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Oncology Nurses' Communication Practices and Challenges Towards Advance Care Planning: A Sequential Explanatory
Yi-An Shih1,2, Cheng Wang3,4, Ali Ali5,6
1Inner Mongolia Medical University, Hohhot, China.
Journal of Advanced Nursing
|September 6, 2024
Summary
Advance care planning (ACP) communication is infrequent among Chinese oncology nurses due to timing, patient engagement, and policy challenges. Improving these areas is crucial for better end-of-life care.
Area of Science:
- Oncology Nursing
- Palliative Care
- Healthcare Communication
Background:
- Advance care planning (ACP) is essential for patient-centered end-of-life care.
- Understanding challenges faced by oncology nurses in implementing ACP is critical.
Purpose of the Study:
- To explore advance care planning (ACP) practices among Chinese oncology nurses.
- To identify challenges influencing the provision of ACP.
Main Methods:
- A sequential explanatory mixed-method design was used.
- Quantitative survey (n=532) and qualitative interviews (n=19) with oncology nurses in northern China.
Main Results:
- Low frequency of ACP communication was observed.
- Key challenges include suboptimal timing, passive patient/family engagement, healthcare professional reluctance, and policy gaps.
Conclusions:
- Identified challenges significantly compromise ACP effectiveness among Chinese oncology nurses.
- Inadequate communication, limited collaboration, and policy gaps lead to nonstandardized ACP processes.
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