Original articles
Investigation into difficulties and dilemmas faced by nurses caring for infertility patients
2006 Volume 20 Issue 1 Pages 1_69-1_78
Details
2006 Volume 20 Issue 1 Pages 1_69-1_78
Purpose
The aim of the study was to identify the specific difficulties and dilemmas faced by nurses caring for infertility patients.
Methods
A qualitative descriptive study was carried out on 12 nurses working at institutions employing Assisted Reproductive Technology (ART). Using a semi-structured interview, the subjects were asked to give their comments on the difficulties faced when caring for infertility patients and their thoughts on such occasions. Transcripts of the interviews were analyzed and similar results grouped based on specific difficulties.
Results
Difficulties experienced can be broadly divided into three categories. The first difficulty cited by nurses interviewed was inability to provide care taking into account the particular characteristics of infertility patients. Subjects indicated that they had difficulty forming relationships with patients that had built a wall around themselves and with answering patient concerns. The second difficulty encountered by subjects was their inability to approach patients when treatment results had turned out contrary to patient expectations. Nurses became involved in what patients were experiencing, feeling sad and helpless, and showed a tendency to avoid patients at such times. The final problem faced was nurses' unwillingness to become involved in patient choices regarding treatment options. Nurses stated that they did not want to become involved in helping patients to make their own decisions or provide advice not in line with the physician's treatment policy.
Conclusion
The difficulties and dilemmas faced by nurses were attributed to their stereotypical view of patients and the inadequacy of the supporting relationship between patients and nurses. The study revealed that it is important for nurses to take greater interest in patients and accept them as they are in order to build patient-nurse relationships in which both parties can express their thoughts and wishes freely and openly.
