Oncology nurses' experiences with prognosis-related communication with patients who have advanced cancer

被引：17

作者：

McLennon, Susan M. ^{[1
,2
]}

Lasiter, Sue ^{[1
]}

Miller, Wendy R. ^{[1
]}

Amlin, Kathryn ^{[2
]}

Chamness, Amy R. ^{[2
]}

Heft, Paul R. ^{[2
,3
]}

机构：

[1] Indiana Univ, Sch Nursing, Indianapolis, IN 46202 USA

[2] Indiana Univ Hlth, Charles Warren Fairbanks Ctr Med Eth, Indianapolis, IN USA

[3] Indiana Univ, Sch Med, Indianapolis, IN USA

来源：

NURSING OUTLOOK | 2013年 / 61卷 / 06期

关键词：

Advanced cancer; Communication; Oncology; Prognosis; OF-LIFE CARE; MEDICARE BENEFICIARIES; END;

D O I：

10.1016/j.outlook.2012.12.001

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: Oncology nurses have opportunities to engage in prognosis-related communication with patients who have advanced cancer but encounter barriers that impede the patient's understanding of prognosis, delay transitions to end-of-life care, and contribute to nonbeneficial treatments. Purpose: To describe nurses' experiences with prognosis-related communication with patients who have advanced cancer. Method: Thematic analysis of audio-recorded interviews with oncology nurses (n = 27). After data coding, themes were identified, and a thematic map was developed. Methods to ensure trustworthiness of the findings were used. Results: Six themes were identified: being in the middle, assessing the situation, barriers to prognosis communication, nurse actions, benefits of prognosis understanding, and negative outcomes. Nurses managed barriers through facilitation, collaboration, or independent actions to help patients with prognosis understanding. Conclusions: Shortcomings in prognosis-related communication with patients who have advanced cancer may contribute to negative outcomes for patients and nurses. Interventions that empower nurses to engage in prognosis communications are needed. Interprofessional communication skills education also may be beneficial.

引用

页码：427 / 436

页数：10

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