Abstract：
PURPOSE/OBJECTIVES:To explore the topic of moral distress in nurses related to witnessing futile care. DATA SOURCES:Literature related to moral distress and futility; analysis of narratives written by 108 nurses attending one of two national continuing education courses on end-of-life care regarding their experiences in the area. DATA SYNTHESIS:Nurses were invited to share a clinical situation in which they experienced moral distress related to a patient receiving care that they considered futile. Nurses described clinical situations across care settings, with the most common conflict being that aggressive care denies palliative care. Conflicts regarding code status, life support, and nutrition also were common. Patients with cancer were involved quite often, second only to geriatric patients and patients with dementia. The instances created strong emotional responses from nurses, including feeling the need for patient advocacy and that futile care was violent and cruel. Important spiritual and religious factors were cited as influencing the clinical experiences. CONCLUSIONS:Instances of futile care evoke strong emotional responses from nurses, and nurses require support in dealing with their distress. IMPLICATIONS FOR NURSING:The ethical dilemma of futile care is complex. Additional research and support are needed for patients, families, and nurses.
journal_name
Oncol Nurs Forumjournal_title
Oncology nursing forumauthors
Ferrell BRdoi
10.1188/06.ONF.922-930subject
Has Abstractpub_date
2006-09-01 00:00:00pages
922-30issue
5eissn
0190-535Xissn
1538-0688journal_volume
33pub_type
杂志文章,评审abstract：PURPOSE/OBJECTIVES:To explore variables associated with illness uncertainty and emotional distress for disease-free survivors of breast cancer. DESIGN:Cross-sectional, descriptive, and correlational. SETTING:Regional cancer center in the southeastern United States. SAMPLE:109 women one to six years post-treatment fo...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To examine perceptions, attitudes, and beliefs regarding barriers and facilitators to prostate cancer screening, and to identify potential interventional strategies to promote prostate cancer screening among Filipino men in Hawaii. DESIGN:Exploratory, qualitative. SETTING:Community-based settings i...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/11.ONF.227-233
更新日期：2011-03-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To examine empirical research regarding the role of malglycemia (hyperglycemia, hypoglycemia, or glycemic variability) on clinical outcomes among hospitalized patients with cancer. DATA SOURCES:Research articles were obtained from the Ovid, PubMed, and CINAHL® databases. Key words used in the search...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：10.1188/12.ONF.458-465
更新日期：2012-09-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To examine relationships between family primary caregiver characteristics and satisfaction with hospice care, quality of life (QOL), and burden. DESIGN:Exploratory, quantitative. SETTING:Five hospice organizations in Eastern Washington and Northern Idaho. SAMPLE:44 primary caregivers of patients e...
journal_title：Oncology nursing forum
pub_type： 杂志文章,多中心研究
doi：
更新日期：2001-01-01 00:00:00
abstract：:Chemotherapy-induced nausea and vomiting (CINV) is a phenomenon common to patients being treated for a solid or hematologic malignancy. This adverse effect to cancer treatment persists in about half of all patients receiving highly emetogenic treatment, despite prophylaxis with serotonin (5-hydroxytryptamine-3 [5-HT3]...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：10.1188/16.ONF.389-393
更新日期：2016-05-01 00:00:00
abstract：:Although uncommon, "pinch-off syndrome" and catheter fracture are reported complications of central venous catheters (CVCs). Pinch-off syndrome is characterized by intermittent catheter malfunction in conjunction with radiologic evidence of catheter compression. Warning signs of pinch-off syndrome include difficulty w...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：
更新日期：1993-09-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To identify and compare perceptions of RNs, registered dietitians (RDs), and patients regarding the best format and key nutrition information components that should be provided to patients during cancer treatment. DESIGN:Cross-sectional study using an opinion-based questionnaire. SETTING:Outpatient...
journal_title：Oncology nursing forum
pub_type： 杂志文章,多中心研究
doi：10.1188/04.ONF.989-996
更新日期：2004-09-17 00:00:00
abstract：:In December 1991, Patient Self-Determination Amendment (PSDA) legislation was implemented. The PSDA requires facilities funded by Medicare/Medicaid to inform patients of their decision-making rights regarding medical care. An advance directive (AD), a living will, or a durable power of attorney for health care contain...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To examine the cultural beliefs and attitudes of African American prostate cancer survivors regarding the use of complementary and alternative medicine (CAM) modalities. RESEARCH APPROACH:Mixed methods with primary emphasis on a phenomenology approach. SETTING:In-person interviews in participants' ...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/07.ONF.359-364
更新日期：2007-03-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To identify the symptom cluster of fatigue, weight gain, and altered sexuality caused by treatment for breast cancer. DATA SOURCES:Published research and literature review articles. DATA SYNTHESIS:Fatigue, weight gain, and altered sexuality commonly occur after breast cancer chemotherapy. Each symp...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：10.1188/04.ONF.1069-1075
更新日期：2004-11-16 00:00:00
abstract：PURPOSE/OBJECTIVES:to describe the types of pain patients in palliative care at home experience and how family caregivers assess them and intervene. RESEARCH APPROACH:qualitative using grounded theory. SETTING:family caregivers' homes. PARTICIPANTS:24 family caregivers of patients with advanced cancer receiving pall...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/11.ONF.E37-E45
更新日期：2011-01-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To evaluate the outcomes of hospice services and explore factors that affect the quality of life (QOL) of patients with cancer receiving hospice care. DESIGN:Descriptive. SETTING:Two homecare hospices in the southeastern United States. SAMPLE:Convenience sample of 118 hospice patients with a diagn...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：1996-09-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To describe computer experience and preferences for multimedia design. DESIGN:Prospective, descriptive. SETTING:Physician office and outpatient cancer centers in an urban area in the southeastern United States. SAMPLE:Convenience sample of 22 volunteer patients with cancer from four racial groups....
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/06.ONF.787-792
更新日期：2006-07-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To develop and pilot a survey to assess needs and distress of cancer survivors receiving care in a community cancer center. DESIGN:Descriptive, quantitative. SETTING:A community cancer center in the southeastern United States partnering with a local college of nursing faculty. SAMPLE:Convenience s...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/10.ONF.501-508
更新日期：2010-07-01 00:00:00
abstract：:The best conference presentations tell a story with an interesting introduction, details in the middle, and a conclusion that leads to new research, questions or answers about practice, and perhaps further research on the topic. So, too, do journal articles, and this publication is dependent on the rigors of quality r...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/19.ONF.141-142
更新日期：2019-03-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To describe the process of how women with breast cancer attribute positive meaning to their illness. DESIGN:Descriptive, qualitative. SETTING:Major metropolitan area in the southwestern United States. SAMPLE:Twenty-four women diagnosed with breast cancer within the past two years. METHODS:Data co...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：2000-06-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To make recommendations for the use of informational strategies and the development of resources for family caregivers of patients receiving marrow transplantation based on their identified informational needs. DATA SOURCES:Literature review and research that identifies informational needs of family...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：
更新日期：1996-10-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To review current research examining the effects of behavioral interventions on reducing symptom distress and improving quality of life in patients with cancer and to explore the application of behavioral interventions to patients with leukemia who are immunosuppressed by the disease or its treatment...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：
更新日期：1996-04-01 00:00:00
abstract：PROBLEM IDENTIFICATION:Poor health outcomes have been associated with hyperglycemia in patients with and without diabetes. However, the impact of hyperglycemia on the health-related outcomes of patients with cancer has shown conflicting results. The purpose of this review was to explore definitions and measurement issu...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：10.1188/17.ONF.E141-E151
更新日期：2017-07-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To assess the PCHIMX-1 (Doran International), a new sterile medical device intended by its manufacturer to improve the quality and safety of cytotoxic drug infusions, as well as its influence on manipulation times required for pharmacy technicians and nurses and its effect on infusion line outflow pa...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/10.ONF.E370-E376
更新日期：2010-11-01 00:00:00
abstract：:Purpose/Objectives: To examine relationships between capacity to direct attention and the quality-of-life (QOL) domains of psychological and physical well-being in breast cancer survivors.Design: Descriptive, correlational.Setting: National Cancer Institute-designated oncology and county hospital outpatient clinics in...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/09.ONF.326-334
更新日期：2009-05-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To evaluate the effects of an educational program on oncology nurses' attitude, perceived knowledge, and self-reported application of 10 complementary therapies (art, exercise, humor, imagery, journaling, massage, music, relaxation, spirituality, and touch). DESIGN:Quasi-experimental with a pre- and...
journal_title：Oncology nursing forum
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1188/04.ONF.71-78
更新日期：2004-01-01 00:00:00
abstract：:Adapting to a cancer diagnosis requires much time, energy, and effort. Patients, who often feel stressed and vulnerable, use several cognitive processes to help protect themselves and adapt to the illness. Denial, attributions, downward comparison, reappraisal of life, and developing a sense of mastery are some of the...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：1993-06-01 00:00:00
abstract：Objectives:To evaluate the association between heart failure and overall survival up to 10 years after breast cancer diagnosis. Sample & Setting:Women aged 65 years or older diagnosed with invasive breast cancer, with and without self-reported heart failure, were examined for this retrospective cohort study using Surv...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：2018-01-02 00:00:00
abstract：PURPOSE/OBJECTIVES:To explore Korean American women's symbolic meanings related to their breasts and cervix, to examine attitudes and beliefs about breast and cervical cancer, and to find relationships between the participants' beliefs and their cancer screening behaviors. RESEARCH APPROACH:Descriptive, qualitative an...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/07.ONF.713-720
更新日期：2007-05-01 00:00:00
abstract：OBJECTIVES:Guided by Mishel's uncertainty in illness theory, patterns of change in uncertainty were explored over time for patients with prostate cancer and their partners. In addition, the relationships between uncertainty and its antecedents were examined, and the role effects (patient versus partner) on these relati...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/20.ONF.721-731
更新日期：2020-11-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To determine the efficacy of a nursing intervention based on self-regulation theory known as the Attentional Focus and Symptom Management Intervention (AFSMI) in enhancing physical and emotional well-being in women who underwent day surgery for breast cancer. DESIGN:Randomized clinical block trial; ...
journal_title：Oncology nursing forum
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1188/07.ONF.133-141
更新日期：2007-01-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To compare the effectiveness of two low-intensity approaches for distressed patients with cancer and caregivers who had called cancer helplines seeking support. Baseline distress was hypothesized as a moderator of intervention effect. DESIGN:Randomized trial. SETTING:Community-based cancer helpline...
journal_title：Oncology nursing forum
pub_type： 杂志文章,随机对照试验
doi：10.1188/14.ONF.E256-E266
更新日期：2014-07-01 00:00:00
abstract：:Despite what the title of this presentation implied, no magic pills are available that can be given to prevent patients from getting very sick or falling off that thin line between physical compensation and critical illness. A large part of the prevention of crises comes from redefining the nature of what you view as ...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：
更新日期：2000-07-01 00:00:00
abstract：:A recent post on The Scholarly Kitchen website got me thinking about the role of social media in my professional life. I have young adult children who keep me in the loop about social trends to some extent. They instructed me to join Facebook many years ago and, since then, I have remembered friends' and relatives' bi...
journal_title：Oncology nursing forum
pub_type： 社论
doi：10.1188/19.ONF.517-518
更新日期：2019-09-01 00:00:00
