ArticleInternational journal of qualitative studies on health and well-being2015
"Picking up the pieces" - Meanings of receiving home nursing care when being old and living with advanced cancer in a rural area.
Article in International journal of qualitative studies on health and well-being, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Preparing for home death in rural areas - the experience of family caregivers providing palliative cancer care.International journal of circumpolar health · 2025Article
- Experiences with the Use of Video Bikes and Virtual Reality in Nursing Homes - a Qualitative Study.Journal of multidisciplinary healthcare · 2024Article
- Dying at "home" - a qualitative study of end-of-life care in rural Northern Norway from the perspective of health care professionals.BMC health services research · 2023Article
- Palliative care in rural areas - collaboration between district nurses and doctors: an interview study.BMC palliative care · 2023Article
- Do You Feel Safe at Home? A Qualitative Study among Home-Dwelling Older Adults with Advanced Incurable Cancer.Healthcare (Basel, Switzerland) · 2022Article
- Concerns and potential improvements in end-of-life care from the perspectives of older patients and informal caregivers: a scoping review.BMC geriatrics · 2021Article
- Rural influences on the social network dynamics of district nursing services: A qualitative meta-synthesis.Health science reports · 2021Review
- A qualitative study of bereaved family caregivers: feeling of security, facilitators and barriers for rural home care and death for persons with advanced cancer.BMC palliative care · 2021Article
- Forging a New Frontier: Providing Palliative Care to People With Cancer in Rural and Remote Areas.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020Review
- A sense of security in palliative homecare in a Norwegian municipality; dyadic comparisons of the perceptions of patients and relatives - a quantitative study.BMC palliative care · 2020Article
- "Non-palliative care" - a qualitative study of older cancer patients' and their family members' experiences with the health care system.BMC health services research · 2018Article
- Person-Centred Palliative Home Care From a Patient and Family Carer Perspective - A Qualitative Interpretive Meta Synthesis.Global qualitative nursing researchArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Rural home nursing care is a neglected area in the research of palliative care offered to older cancer patients. Because access to specialized services is hampered by long distances and fragmented infrastructure, palliative care is often provided through standard home nursing services and delivered by general district nurses. This study aimed to illuminate the lived experience and to interpret the meaning of receiving home nursing care when being old and living with advanced cancer in a rural area in Norway. Narrative interviews were conducted with nine older persons, and a phenomenological hermeneutic approach was used to interpret the meaning of the lived experience. The analysis revealed three themes, each with subthemes: being content with what one gets, falling into place, and losing one's place. The phrase picking up the pieces was found useful to sum up the meaning of this lived experience. The three respective themes refer to how the pieces symbolize the remaining parts of life or available services in their environment, and how the older persons may see themselves as pieces or bricks in a puzzle. A strong place attachment (physical insideness, social insideness, and autobiographical insideness) is demonstrated by the informants in this study and suggests that the rural context may provide an advantageous healthcare environment. Its potential to be a source of comfort, security, and identity concurs with cancer patients' strong desire for being seen as unique persons. The study shows that district nurses play an essential role in the provision of palliative care for older rural patients. However, the therapeutic value of being in one's familiar landscape seems to depend on how homecare nurses manage to locate it and use it in a more or less person-centred manner. Communication skills and attentiveness to psychosocial aspects of patient care stand out as important attributes for nursing in this context.
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