Preoperative care for patients in terminal stage of disease from the perspective of nurses

Keywords: Palliative Care; Bioethics; Perioperative Nursing; Nursing Care; Grounded Theory.


Objective: to understand the meanings attributed by nurses to preoperative care provided to terminal disease patients. Methods: qualitative research that used the Grounded Theory as methodological reference and was conducted in the surgical wards of a university hospital. Results: eleven nurses participated in the research. A theory was elaborated for the central phenomenon: Nurses caring for terminal disease patients in the preoperative period in the context of a surgical ward. Conclusion: nurses attribute meanings to this care that has its own particularities, that requires professional preparation and that demands, even more, an effective communication within the multidisciplinary team and in the relationship with the patient and family. Contributions to practice: the theory presented allows professionals to reflect on their praxis, understand the intervening conditions for ethical dilemmas and conflicts involved and consequences, as well as strategies to improve care in this scenario.

Author Biography

Eduardo Tavares Gomes, Universidade Federal de Pernambuco




Samperio CG, Canizales RR, Rodríguez SA, Zepeda HR, Hall RT, Camino BG. Palliative medicine in surgery. Cir Cir. 2017;85(2):186-91. doi:

Arrieira ICO, Thofehrn MB, Porto AR, Moura PMM, Martins CL, Jacondino MB. Spirituality in palliative care: experiences of an interdisciplinary team. Rev Esc Enferm USP. 2018;52:e03312. doi:

Ballou JH, Brasel KJ. Palliative care and geriatric surgery. Clin Geriatr Med. 2019;35(1):35-44. doi:

Paiva CF, Santos TCF, Montenegro HRA, Martins RCGCS, Almeida Filho AJ. Reconfiguration of palliative oncological nursing care: nursing contributions. Rev Bras Enferm. 2020;73(6):e20190384. doi:

Andrews T, Mariano GJS, Santos JLG, Koerber-Timmons K, Silva FH. The methodology of classic Grounded Theory: considerations on its application in nursing research. Texto Contexto Enferm. 2017;26(4):e1560017. doi:

Mairink APAR, Gradim CVC, Panobianco MS. The use of the qualitative methodology of the Grounded Theory in Nursing research. Esc Anna Nery. 2021;25(3):e20200494 doi:

Moura CO, Silva IR, Silva TP, Santos KA, Crespo MCA, Silva MM. Methodological path to reach the degree of saturation in qualitative research: grounded theory. Rev Bras Enferm. 2022;75(2):e20201379. doi:

Ollaik LG, Ziller HM. Conceptions of validity in qualitative studies. Educ Pesqui. 2012;38(1):229-42. doi:

Newsome K, Sauder M, Spardy J, Kodadek L, Ang D, Michetti CP, et al. Palliative care in the trauma and surgical critical care settings: a narrative review. Am Surg. 2022;31348221101597. doi:

Lilley EJ, Cooper Z, Schwarze ML, Mosenthal AC. Palliative care in surgery: defining the research priorities. J Palliat Med. 2017;20(7):702-9. doi:

Kan CG, Nurok M. The ethics of interventional procedures for patients too ill for surgery. Curr Opin Anaesthesiol. 2018;31(2):190-4. doi:

Lilley EJ, Lindvall C, Lillemoe KD, Tulsky JA, Wiener DC, Cooper Z. Measuring processes of care in palliative surgery: a novel approach using natural language processing. Ann Surg. 2018;267(5):823-5. doi:

Hamilton TD, Selby D, Tsang ME, Kim A, Wright FC. Patients' perceptions of palliative surgical procedures: a qualitative analysis. Ann Palliat Med. 2017;6(Suppl 1):77-84. doi:

Nabozny MJ, Kruser JM, Steffens NM, Pecanac KE, Brasel KJ, Chittenden EH, et al. Patient-reported limitations to surgical buy-in: a qualitative study of patients facing high-risk surgery. Ann Surg. 2017;265(1):97-102. doi:

Gulini JEHMB, Nascimento ERP, Moritz RD, Rosa LM, Silveira NR, Vargas MAO. Intensive care unit team perception of palliative care: the discourse of the collective subject. Rev Esc Enferm USP. 2017;51:e03221. doi:

Quinn TD, Wolczynski P, Sroka R, Urman RD. Creating a pathway for multidisciplinary shared decision-making to improve communication during preoperative assessment. Anesthesiol Clin. 2018;36(4):635-62. doi:

Roo AC, Vitous CA, Rivard SJ, Bamdad MC, Jafri SM, Byrnes ME, et al. High-risk surgery among older adults: Not-quite shared decision-making. Surgery. 2021;170(3):756-63. doi:

Hahne P, Lundström S, Leveälahti H, Winnhed J, Öhlén J. Changes in professionals' beliefs following a palliative care implementation programme at a surgical department: a qualitative evaluation. BMC Palliat Care. 2017;16(1):77. doi:

How to Cite
Leite, N. de L., Santos, A. C. L. dos, Cavalcanti, A. C. B. de S., Cavalcanti, A. T. de A. e, Gomes, E. T., & Püschel, V. A. de A. (2022). Preoperative care for patients in terminal stage of disease from the perspective of nurses. Rev Rene, 23, e81328.
Research Article