Oncology Nursing as Ethical Practice.

Area of Science:

• Oncology Nursing
• Cross-Cultural Healthcare
• Patient Autonomy

Background:

• Terminal cancer patients often face difficult end-of-life decisions.
• Cultural background significantly influences patient preferences for end-of-life care.
• Healthcare providers may encounter challenges when patient wishes conflict with standard care practices.

Purpose of the Study:

• To explore the complexities of end-of-life care decisions in a cross-cultural context.
• To highlight the importance of respecting patient autonomy and cultural values in terminal illness.
• To examine the ethical considerations for healthcare professionals managing diverse patient needs.

Main Methods:

• Case study analysis of a Ghanaian patient with terminal cancer.
• Observation of patient-physician and patient-nurse interactions.
• Review of ethical principles related to patient autonomy and cultural sensitivity.

Main Results:

• The patient prioritized returning to Ghana to be with his mother during his final days.
• Healthcare staff expressed concern about the patient's decision due to prognosis.
• The patient's choice underscored a desire for culturally congruent end-of-life experience.

Conclusions:

• Patient autonomy in end-of-life care must be respected, even when it diverges from Western healthcare norms.
• Cultural factors play a critical role in shaping end-of-life preferences and decision-making.
• Healthcare systems should strive for culturally sensitive care to meet the diverse needs of patients with terminal illnesses.