Fading connections: A phenomenological study of oncology nurses’ experiences of Missed Nursing Care during an infectious disease outbreak

TL;DR

This study explores how oncology nurses in Iran experienced reduced quality of care during the pandemic, focusing on lost connections with patients and colleagues.

Contribution

The study introduces a phenomenological analysis of missed nursing care in oncology during the pandemic, emphasizing relational and systemic challenges.

Findings

Fading connections affected care quality and communication during the pandemic.

Emotional and psychological support was most impacted by missed nursing care.

Relational and systemic challenges were identified as key factors in care deficits.

Abstract

Providing holistic and high-quality nursing care to oncology patients necessitates integrating care across physical, psychological, spiritual, and emotional domains. This study explored the meaning of oncology nurses’ experiences of missed nursing care during the COVID-19 pandemic.

This study employed a qualitative design based on Heidegger’s hermeneutic phenomenological approach as the foundational philosophical approach because of its focus on real-life experiences. The sample comprised fourteen nurses employed at various oncology departments in Iran. Data was collected from February 2023 to March 2025 with institutional permission and ethics committee approval (IR.TBZMED.REC.1401.1032). Data were collected through in-depth, semi-structured interviews. Data analysis was conducted concurrently with data collection following the approach outlined by Diekelmann et al. (1989). Standards for Reporting Qualitative Research (SRQR) were used.

Fading connections between oncology nurses and patients, nursing managers, physicians, and the care environment have affected the quality of care and communication during the pandemic. Three subthemes include (1) care behaviors, (2) isolation in duty, and (3) disruption of care canvas and twelve meaning units were obtained. The most care deficits were primarily related to emotional and psychological support.

When human and professional relationships are compromised, the essence of nursing care is lost, and it risks being reduced to a mechanical, task-focused practice. The experiences of oncology nurses during the COVID-19 pandemic reveal significant gaps in nursing care that stem from professional, relational, and systemic challenges. Addressing these issues is crucial for improving nurse well-being and patient outcomes in future healthcare crises.

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