کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2649630 1139272 2014 7 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Truth-telling to patients' terminal illness: What makes oncology nurses act individually? ☆
ترجمه فارسی عنوان
گفتن واقعیت ها به بیماران صعب العلاج: چه چیزی باعث می شود پرستاران آنکولوژی به صورت جداگانه عمل می کنند؟
کلمات کلیدی
پرستار انكولوژي؛ سرطان ؛ گفتن حقیقت ؛ نگرش؛ تجربه
Oncology nurse; Terminal cancer; Truth telling; Attitude; Experience
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی تومور شناسی
چکیده انگلیسی

PurposeNurses encounter the challenge of truth-telling to patients' terminal illness (TTPTI) in their daily care activities, particularly for nurses working in the pervasive culture of family protectiveness and medical paternalism. This study aims to investigate oncology nurses' major responses to handling this issue and to explore what factors might explain oncology nurses' various actions.MethodsA pilot quantitative study was designed to describe full-time nurses' (n = 70) truth-telling experiences at an oncology centre in Taipei. The potential influencing factors of nurses' demographic data, clinical characteristics, and truth-telling attitudes were also explored.ResultsMost nurses expressed that truth-telling was a physician's responsibility. Nevertheless, 70.6% of nurses responded that they had performed truth-telling, and 20 nurses (29.4%) reported no experience. The reasons for inaction were “Truth-telling is not my duty”, “Families required me to conceal the truth”, and “Truth-telling is difficult for me”. Based on a stepwise regression analysis, nurses' truth-telling acts can be predicted based on less perceived difficulty of talking about “Do not resuscitate” with patients, a higher perceived authorisation from the unit, and more oncology work experience (adjusted R² = 24.1%).ConclusionsOncology care experience, perceived comfort in communication with terminal patients, and unit authorisation are important factors for cultivating nurses' professional accountability in truth-telling. Nursing leaders and educators should consider reducing nursing barriers for truth-telling, improving oncology nurses' professional accountability, and facilitating better quality care environments for terminal patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Oncology Nursing - Volume 18, Issue 5, October 2014, Pages 492–498
نویسندگان
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