Nurses’ Perception toward Management of Nausea among Patients Receiving Chemotherapy: A Qualitative Study
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Objective: The adverse effects of chemotherapy, specifically nausea and vomiting, constitute some of the most debilitating and distressing complications encountered by patients undergoing chemotherapy . Nausea is identified as the most common and distressing symptom correlated with chemotherapy, profoundly influencing the quality of life of individuals engaged in cancer treatment. This study aims to determine nurses' perceptions of the management of nausea among patients receiving chemotherapy.
Methods and Materials: The study design was a descriptive, qualitative research design. The study was conducted on (n=15) nurses working in the oncology department at three hospitals in Iraq. The semi-structured interviews were used to collect data in two parts: the first included demographic characteristics; the second included 15 open-ended questions.
Findings: Qualitative content analysis was used to analyze data. Three major themes emerged: perception of nurses about nausea among Cancer patients who receive chemotherapy; perception of nurses about the causes of nausea among patients who receive chemotherapy; and perception of nurses about measures used to manage nausea among cancer patients who receive chemotherapy.
Conclusion: All participants in the study clarified the measures used to manage nausea, including medications, dietary changes, adjusting patient positions, communication with the doctor, psychological support, and environmental factors. These played an effective role in reducing nausea in cancer patients during chemotherapy.
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Aapro, M., Scotté, F., Escobar, Y., Celio, L., Berman, R., Franceschetti, A., Bell, D., & Jordan, K. (2021). Practice patterns for prevention of chemotherapy-induced nausea and vomiting and antiemetic guideline adherence based on real-world prescribing data. The Oncologist, 26(6), e1073-e1082. https://doi.org/10.1002/onco.13716
Abd Ali, D. K., Al-Hadrawi, H. H., Al-Fayyadh, S. A., Kamel, A., & Al-Zayadi, S. D. (2023). Assessment of validity and reliability of the Arabic nursing core competencies scale-70. J ReAttach Therapy Developmental Diversities, 6(2s), 207-214. https://www.researchgate.net/profile/Andaleeb-Abu-Kamel-2/publication/369203076_Assessment_of_Validity_and_Reliability_of_the_Arabic_Nursing_Core_Competencies_Scale-70/links/64119c5c92cfd54f84014c65/Assessment-of-Validity-and-Reliability-of-the-Arabic-Nursing-Core-Competencies-Scale-70.pdf
Ai, M., Cai, Y., Zeng, Y., & Xiong, D. (2024). Efficacy of acupoint injection of metoclopramide for post-chemotherapy vomiting: A systematic review and meta-analysis. Medicine, 103(14), e37569. https://doi.org/10.1097/MD.0000000000037569
Al-Fayyadh, S. (2018). Critical Care Nurse's Capacities to Express a Caring Relationship with Patients in Teaching Hospitals. Indian Journal of Public Health Research & Development, 9(8). https://doi.org/10.5958/0976-5506.2018.00733.7
Al-Ganmi, A. H. A., Majeed, H. M., & Najm, M. A. (2024). Experiences of nurses in providing care for patients on the cancer journey: A cross-sectional survey. The Malaysian Journal of Nursing (MJN), 16(1), 212-219. https://doi.org/10.31674/mjn.2024.v16i01.021
Al‐Jubouri, M. B. A., Isam, S. R., Hussein, S. M., & Machuca‐Contreras, F. (2021). Recitation of quran and music to reduce chemotherapy‐induced anxiety among adult patients with cancer: A clinical trial. Nursing open, 8(4), 1606-1614. https://doi.org/10.1002/nop2.781
Al Daragemeh, A. I., Saleh, A. M., Abdel-Aziz, H. R., & Ebrahim, E. E. (2024). Nurses’ Insights and Experiences in Palliative Chemotherapy Care. Asian Pacific Journal of Cancer Prevention: APJCP, 25(1), 299. https://doi.org/10.31557/APJCP.2024.25.1.299
Alanazi, A., AlRajhi, A. M., Alnakhli, A., Bashir, M. S., & Alnajjar, F. (2024). Assessment of chemotherapy-induced nausea and vomiting in adult patients with hematopoietic stem-cell transplant at a tertiary care hospital. In: American Society of Clinical Oncology. https://doi.org/10.1200/JCO.2024.42.16_suppl.e24098
Belluomini, L., Avancini, A., Sposito, M., Pontolillo, L., Tregnago, D., Trestini, I., Insolda, J., Carbognin, L., Milella, M., & Bria, E. (2024). Integrating nutrition, physical exercise, psychosocial support and antiemetic drugs into CINV management: The road to success. Critical Reviews in Oncology/Hematology, 201, 104444. https://doi.org/10.1016/j.critrevonc.2024.104444
Bergengren, O., Enblad, A. P., Garmo, H., Bratt, O., Holmberg, L., Johansson, E., & Bill‐Axelson, A. (2020). Changes in lifestyle among prostate cancer survivors: a nationwide population‐based study. Psycho‐Oncology, 29(10), 1713-1719. https://doi.org/10.1002/pon.5513
Brianna, & Lee, S. H. (2023). Chemotherapy: how to reduce its adverse effects while maintaining the potency? Medical Oncology, 40(3), 88. https://doi.org/10.1007/s12032-023-01954-6
Chien, C.-H., Chuang, C.-K., Liu, K.-L., Wu, C.-T., Pang, S.-T., & Chang, Y.-H. (2021). Health-related quality of life and its associated factors in prostate cancer patients who receive androgen deprivation therapy. Cancer Nursing, 44(1), E34-E42. https://doi.org/10.1097/NCC.0000000000000752
Childs, D. S., Looker, S., Le-Rademacher, J., Ridgeway, J. L., Breitkopf, C. R., & Jatoi, A. (2019). What occurs in the other 20% of cancer patients with chemotherapy-induced nausea and vomiting (CINV)? A single-institution qualitative study. Supportive Care in Cancer, 27(1), 249-255. https://doi.org/10.1007/s00520-018-4323-x
Fadhil, E., & Bakey, S. (2023). Effectiveness of an Instructional Program on Nurses' Practices Toward Blood Transfusion Procedure. Health Education and Health Promotion, 11(3), 435-440. http://dx.doi.org/10.58209/hehp.11.3.435
Fathi, M., Nasrabadi, A. N., & Valiee, S. (2014). The effects of body position on chemotherapy-induced nausea and vomiting: a single-blind randomized controlled trial. Iranian Red Crescent Medical Journal, 16(6), e17778. https://doi.org/10.5812/ircmj.17778
Gala, D., Wright, H. H., Zigori, B., Marshall, S., & Crichton, M. (2022). Dietary strategies for chemotherapy-induced nausea and vomiting: a systematic review. Clinical Nutrition, 41(10), 2147-2155. https://doi.org/10.1016/j.clnu.2022.08.003
Garutti, M., Noto, C., Pastò, B., Cucciniello, L., Alajmo, M., Casirati, A., Pedrazzoli, P., Caccialanza, R., & Puglisi, F. (2023). Nutritional management of oncological symptoms: a comprehensive review. Nutrients, 15(24), 5068. https://doi.org/10.3390/nu15245068
Gebre, D., Murugan, R., Bizuwork, K., & Wurjine, T. H. (2022). Knowledge, practice and perceived barriers towards chemotherapy induced nausea and vomiting in prophylaxis guideline adherence among nurses in oncology units at selected hospitals, in Addis Ababa, Ethiopia, a cross-sectional study. BMC nursing, 21(1), 223. https://doi.org/10.1186/s12912-022-01009-7
Gour, S., Kore, A., Das, A., Dane, J., & Maurya, R. K. (2023). A Qualitative Study to Explore Patient’s experiences on Chemotherapy-induced Nausea and Vomiting: Focusing Impact on Daily Life. Asian Pacific Journal of Cancer Care, 8(1), 21-28. https://doi.org/10.31557/apjcc.2023.8.1.21-28
Hamid, H. J., & Bakey, S. J. (2024). Effectiveness of an Instructional Program on Patients' Readiness for Hospital Discharge after Coronary Artery Disease. International Journal of Body, Mind & Culture (2345-5802), 11(5). https://10.22122/ijbmc.v11i5.702
He, J., Xiong, Y., Mo, D., & Tang, M. (2022). [Retracted] Meta‐Analysis of the Effect of Dietary Care on Nausea and Vomiting in Oncology Chemotherapy Patients. Contrast media & molecular imaging, 2022(1), 3163230. https://doi.org/10.1155/2022/3163230
Hu, J., Shen, Y., Zhang, G., He, J., Sun, M., Zhang, H., Hua, B., & Zheng, H. (2019). Effect of acupoint therapies on chemotherapy-induced nausea and vomiting: a systematic review protocol. Medicine, 98(37), e17109. https://doi.org/10.1097/MD.0000000000017109
Jaleel, A., Abd, K. N., & Bakey, S. J. (2024). Effectiveness of Self-Care Program on PatientsKnowledge with Cholecystectomy. Bahrain Medical Bulletin, 46(1). https://www.bahrainmedicalbulletin.com/March_2024/BMB-23-517.pdf
Johnson, J. L., Adkins, D., & Chauvin, S. (2020). A review of the quality indicators of rigor in qualitative research. American journal of pharmaceutical education, 84(1), 7120. https://doi.org/10.5688/ajpe7120
Kadhim, A. J., Abbasinia, M., Abolfazli, M., Hezbiyan, Z., Dahmardeh, H., Aghaie, B., & Norouzadeh, R. (2024). A qualitative study to explain the criteria of nursing managers in selecting effective nursing diagnosis. Frontiers of Nursing, 11(4). https://doi.org/10.2478/fon-2024-0051
Karatsareas, P. (2022). Semi-structured interviews. Research methods in language attitudes, 99. https://doi.org/10.1017/9781108867788.010
Kobayashi, M., Kajiwara, K., Morikawa, M., Kanno, Y., Nakano, K., Matsuda, Y., Shimizu, Y., Shimazu, T., & Kako, J. (2023). Nursing support for nausea and vomiting in patients with cancer: a scoping review. Cureus, 15(11). https://doi.org/10.7759/cureus.48212
Komatsu, H., Oishi, T., Sato, S., Osaku, D., Sawada, M., Kudoh, A., Nonaka, M., Sato, S., Shimada, M., & Itamochi, H. (2019). Evaluating chemotherapy-induced nausea and vomiting and food intake in patients with gynecologic cancer. Anticancer Research, 39(8), 4555-4560. https://doi.org/10.21873/anticanres.13633
Lim, W. M. (2025). What is qualitative research? An overview and guidelines. Australasian Marketing Journal, 33(2), 199-229. https://doi.org/10.1177/14413582241264619
Majeed, H. M., Hassan, A. F., & Abid, R. I. (2020). Evaluation of nurses’ knowledge and attitudes toward pain management at Baghdad Teaching Hospitals. Indian J Forensic Med Toxicol, 14(2), 1575-1579. https://doi.org/10.37506/IJFMT.V14I2.3150
Majem, M., de Las Peñas, R., Virizuela, J. A., Cabezón-Gutiérrez, L., Cruz, P., Lopez-Castro, R., Méndez, M., Mondéjar, R., Muñoz, M. D. M., & Escobar, Y. (2022). SEOM Clinical Guideline update for the prevention of chemotherapy-induced nausea and vomiting (2021). Clinical and Translational Oncology, 24(4), 712-723. https://doi.org/10.1007/s12094-022-02802-1
Mohammed, A., & Aburaghif, L. (2018). Effectiveness of Teaching Program on Nurses' Knowledge Concerning the Side Effects of Chemotherapy among Children with Leukemia at Oncology Wards in Baghdad City. Nursing national Iraqi specility, 31(1), 14-23. https://doi.org/10.58897/injns.v31i1.288
Najafi, S., Haghighat, S., Raji Lahiji, M., RazmPoosh, E., Chamari, M., Abdollahi, R., Asgari, M., & Zarrati, M. (2019). Randomized study of the effect of dietary counseling during adjuvant chemotherapy on chemotherapy induced nausea and vomiting, and quality of life in patients with breast cancer. Nutrition and cancer, 71(4), 575-584. https://doi.org/10.1080/01635581.2018.1527375
Nassaji, H. (2020). Good qualitative research. In (Vol. 24, pp. 427-431): Sage Publications Sage UK: London, England. https://doi.org/10.1177/1362168820941288
Osman, A., Zaki, N. A. H., Abdrbou Hussein, A., & Ahmed Mahfoz, F. F. (2024). Effect of Peppermint Inhalation versus Slow-Stroke Back Massage on Chemotherapy-Induced Nausea and Vomiting among Children with Gastrointestinal Cancer. Trends in Nursing and Health Care Journal, 8(3), 46-69. https://doi.org/10.21608/tnhcj.2024.333638.1062
Ravasco, P. (2019). Nutrition in cancer patients. Journal of clinical medicine, 8(8), 1211. https://doi.org/10.3390/jcm8081211
Ravindran, V. (2019). Data analysis in qualitative research. Indian Journal of Continuing Nursing Education, 20(1), 40-45. https://doi.org/10.4103/IJCN.IJCN_1_19
Samami, E., Shahhosseini, Z., Hamzehgardeshi, Z., & Elyasi, F. (2022). Psychological interventions in chemotherapy-induced nausea and vomiting in women with breast cancer: a systematic review. Iranian journal of medical sciences, 47(2), 95. https://10.30476/ijms.2020.86657.1660
Sisalema, A. Y. A., Robayo, J. E. Y., Solís, L. F. V., Valdez, M. F. N., & Ibañez, J. E. A. (2023). Role of nursing in patients receiving chemotherapy. Sapienza: International Journal of Interdisciplinary Studies, 4(SI1), e23037-e23037. https://doi.org/10.51798/sijis.v4iSI1.670
Son, J., Kang, H. I., young Jung, E., won Ryu, H., & Lee, K.-H. (2023). Effects of continuous nutrition care on nutritional status and dietary habits of patients with colorectal cancer receiving adjuvant chemotherapy after surgery. Clinical nutrition research, 12(2), 99. https://doi.org/10.7762/cnr.2023.12.2.99
van der Vorst, M. J., Toffoli, E. C., Beusink, M., van Linde, M. E., van Voorthuizen, T., Brouwer, S., van Zweeden, A. A., Vrijaldenhoven, S., Berends, J. C., & Berkhof, J. (2021). Metoclopramide, Dexamethasone, or Palonosetron for Prevention of Delayed Chemotherapy‐Induced Nausea and Vomiting After Moderately Emetogenic Chemotherapy (MEDEA): A Randomized, Phase III, Noninferiority Trial. The Oncologist, 26(1), e173-e181. https://doi.org/10.1634/theoncologist.2020-0305
Zhong, F.-P., Zhong, J., & Zhong, M.-Y. (2023). Effect of music therapy on chemotherapy-induced nausea and vomiting in gastrointestinal cancer: a systematic review and meta-analysis. World Journal of Gastrointestinal Surgery, 15(3), 471. https://doi.org/10.4240/wjgs.v15.i3.471
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