Experiences of a woman with pancreatic cancer: a perspective from humanized surgical nursing
Keywords:
Pancreatic neoplasm, Qualitative research, Perioperative nursing, Adult, Women (MeSH)Abstract
Introduction. Pancreatic cancer represents a clinical and human challenge due to its high complexity and the profound emotional impact it generates in patients and families. In this context, humanized surgical nursing plays a central role by providing comprehensive care that transcends technical aspects, supporting coping, dignity, and adaptation in moments of great vulnerability.
Objective. To understand the life experience of a woman with advanced pancreatic cancer who underwent palliative surgery, from the perspective of humanized surgical nursing.
Methodology. qualitative study from a phenomenological single-case perspective, conducted between January and August 2025. The participant was a 53-year-old woman diagnosed with pancreatic cancer. An in-depth interview was conducted, recorded, and transcribed verbatim, supplemented by observation and field notes. Methodological rigor was ensured through credibility, triangulation of sources (interview, observation, clinical records), validation of findings with the participant (feedback), and reflective recording by the researcher. Ethical principles of autonomy, confidentiality, and informed consent were respected.
Results. Surgical nursing influences all phases of human care: before surgery, education and accompaniment strengthened coping; in the operating room, simple gestures reaffirmed dignity; in palliative surgery, the nurse provided emotional support; and in the postoperative period, care transcended the technical by integrating empathetic and spiritual support.
Conclusion. The experience demonstrates that surgical nursing, beyond technical practice, plays a transformative role in the patient’s and family’s adaptation through integral, human, and humanized care.
References
American Cancer Society. (2024). Factores de riesgo para el cáncer de páncreas. https://www.cancer.org/es/cancer/tipos/cancer-de-pancreas/causas-riesgos-prevencion/factores-de-riesgo.html
Asociación Médica Mundial. (2013). Declaración de Helsinky de la AMM - Principios éticos para las investigaciones médicas con participantes humanos. https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-
en-seres-humanos/
Aranda, S. K. y Street, A. (2002). Being authentic and being a chameleon: Nurse–patient interaction revisited. Nursing Inquiry, 6(2), 75–82. https://doi.org/10.1046/j.1440-1800.1999.00019.x
Arias-Rojas, M., Carreño-Moreno, S. y Arredondo Holguín, E. (2025). Advance care planning in people with advanced cancer: a phenomenological study. Revista Cuidarte, 16(3), e4455. https://doi.org/10.15649/cuidarte.4455
Beltrán-Salazar, O. A. (2016). Impersonal care or humanized care: A decision made by nurses? Hourglass Model. Investigación y Educación en Enfermería, 34(3), 444–455. https://revistas.udea.edu.co/index.php/iee/article/view/325698
Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Addison-Wesley.
Bertaux, D. (2010). Los relatos de vida: Perspectiva etnosociológica. Ediciones Bellaterra.
Braun, V. y Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Casado, D., Tocino, R. V., Fonseca, E., Cigarral, B., Barrios, B., Escalera, E., Claros, J., Figuero, L., Olivares, A., López, Á., Terán, E. y Cruz, J. J. (2021). Cáncer de páncreas. Medicine, 13(24), 1345–1352. https://www.medicineonline.es/es-cancer-pancreas-articulo-S0304541221000044
Dahal, P. y Kongsuwan, W. (2022). Aesthetics in Nursing Practice for Cancer Patients as Experienced by Nurses in Nepal: A Hermeneutic Phenomenological Study. Cancer Nursing, 45(5), 354–362. https://doi.org/10.1097/NCC.0000000000001023
De Sourza Minayo, M. C. (2010). Los conceptos estructurantes de la investigación cualitativa. Salud Colectiva, 6(3), 251–261.
Duffy, J. R. y Hoskins, L. M. (2003). The Quality-Caring Model: Blending Dual Paradigms. Advances in Nursing Science, 26(1), 77–88. https://journals.lww.com/advancesinnursingscience/abstract/2003/01000/the_quality_caring_model___blending_dual_paradigms.10.aspx
Emanuel, E. J., Wendler, D. y Grady, C. (2000). What makes clinical research ethical? JAMA, 283(20), 2701–2711. https://doi.org/10.1001/jama.283.20.2701
Heidegger, M. (2003 [1927]). Ser y tiempo (Trad. de José Gaos). Fondo de Cultura Económica.
Henderson, V. (1966). The nature of nursing. Macmillan.
Holdsworth, L. M., Siden, R., Lessios, A. S., Verano, M., Rickerson, E., Fahy, B., Johnston, F. M., Waterman, B. y Aslakson, R. (2024). Patient Experiences of Specialty Palliative Care in the Perioperative Period for Cancer Surgery. Journal of pain and symptom management, 68(3), 292–298.e1. https://doi.org/10.1016/j.jpainsymman.2024.06.008
Husserl, E. (2013[1931]). Ideas relativas a una fenomenología pura y una filosofía fenomenológica. [Nueva edición y refundición integral de la trad. de José Gaos por Antonio Zirión Quijano]. Fondo de Cultura Económica.
Leininger, M. (1991). Culture care diversity and universality: A theory of nursing. National League for Nursing Press.
Lincoln, Y. S. y Guba, E. G. (1985). Naturalistic inquiry. Sage Publications.
López-Graciano, S. A., Sillas-González, D. E., Álvarez-Jiménez, V. D. y Rivas-Ubaldo, O. S. (2021). Nivel de ansiedad preoperatoria en pacientes programados para cirugía. Medicina Interna de México, 37(3), 324–334. https://doi.org/10.24245/mim.v37i3.3732
McCormack, B. y McCance, T. (2017). Person-centred nursing: Theory and practice. Wiley-Blackwell.
Meléndez-Méndez, C. (2015). Percepción del paciente quirúrgico acerca de la seguridad en el ámbito hospitalario. Revista Cuidarte, 6. https://revistas.udes.edu.co/cuidarte/article/view/165
Meneses-La-Riva, M. E., Fernández-Bedoya, V. H., Suyo-Vega, J. A., Ocupa-Cabrera, H. G. y Paredes-Díaz, S. E. (2025). Humanized care in nursing practice: A phenomenological study of professional experiences in a public hospital. International Journal of Environmental Research and Public Health, 22(8), 1223, 1-16. https://doi.org/10.3390/ijerph22081223
Miranda do Vale, J. M., De Santana, M. E., de Azevedo Lima, V. L., Tavares Parente, A., Megumi Sonobe, H. y Pastana Ferreira, I. (2021). Burden of family caregivers of cancer patients in palliative care. Cogitare Enfermagem, 28, e92970. https://doi.org/10.1590/ce.v28i0.92970
Morse, J. M. y Field, P. A. (1995). Qualitative research methods for health professionals (2.a ed.).
SAGE. Noreña, A. L., Alcaraz-Moreno, N., Rojas, J. G. y Rebolledo-Malpica, D. (2012). Aplicabilidad de los criterios de rigor y éticos en la investigación cualitativa. Aquichan, 12(3), 263–274. https://doi.org/10.5294/aqui.2012.12.3.5
Organización Panamericana de la Salud [OPS]. (2022). El cáncer en las Américas: Panorama y proyecciones. https://www.paho.org/es/temas/cancer
Paterson, J. G. y Zderad, L. T. (1976). Humanistic nursing. John Wiley & Sons.
Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. (2014). Diario Oficial de la Federación [DOF]. Gobierno de México, Secretaría de Gobernación. https://www.diputados.gob.mx/LeyesBiblio/regley/Reg_LGS_MIS.pdf
Reis, T. (2013). Qualitative research in the health sciences. Springer.
Rodríguez-Prat, A. y Escribano, X. (2019). A Philosophical View on the Experience of Dignity and Autonomy through the Phenomenology of Illness. The Journal of medicine and philosophy, 44(3), 279–298. https://doi.org/10.1093/jmp/jhz001
Rolland, J. S. (1987). Chronic illness and the life cycle: A conceptual framework. Family Process, 26(2), 203–221. https://doi.org/10.1111/j.1545-5300.1987.00203.x
Souza Maciel-Ferreira, J. E., Andrade Almeida, F. E. y Coutinho de Freitas, R. B. C. (2025). Aspectos prácticos para la acogida humanizada en el centro quirúrgico y la sala de recuperación postanestésica: cuidando más allá de la técnica. Cultura de los Cuidados, 29(71), 1–6. https://doi.org/10.14198/cuid.29352
Van Manen, M. (1990). Researching Lived Experience. Human Science for an Action Sensitive Pedagogy. State University of New York Press.
Watson, J. (2008). Nursing: The philosophy and science of caring (Ed. Rev.). University Press of Colorado.
Watson, J. (2009). Assessing and measuring caring in nursing and health sciences (2.a ed.). Springer.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 The moral rights belong to the author, the economic rights belong to the Benemérita Universidad Autónoma de Puebla.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The moral rights belong to the author, the economic rights belong to the Benemérita Universidad Autónoma de Puebla.