Truth-telling, decision-making, and ethics among cancer patients in nursing practice in China

Ling, Dong-Lan; Yu, Hong-Jing; Guo, Huiling

doi:10.1177/0969733017739783

Cited by 31 publications

(32 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to the International Committee of Nurses (ICN) Code of Ethics, in order to avoid mistakes in nursing interventions, nurses are expected to provide sufficient information about nursing interventions to patients and to act in accuracy and fairness to protect the rights of patients under any conditions. 23 Code of Ethics specified by ICN is accepted without any change in Turkey. In Turkey, nurses are also supposed to perform the tasks given by doctors.…”

Section: Discussionmentioning

confidence: 99%

Ethical decision-making levels of oncology nurses

2018

View full text Add to dashboard Cite

Aim: This study was carried out in order to determine ethical decision-making levels of oncology nurses. Ethical Consideration: Research Ethics Committee's approval was obtained prior to the data collection. Permission to use the Turkish version of the Nursing Dilemma Test was received from Birgül Cerit. Written approval was taken from school administrators to conduct the study confirming that there were no invasive procedures planned for human beings during the study period. The study was conducted in accordance with the Helsinki Declaration. Verbal consent was obtained from each of the nurses who agreed to participate after they were informed about the study content. Method: The population of this study conducted in a descriptive way consisted of a total of 96 nurses working at the oncology units and outpatient chemotherapy units of four different hospitals between September 2017 and March 2018. The study sample included 60 nurses who responded to the question form. The data of the study were collected using “Nurses Information Questionnaire” and “Nursing Dilemma Test” developed by Crisham in 1981. Results: Oncology nurses’ mean scores in Principled Thinking (49.00 ± 6.46) and those in Practical Considerations (18.35 ± 4.47) were found to be above the moderate level. It was determined that the oncology nurses participated in the study were familiar with situations similar to the dilemmas included in the Nursing Dilemma Test (15.00 ± 4.20). Conclusion: It was concluded that oncology nurses try to take ethical principles into consideration but are also affected by environmental factors while making decisions concerning ethical dilemmas. The most frequently encountered ethical dilemmas by oncology nurses include the following: deciding not to perform cardiopulmonary resuscitation, telling the truth to the patient, studies being carried out without the patient’s content, and patient’s refusal of treatment. In order to improve oncology nurses’ critical thinking and ethical decision-making skills, it is important to determine ethical dilemmas encountered by oncology nurses, and nurses should be encouraged to be involved in ethical decision-making process through cooperation with the other healthcare personnel.

show abstract

Section: Discussionmentioning

confidence: 99%

Ethical decision-making levels of oncology nurses

2018

View full text Add to dashboard Cite

show abstract

“…Studies have found that patients or family members might think that physicians are too busy and prefer to ask nurses about the truth about their illnesses, which creates an ethical dilemma for nurses regarding whether and how to reveal the truth . Ten years ago, Li's study found that 55.8% of Chinese nurses thought that a terminal diagnosis should not be disclosed, but Ling's study concluded that to ensure that nurses practice ethically, a narrative ethics approach should be applied and teamwork between nurses, physicians, and families should be established to support cancer patients and ensure their autonomy . Nurses play a vital role in CDD.…”

Section: Introductionmentioning

confidence: 99%

“…21-23 Ten years ago, Li's study found that 55.8% of Chinese nurses thought that a terminal diagnosis should not be disclosed, but Ling's study concluded that to ensure that nurses practice ethically, a narrative ethics approach should be applied and teamwork between nurses, physicians, and families should be established to support cancer patients and ensure their autonomy. 24,25 Nurses play a vital role in CDD. However, little evidence is available describing the oncology nurses' experiences with CDD.…”

mentioning

confidence: 99%

Nurses' experiences and attitudes toward diagnosis disclosure for cancer patients in China: A qualitative study

et al. 2019

View full text Add to dashboard Cite

Objective To qualitatively investigate and explore oncology nurses' perceptions of cancer diagnosis disclosure (CDD) for cancer patients. Methods Purposive sampling led to the inclusion of 25 nurses with diverse characteristics from four inpatient oncology nursing wards in two tertiary hospitals. Semistructured, one‐on‐one, in‐depth interviews were conducted. Colaizzi's analysis method was performed with NVivo software to develop categories and themes. Results Four themes were identified: (a) impact of CDD, including advantages and disadvantages for patients and nurse distress; (b) barriers to CDD, including requests from family members, patients themselves, and communication skills; (c) strategies for CDD, including communication with family members, physician‐nurse collaboration, and patient education; and (d) nurses' roles in CDD, including active participants and promoters and advocates. Conclusions More channels of information and education on cancer, cancer diagnosis, life, and death will be needed in the future. Nurses should actively participate in cancer diagnosis delivery, and more collaboration between nurses and physicians must occur.

show abstract

“…Communication with patients and relatives can be complex, being one of the largest challenges palliative care professionals, especially nurses, face across cultures. 106,107 To accomplish palliative care’s mission to assist and guide patients throughout all phases of treatment and care, maintaining his or her integrity and dignity, patients need indeed to understand their condition and be guided to take an active role in their care plan, considering his or her values, goals, preferences, and wishes. 107 –110…”

Section: Discussionmentioning

confidence: 99%