• Åsa Muntlin Athlin, Maria Brovall, Yvonne Wengström, Tiffany Conroy, and Alison L Kitson.
• Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
• J Clin Nurs. 2018 Jun 1; 27 (11-12): 2322-2332.

Aims And ObjectivesTo explore the experiences of the fundamentals of care for people with a cancer diagnosis, from diagnosis to after adjuvant treatment.BackgroundMore focus is needed on the experience of people living with cancer, as current cancer care more emphasises on independence and resilience without fully acknowledging that there will be moments in the cancer journey where patients will need "basic nursing care" to manage their symptoms and care pathways.DesignSecondary analysis of qualitative data.MethodSecondary thematic analysis of interview data from 30 people with a diagnosis of breast (n = 10), colorectal (n = 10) or prostate (n = 10) cancer was undertaken.ResultsThe findings revealed vivid descriptions of the fundamentals of care (i.e., basic needs) and participants described physical, psychosocial and relational aspects of the delivery of care. Both positive (e.g., supportive and kind) and negative (e.g., humiliating) experiences related to the relationship with the healthcare professionals were re-counted and affected the participants' experiences of the fundamentals of care. Participants' accounts of their fundamental care needs were provided without them identifying who, within the healthcare system, was responsible for providing these needs. Specific nursing interventions were seldom described.ConclusionSome people with a cancer diagnosis have to strive for help and support from the nursing staff to manage to regain control over their recovery. Nurses in cancer care need to focus on the patients' fundamental care needs to optimise their patients' recovery.Relevance To Clinical PracticeCancer patients require support with their fundamental care needs and nurses need to be more aware of this and integrate it into the caring relationship. It is imperative that the complexity of the nurse-patient relationship is acknowledged and that models of care which honour this complexity are used.© 2018 John Wiley & Sons Ltd.

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