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.
Artigo
em Japonês
| WPRIM
| ID: wpr-924505
ABSTRACT
Objectives:
This study aimed to explore nurses’ treatment 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 patients’ prognosis or PS, nurses’ treatment 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:
Nurses’ treatment preferences were associated with nurses’ values. Nurses’ involvement in treatment decision-making processes after sharing goals for patients’ treatment is potentially beneficial.
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Índice:
WPRIM (Pacífico Ocidental)
Tipo de estudo:
Guia de Prática Clínica
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Idioma:
Japonês
Revista:
Palliative Care Research
Ano de publicação:
2022
Tipo de documento:
Artigo
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