Development of a Caring Procedure for Hospitalised Terminal Cancer Patients

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Sang-arun Isaramalai จารุภา สุพรรณสถิตย์


Objective: To develop a procedure to care for cancer patients in the terminal stage
of their lives.
Design: Developmental research.
Procedure: This study was conducted in 2 stages. In the frst stage, a caring procedure
for hospitalised terminal cancer patients was developed. The procedure development integrated
(i) the Australian Research Council’s clinical procedure development concept; (ii) the
palliative care framework under the standard nursing process (known as LIFESS) proposed
by Thailand’s National Health Security Offce; (iii) empirical evidence from 8 studies;
and (iv) Maharaj Nakhon Chiang Mai Hospital’s palliative care procedure. In the second
stage, the feasibility of the procedure was assessed. The procedure was employed by
10 registered nurses who volunteered as primary nurses, in a 2-week experiment with
terminal cancer patients hospitalised in the volunteer nurses’ ward.
Results: The caring procedure for hospitalised terminal cancer patients was
implemented in 2 stages. The pre-operational stage involved (i) receiving the patients’
terminal-stage diagnosis; (ii) informing the patients and/or their relatives of the diagnosis,
to seek a mutual caregiving agreement; and (iii) providing information to assist the patients
and/or their relatives in selecting caregiving methods. The operational stage concerned
(i) preliminary assessment of the patients’ conditions; and (ii) implementation of the
procedure according to the caregiving plan. Based on the feasibility assessment, the procedure,
reviewed by 3 specialists, displayed a content validity index of 0.89. The experiment
with the patients showed that the volunteer nurses unanimously regarded the procedure
as being simple, practical, and suitable for the context of caring for this group of patients.


Article Details

How to Cite
Isaramalai S- arun, สุพรรณสถิตย์จ. Development of a Caring Procedure for Hospitalised Terminal Cancer Patients. Thai Journal of Nursing Council [Internet]. 15Jun.2018 [cited 17Nov.2018];33(1):38-. Available from:
Research Reports
Author Biography

Sang-arun Isaramalai, Faculty of Nursing, Prince of Songkla University

Community Health, Asst. professor


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