. The main findings were that in public educational institutions there were no people with disabilities, so they could not analyze their quality of life in these institutions. In the private institution there are people with disabilities, having this type of employee is the initiative of the organization and not only because there are laws that require them to have a percentage of this type of employee. This type of employee is treated like other employees, from the recruitment and selection stage to the performance evaluation. However, they suffer prejudice from students and employees of the educational institutions themselves. To reduce this, internal awareness actions are proposed.

scholarly journals Representações sociais de travestis profissionais do sexo sobre qualidade de vida

2021 ◽  
Vol 20 (4) ◽  
pp. 131-169
Author(s):  
Ana Lilia Souza Barbosa Barbosa ◽  
Alef Diogo da Silva Santana ◽  
Ednaldo Cavalcante de Araújo ◽  
Paula Daniella de Abreu ◽  
Marcos Soares de Lima ◽  
...  
Keyword(s):  
Social Representations ◽  
Structured Interviews ◽  
Governmental Organizations ◽  
Calidad De Vida ◽  
Non Governmental Organizations ◽  
Access To Health ◽  
The Social ◽  
Qualitative Descriptive ◽  
Trabajadoras Sexuales

Objetivo: Identificar las representaciones sociales de las trabajadoras sexuales travestis sobre la calidad de vida. Material y Método: Estudio cualitativo, descriptivo, exploratorio, basado en la Teoría de las Representaciones Sociales, desarrollado con siete travestis trabajadoras sexuales. La producción de los datos se llevó a cabo con entrevistas semiestructuradas y posteriormente se transcribieron, validaron y analizaron a partir del Análisis de contenido temático.Resultados: Surgieron tres clases: 1) Acceso a la salud como principio de calidad de vida; 2) El apoyo de las organizaciones no gubernamentales en la visibilidad y respeto a las demandas de las personas trans y 3) Los vínculos sociales como herramienta útil en el sentido de la calidad de vida.Consideraciones finales: Las representaciones se ubican en la necesidad de acceso a servicios de salud libres de prejuicios; el apoyo de las organizaciones no gubernamentales en el reconocimiento de sus potencialidades y singularidades mediante el establecimiento de vínculos afectivos, solidarios, leales y de confianza, y en el establecimiento de lazos sociales producidos con vecinos y amigos para afrontar las dificultades vividas cotidianamente. Objective: To identify the social representations of transvestite sex professionals regarding quality of life.Material and Method: A qualitative, descriptive, exploratory study, anchored in the Theory of Social Representations, developed with seven professional transvestites of sex. The data production was carried out with semi-structured interviews and later transcribed, validated and analyzed from the Thematic Content Analysis.Results: Three categories emerged: 1) Access to health as a principle to quality of life; 2) Support of non-governmental organizations in the visibility and respect to the demands of the trans population and 3) Social ties as a propositional tool in the meaning of quality of life.Final considerations: The representations are located in the need to access health services free of prejudice; in the support of non-governmental organizations in the recognition of their potentialities and singularities, establishing affective bonds of support, loyalty and trust; and in the establishment of social bonds produced with neighbors and friends to face the difficulties experienced daily. Objetivo: identificar as representações sociais de travestis profissionais do sexo sobre qualidade de vida. Material e Método: Estudo qualitativo, descritivo, exploratório, ancorado na Teoria das Representações Sociais, desenvolvido com sete travestis profissionais do sexo. A produção dos dados foi realizada com entrevistas semiestruturadas e posteriormente transcritas, validadas e analisadas a partir da Análise de Conteúdo Temática. Resultados: Emergiram-se três categorias: 1) O acesso à saúde como princípio à qualidade de vida; 2) Apoio das organizações não governamentais na visibilidade e respeito às demandas das pessoas trans e 3) Os laços sociais como ferramenta propositiva no significado da qualidade de vida.Considerações finais: As representações estão situadas na necessidade de acesso aos serviços de saúde livre de preconceitos; no apoio das organizações não governamentais no reconhecimento de suas potencialidades e singularidades estabelecendo vínculos afetivos, de apoio, lealdade e confiança; e no estabelecimento dos laços sociais produzidos com vizinhos e amigos para o enfrentamento das dificuldades vivenciadas diariamente.

scholarly journals Fostering Holistic Hand Therapy: Emergent Themes of Client Experiences of Mind–Body Interventions

2019 ◽  
Vol 40 (2) ◽  
pp. 122-130
Author(s):  
Sandy C. Takata ◽  
Mark E. Hardison ◽  
Shawn C. Roll
Keyword(s):  
Mindfulness Meditation ◽  
Holistic Approach ◽  
The Body ◽  
Structured Interviews ◽  
Hand Therapy ◽  
Client Experiences ◽  
Meaningful Activity ◽  
Qualitative Descriptive ◽  
Therapy Sessions

Mind–body interventions are a viable holistic approach to rehabilitation; however, evidence for mind–body approaches in hand therapy is lacking. This study explored the experiences of clients with musculoskeletal disorders undergoing two mind–body interventions within hand therapy. Qualitative data were obtained from clients who received mindfulness meditation and sonographic biofeedback as part of hand therapy. Semi-structured interviews conducted after four therapy sessions elicited participants’ experiences and acceptability. Emergent themes were identified through an iterative, qualitative descriptive process. The following three themes emerged as results: insight on the body, relaxation and relief, and I am in control. A fourth theme was identified in the acceptability data, that is, mindfulness as a meaningful activity. At least one of the interventions was acceptable to each participant. Positive participant experiences support further consideration of mind–body interventions as a useful holistic approach in hand therapy to support wellness, quality of care, and participation in recovery.

scholarly journals Parental Perception of Changes in Basic Life Needs of Children with Disabilities after Six Months of Therapeutic Horseback Riding: A Qualitative Study

2020 ◽  
Vol 17 (4) ◽  
pp. 1213
Author(s):  
Lovrić ◽  
Farčić ◽  
Mikšić ◽  
Gvozdanović Debeljak
Keyword(s):  
Qualitative Study ◽  
Psychosocial Functioning ◽  
Children With Disabilities ◽  
Qualitative Content Analysis ◽  
Personal Hygiene ◽  
Horseback Riding ◽  
Therapeutic Horseback Riding ◽  
Involved Parents ◽  
Positive Effect

Therapeutic horseback riding (THR) has a positive effect on the physical, cognitive, and psychosocial functioning of children with disabilities. Parents’ reports of the effects of THR on their children support professionals in individualizing the THR program. With this qualitative study, we aimed to explore parents’ perceptions of changes in the basic life needs of their children with disabilities after six months of THR lessons and to survey parents’ explanations for the causes of these changes. The study involved parents of 13 children with disabilities who were enrolled in a six-month THR program. Parents continuously monitored their children and wrote a report on possible changes in their child’s needs according to Virginia Henderson’s need theory. Qualitative content analysis of parents’ reports indicated only positive changes in 11 children. Most codes were identified in categories “relationships and communication with other people” and “movement and posturing”. Other categories identified codes such as easier breathing, a better quality of sleep, better appetite, better elimination of stool and urine, more independence in clothing and maintaining personal hygiene, and greater interest in play and learning. Parents’ reports are further supported by the assessments of professionals. Most parents think THR is responsible for the noticeable improvements in their children’s quality of life.

scholarly journals Cuidados de enfermagem oncológica em radioterapia

2019 ◽  
Vol 13 (4) ◽  
pp. 1071
Author(s):  
Caroline Salvador ◽  
Emilli Viana ◽  
Patricia Fernanda Dorow ◽  
Rita De Cássia Flôr ◽  
Laurete Medeiros Borges ◽  
...  
Keyword(s):  
Nursing Care ◽  
Adverse Reactions ◽  
Descriptive Study ◽  
Care Quality ◽  
Oncology Nursing ◽  
Structured Interviews ◽  
Calidad De Vida ◽  
Analysis Technique ◽  
Qualitative Descriptive

RESUMOObjetivo: identificar os cuidados de Enfermagem Oncológica em Radioterapia. Método: trata-se de um estudo qualitativo, descritivo, realizado em um centro de tratamento oncológico referência com três enfermeiras. Coletaram-se os dados mediante entrevistas semiestruturadas por meio de um roteiro e analisados a partir da técnica de Análise de Conteúdo. Resultados: extraíram-se as expressões-chave e ideias centrais, emergiram três categorias que desenharam a atuação do enfermeiro: a) Equipe multidisciplinar envolvida na radioterapia; b) O processo de trabalho das enfermeiras em radioterapia; e, c) As práticas para amenizar os efeitos colaterais da radioterapia Conclusão: ressaltam-se que os cuidados oncológicos em radioterapia consistem em ações individualizadas que, auxiliam diretamente na prevenção, minimização e/ou tratamento das reações adversas causadas pelo tratamento, articulados promovem melhor qualidade de vida do paciente oncológico. Descritores: Enfermagem Oncológica; Cuidados de Enfermagem; Radioterapia; Enfermagem Radiológica e de Imagem; Cuidados com a Pele; Qualidade de Vida. ABSTRACT Objective: to identify the care of Oncology Nursing in Radiotherapy. Method: this is a qualitative, descriptive study performed at a referral center for cancer treatment with three nurses. The data were collected through semi-structured interviews through a script and analyzed using the Content Analysis technique. Results: key expressions and central ideas were extracted, three categories emerged that designed the nurse's performance: a) Multidisciplinary team involved in radiotherapy; b) The work process of the nurses in radiotherapy; and c) Practices to mitigate the side effects of radiotherapy Conclusion: it is emphasized that oncological care in radiotherapy consists of individualized actions that directly aid in the prevention, minimization and / or treatment of the adverse reactions caused by the treatment, articulations promote better quality of life of cancer patients. Descriptors: Nursing Oncology; Nursing care; Radiotherapy; Radiological and Image Nursing; Skin care; Quality of Life.RESUMEN Objetivo: identificar los cuidados de Enfermería Oncológica en Radioterapia. Método: se trata de un estudio cualitativo, descriptivo, realizado en un centro de tratamiento oncológico referencia con tres enfermeras. Se recolectaron los datos mediante entrevistas semiestructuradas por medio de un guion y analizados a partir de la técnica de Análisis de Contenido. Resultados: se extrajeron las expresiones clave e ideas centrales, surgieron tres categorías que diseñaron la actuación del enfermero: a) Equipo multidisciplinario involucrado en la radioterapia; b) el proceso de trabajo de las enfermeras en radioterapia; y c) las prácticas para amenizar los efectos colaterales de la radioterapia Conclusión: se resalta que los cuidados oncológicos en radioterapia consisten en acciones individualizadas que, auxilian directamente en la prevención, minimización y / o tratamiento de las reacciones adversas causadas por el tratamiento, articulados promueven mejor calidad de vida del paciente oncológico. Descritores: Enfermería Oncológica; Cuidado de Enfermera; Radioterapia; Enfermería Radiológica y de Imágenes; Cuidado de la Piel; Calidad de Vida.

scholarly journals Food for Life: evaluation of the impact of the Hospital Food Programme in England using a case study approach

JRSM Open ◽  
2017 ◽  
Vol 8 (10) ◽  
pp. 205427041771270 ◽  
Author(s):  
Selena Gray ◽  
Judy Orme ◽  
Hannah Pitt ◽  
Matthew Jones
Keyword(s):  
Food Culture ◽  
Case Study Approach ◽  
Structured Interviews ◽  
Sustainable Food ◽  
Study Approach ◽  
Key Stakeholders ◽  
Quality Of Food ◽  
The Impact

Objectives To evaluate the impact and challenges of implementing a Food for Life approach within three pilot NHS sites in 2014/2015 in England. Food for Life is an initiative led by the Soil Association, a non-governmental organisation in the UK that aims to encourage a healthy, sustainable food culture across communities. Design A case-study approach was undertaken using semi-structured interviews with staff and key stakeholders together with analysis of relevant documents such as meeting minutes, strategic plans and reports. Setting Three NHS Trusts in England. Participants Staff and key stakeholders. Main outcome measures Synthesis of key findings from semi-structured interviews and analysis of relevant documents. Results Key themes included the potential to influence contracting processes; measuring quality; food for staff and visitors; the role of food in hospitals, and longer term sustainability and impact. Participants reported that adopting the Food for Life approach had provided enormous scope to improve the quality of food in hospital settings and had provided levers and external benchmarks for use in contracting to help drive up standards of the food provided by external contractors for patients and staff. This was demonstrated by the achievement of an FFLCM for staff and visitor catering in all three organisations. Conclusions Participants all felt that the importance of food in hospitals is not always recognised. Engagement with Food for Life can produce a significant change in the focus on food within hospitals, and help to improve the quality of food and mealtime experience for staff, visitors and patients.

scholarly journals Patient Perceptions of a Group-Based Lifestyle Intervention for Overweight Women with Urinary Incontinence: A Qualitative Descriptive Study

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 265
Author(s):  
Shelley Roberts ◽  
Zara Howard ◽  
Kelly A. Weir ◽  
Jennifer Nucifora ◽  
Nadine Baker ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Descriptive Study ◽  
Obese Women ◽  
Structured Interviews ◽  
Group Setting ◽  
Overweight Women ◽  
High Satisfaction ◽  
Qualitative Descriptive ◽  
Delivery Style

Urinary incontinence (UI) affects many women and impacts quality of life. Group-based interventions may be an effective and efficient method for providing UI care; however, interventions must be acceptable to patients to have an impact. This study aimed to explore patients’ perceptions of an exercise training and healthy eating group program (ATHENA) for overweight and obese women with UI. This qualitative descriptive study involved semi-structured interviews with a subset of participants sampled from a feasibility study of ATHENA. The ATHENA intervention was co-developed with end-users and implemented in Women’s Health Physiotherapy services at an Australian hospital. Interviews were recorded, transcribed and analysed thematically. Eleven female patients participated (mean ± SD age 54.2 ± 9.9 years; body mass index 30.5 ± 3.25 kg/m2). Participants found ATHENA highly acceptable, with three themes emerging from interviews: (1) Participants’ journey of change through ATHENA, describing the shifts in knowledge, attitudes, behaviours and symptoms participants experienced; (2) High satisfaction with ATHENA, including educational content, exercise components and delivery style; and (3) Group setting integral to ATHENA’s success, with participants providing support, building friendships, and facilitating each other’s learning. Overall, ATHENA was acceptable to participants, who provided each other with peer support; an unexpected moderator to ATHENA’s success.

scholarly journals Evaluation of the implantation of a patient safety nucleus

2019 ◽  
Vol 13 (2) ◽  
pp. 532
Author(s):  
Reginaldo Passoni dos Santos ◽  
Francielli Brito da Fonseca Soppa ◽  
Jéssica Cristina Ruths ◽  
Maria Lúcia Frizon Rizzotto
Keyword(s):  
Patient Safety ◽  
Safety Management ◽  
Evaluation Process ◽  
University Hospital ◽  
Patient Identification ◽  
Safety Practices ◽  
Patient Falls ◽  
Qualitative Descriptive ◽  
Development Phases

ABSTRACTObjective: to share the experience with the evaluation of the implantation of a nucleus of patient safety. Method: this is a qualitative, descriptive study, a type of experience report, developed with nurses who conducted an evaluation process of the implantation of a patient safety nucleus in a university hospital. A semi-structured script was used for data collection. Results: it is revealed that the process covered the antecedent, characterization and development phases, and of the eight national protocols, the nucleus developed actions in four (hand hygiene, patient identification, safe surgery and prevention of pressure ulcers) and has set goals for two (prevention of patient falls and effective communication). Actions related to other two were developed (safety in the prescription, use and administration of drugs and blood and blood products) without the effective participation of the nucleus. Conclusion: it was possible to recognize, through the evaluation, the contribution of the nucleus to the implementation of patient safety practices in the hospital. Descriptors: Patient Safety; Program Evaluation; Health Evaluation; Quality of Health Care; Safety Management; Nursing.RESUMOObjetivo: compartilhar a experiência com a avaliação da implantação de um núcleo de segurança do paciente. Método: trata-se de estudo qualitativo, descritivo, tipo relato de experiência, desenvolvido com os enfermeiros que conduziram um processo avaliativo da implantação de um núcleo de segurança do paciente em um hospital universitário. Utilizou-se, para a coleta de dados, um roteiro semiestruturado. Resultados: revela-se que o processo contemplou as fases de antecedentes, caracterização e desenvolvimento, e, dos oito protocolos nacionais, o núcleo desenvolveu ações em quatro (higienização das mãos, identificação do paciente, cirurgia segura e prevenção de úlceras por pressão) e traçou metas para dois (prevenção de quedas dos pacientes e comunicação efetiva). Desenvolveram-se ações ligadas a outros dois (segurança na prescrição, uso e administração de medicamentos e de sangue e hemoderivados) sem a participação efetiva do núcleo. Conclusão: permitiu-se reconhecer, pela avaliação, a contribuição do núcleo para a efetivação de práticas de segurança do paciente no hospital. Descritores: Segurança do Paciente; Avaliação de Programas e Projetos de Saúde; Avaliação em Saúde; Qualidade da Assistência à Saúde; Gerenciamento de Segurança; Enfermagem.RESUMENObjetivo: compartir la experiencia con la evaluación de la implantación de un núcleo de seguridad del paciente. Método: se trata de un estudio cualitativo, descriptivo, tipo relato de experiencia, desarrollado con los enfermeros que condujeron un proceso de evaluación de la implantación de un núcleo de seguridad del paciente en un hospital universitario. Se utilizó, para la recolección de datos, un guion semiestructurado. Resultados: se revela que el proceso contempló las fases de antecedentes, caracterización y desarrollo, y de los ocho protocolos nacionales, el núcleo desarrolló acciones en cuatro (higienización de las manos, identificación del paciente, cirugía segura y prevención de úlceras por presión) y trazó metas para dos (prevención de caídas de los pacientes y comunicación efectiva). Se desarrollaron acciones relacionadas a otros dos (seguridad en la prescripción, uso y administración de medicamentos y de sangre y hemoderivados) sin la participación efectiva del núcleo. Conclusión: se permitió reconocer, por la evaluación, la contribución del núcleo para la efectuación de prácticas de seguridad del paciente en el hospital. Descriptores: Seguridad del Paciente; Evaluación de Programas y Proyectos de Salud; Evaluación en Salud; Calidad de la Atención de Salud; Administración de la Seguridad; Enfermería.

scholarly journals Quality of life in multiple sclerosis patients participating in therapeutic horseback riding

2014 ◽  
Vol 13 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Fabiana Moraes Flores ◽  
Luana Santos Sousa ◽  
Karla Mendonça Menezes ◽  
Fernando Copetti ◽  
Cláudia Morais Trevisan
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Intervention Group ◽  
Control Group ◽  
Horseback Riding ◽  
Therapeutic Horseback Riding ◽  
Before And After ◽  
Multiple Sclerosis Patients ◽  
Therapeutic Activities

Introduction: Multiple Sclerosis (MS) is a disease that causes interferences in the quality of life (QoL) of affected individuals; for this reason, for this reason, programs of activities that can improve quality of life are crucial. Objective: Investigate whether therapeutic horseback riding (THR) included in the routine activities of people with MS promotes changes in perceived QoL. Methods: Fourteen individuals with MS were divided into intervention group and control group and assessed for perceived QoL by means of the Functional Assessment of Multiple Sclerosis (FAMS) instrument, before and after an interval of four months. Results: No significant changes in the QoL of MS subjects were observed, either in intragroup or intergroup assessments. Conclusion: The intervention with THR included in the routine therapeutic activities of individuals with MS was not helpful to promote changes in the perceived QoL of the individuals studied.

Striving for good nursing care

2014 ◽  
Vol 21 (8) ◽  
pp. 902-915 ◽  
Author(s):  
Mona Pettersson ◽  
Mariann Hedström ◽  
Anna T Höglund
Keyword(s):  
Nursing Care ◽  
Specific Role ◽  
Ethical Review ◽  
Do Not Resuscitate ◽  
Structured Interviews ◽  
Ethical Considerations ◽  
Qualitative Descriptive ◽  
Do Not Resuscitate Orders

Background: Within oncology and hematology care, patients are sometimes considered to have such a poor prognosis that they can receive a do not resuscitate order from the physician responsible, stipulating that neither basic nor advanced coronary pulmonary rescue be performed in the event of a cardiac arrest. Studies on do not resuscitate decisions within oncology and hematology units, focusing on the specific role of the nurse in relation to these decisions, are scarce. Objective: The aim of this study was to investigate hematology and oncology nurses’ experiences and perceptions of do not resuscitate orders, in order to achieve a deeper understanding of the nurses’ specific role in these decisions. Research design: A qualitative, descriptive methodology with individual semi-structured interviews was used. Participants and research context: A total of 15 nurses from eight hematology/oncology wards in four hospitals in Sweden were interviewed individually. Ethical considerations: In accordance with national regulations, an ethical review was not required for this study. The research followed international guidelines for empirical research, as outlined in the Helsinki Declaration. Findings: The nurses strived for good nursing care through balancing harms and goods and observing integrity and quality of life as important values. Experienced hindrances for good care were unclear and poorly documented decisions, uninformed patients and relatives, and disagreements among the caregivers and family. The nurses expressed a need for an ongoing discussion on do not resuscitate decisions, including all concerned parties. Conclusion: In order to provide good nursing care, nurses need clear and well-documented do not resuscitate orders, and patients and relatives need to be well informed and included in the decisions. To increase the understanding for each other’s opinions within the medical team, regular ethical discussions are required.

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