Volume 31, Issue 6 e13703
ORIGINAL ARTICLE

Desires vs. conditions: A qualitative study exploring the factors affecting the place of death of child with cancer in Turkey

Hülya Bingöl

Hülya Bingöl

Oncology Institute, Istanbul University, Istanbul, Turkey

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Ayfer Aydın

Ayfer Aydın

School of Nursing, Istanbul University, Istanbul, Turkey

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Rejin Kebudi

Corresponding Author

Rejin Kebudi

Division of Pediatric Hematology-Oncology & Department of Preventive Oncology, Oncology Institute, Istanbul University, Istanbul, Turkey

Correspondence

Rejin Kebudi, Division of Pediatric Hematology-Oncology & Department of Preventive Oncology, Oncology Institute, Istanbul University, 34093, Istanbul, Turkey.

Email: [email protected]

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Eyşan Hanzade Umaç

Eyşan Hanzade Umaç

Graduate School of Health Sciences, Koc University, Istanbul, Turkey

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Başak Koç

Başak Koç

Oncology Institute, Istanbul University, Istanbul, Turkey

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Ülkü Miray Yıldırım

Ülkü Miray Yıldırım

Oncology Institute, Istanbul University, Istanbul, Turkey

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Bülent Zülfikar

Bülent Zülfikar

Division of Pediatric Hematology-Oncology & Department of Preventive Oncology, Oncology Institute, Istanbul University, Istanbul, Turkey

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First published: 21 September 2022

Funding information: This study was supported by the Koç University Semahat Arsel Nursing Education and Research Center (SANERC) Vehbi Koç Foundation Nursing Fund Project Support Program.

Abstract

Objective

The purpose of this study was to describe factors affecting the place of death of children with cancer at the end of life.

Methods

The descriptive phenomenological approach was used. Eighteen mothers who lost their children to cancer participated in in-depth interviews. Data were analysed using MAXQDA software version. Codes and categories were developed inductively from participants' narratives.

Results

The factors affecting the place of death of children were categorised into two main themes: (1) desires and (2) conditions. Most of the mothers reported that their deceased children wanted to be with their families at the end of life and they wanted to go home. The conditions related to health services were defined as the barriers to the death of their children in the places of death preferred by the mothers.

Conclusion

The desire to be close to the child was the main factor affecting the parents' decisions. The findings revealed the prevailing circumstances in the death place decision beyond parental desires. These were the child's health conditions, physical conditions of hospitals, and the lack of home care and paediatric palliative care services, which were factors related to the system, and the lack of other options for parents.

CONFLICT OF INTEREST

The authors declare no conflict of interest.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restriction.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.