The Nurse's Role in Prognosis-Related Communication in Pediatric Oncology Nursing Practice.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2020-09-01 Epub Date: 2019-12-13 DOI:10.1177/1043454219891989

Amy R Newman, Lauri Linder, Kristin Haglund

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引用次数: 5

Abstract

The experiences of pediatric oncology nurses with prognosis-related communication (PRC) remain largely unknown. The purpose of this article is to report results of focus groups wherein 15 pediatric oncology nurses from three Midwestern pediatric cancer programs provided descriptions of PRC and how they experience PRC within their daily practice. Data from focus groups were analyzed via an interpretive descriptive approach, which resulted in three themes: (1) nurses' operational definition of PRC, (2) nurses' roles in PRC, and (3) nurses' preparation for engagement in PRC. From discussions within the focus groups, nurses recognized that PRC occurs across a continuum. Nurses distinguished that the definition of PRC expands beyond simply reporting life expectancy to describing the consequences of cancer- and treatment-related toxicities and effects. When nurses are not actively invited by their physician partners to participate in PRC, nurses will often develop workarounds to ensure that they understand what was said to patients and families. This allows them to function more effectively as supporters, advocates, and informants. Nurses described little preparation to participate in such challenging conversations. Pediatric oncology nurses need to acknowledge and embrace that they are an integral part of PRC. Interprofessional communication training is necessary to enhance the comfort and confidence of nurses engaging in PRC.

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儿科肿瘤护理实践中护士在预后相关沟通中的作用。

小儿肿瘤护士的预后相关沟通(PRC)的经验在很大程度上仍然未知。本文的目的是报告焦点小组的结果，其中来自中西部三个儿科癌症项目的15名儿科肿瘤护士描述了PRC以及他们在日常实践中如何体验PRC。通过解释性描述方法分析焦点小组的数据，得出三个主题:(1)护士对PRC的操作定义，(2)护士在PRC中的角色，以及(3)护士参与PRC的准备。从焦点小组的讨论中，护士认识到PRC是一个连续体。护士们指出，PRC的定义不仅仅是报告预期寿命，而是描述癌症和治疗相关的毒性和影响的后果。当医生没有主动邀请护士参加PRC时，护士通常会想出变通办法，以确保他们理解对患者和家属说的话。这使他们能够更有效地发挥支持者、倡导者和告密者的作用。护士们对参与这种具有挑战性的对话几乎没有准备。儿科肿瘤护士需要承认并接受他们是中华人民共和国不可分割的一部分。跨专业沟通培训是提高护士从事PRC工作的舒适度和信心的必要条件。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.