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Nursing Records Regarding Decision-Making in Cancer Supportive Care: A Retrospective Study in Japan
Yuko Kawasaki1, Manab Nii2, Eina Nishioka1
1College of Nursing Art and Science, University of Hyogo, Hyogo, Japan.
Nurses play a vital role in cancer patient decision-making support, guiding choices on treatment and care settings. They must also address psychological needs when patients face complex decisions about their future.
Area of Science:
- Oncology Nursing
- Cancer Care Decision-Making
- Patient Support
Background:
- Outpatient cancer care requires effective decision-making support for patients.
- Nursing records offer insights into patient responses and support processes.
Purpose of the Study:
- To examine decision-making support content and patient responses in nursing records.
- To analyze documentation for cancer patients receiving specialized outpatient care.
Main Methods:
- Retrospective analysis of nursing records (SOAP format) and patient interviews.
- Data extraction from electronic medical records for palliative care and breast oncology patients.
- Text mining using KH Coder for content analysis.
Main Results:
- Included 42 palliative care and 60 breast oncology patients.
- Key decisions involved palliative care unit admission and genetic testing.
- Common themes in nursing notes related to pain, treatment, future, home, and genetics.
Conclusions:
- Nurses are essential in symptom evaluation and guiding treatment decisions.
- Clinicians must address psychological aspects like disease progression and genetic impact.
- Further research on nurses' responses to patient psychological reactions is needed.
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