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Are the Values of Nurses Related to Their Treatment Preferences for Patients with Advanced Cancer? A Cross-sectional Vignette-based Study
Palliative Care Research ; : 23-31, 2022.
Artículo en Japonés | WPRIM | ID: wpr-924505
ABSTRACT

Objectives:

This study aimed to explore nursestreatment preferences for patients with advanced cancer and investigate the factors affecting these preferences.

Methods:

Self-administered questionnaires were distributed to nurses at two hospitals who had experience in cancer patient care. Nurses recorded their treatment preferences and nurses’ value considered in their preferences for two vignettes of patients with advanced cancer that differed in performance status (PS) and prognosis. Univariate and multivariate analyses were used in this study.

Results:

Of 383 nurses, 300 (valid response rate, 78.3%) responded. Multiple regression analyses revealed that regardless of patientsprognosis or PS, nursestreatment preferences were associated with their values regarding respecting patient wishes and the low probability of prolonging survival through treatment. For case with one month survival prognoses, nurses valued avoidance of discomfort, associated with side effects through treatment. Nurses recommended treatment in case with prognoses of 6 months and PS of 1, while they responded with almost same percentages of recommendation of continuing and discontinuing treatment for those with prognoses of 1 month and PS of 3.

Conclusions:

Nursestreatment preferences were associated with nurses’ values. Nurses’ involvement in treatment decision-making processes after sharing goals for patientstreatment is potentially beneficial.

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Índice: WPRIM (Pacífico Occidental) Tipo de estudio: Guía de Práctica Clínica / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo Idioma: Japonés Revista: Palliative Care Research Año: 2022 Tipo del documento: Artículo

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Buscar en Google
Índice: WPRIM (Pacífico Occidental) Tipo de estudio: Guía de Práctica Clínica / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo Idioma: Japonés Revista: Palliative Care Research Año: 2022 Tipo del documento: Artículo