Abstract:
PURPOSE/OBJECTIVES:To review physician, patient, and contextual factors that affect treatment decision making in older adults diagnosed with cancer, and to relate those factors to theoretical models of decision making. DATA SOURCES:PubMed (1966 to April 2010), PsycINFO (1967 to April 2010) and CINAHL® (1982 to April 2010) databases were searched to access relevant medical, psychological, and nursing literature. DATA SYNTHESIS:Physician factors in treatment decisions included physician's personal beliefs and values, medical expertise, practice type, perception of lowered life expectancy, medical factors, power, and communication style. Patient factors included personal beliefs and values, ethnicity, decisional control preferences, previous health-related experience, perception of the decision-making process, and personal factors. Contextual factors included availability of caregiver, insurance, financial status, and geographical barrier. CONCLUSIONS:A diverse group of factors were identified, which are likely to form a unique framework to understand clinical decision making and plan future investigations in older adult patient populations. Using longitudinal and prospective designs to examine the real-time interplay of patient, physician, and contextual factors will enable a better understanding of how those divergent factors influence actual treatment decisions. IMPLICATIONS FOR NURSING:Oncology nurses can advocate autonomous (patient-driven), shared, or family-controlled treatment decisions, depending on an older patient's decisional role preference. Nurses can support patient autonomy during treatment decision making by coaching patients to engage in discussion of various evidence-based treatment options and a comprehensive discussion of the probability of success for each option with specialist providers. Oncology nurses may be able to promote treatment decisions that are consistent with a patient's personal preferences and values, with strong consideration of the patient's personal contexts.
journal_name
Oncol Nurs Forumjournal_title
Oncology nursing forumauthors
Tariman JD,Berry DL,Cochrane B,Doorenbos A,Schepp KGdoi
10.1188/12.ONF.E70-E83subject
Has Abstractpub_date
2012-01-01 00:00:00pages
E70-83issue
1eissn
0190-535Xissn
1538-0688pii
X90151107806H032journal_volume
39pub_type
杂志文章,评审abstract:PURPOSE/OBJECTIVES:To consider psychometric estimates of the validity and reliability of the Spanish translation of a mammography-specific self-efficacy scale. DESIGN:A cross-sectional study. SETTING:Three primarily Hispanic churches and a Hispanic community center in a low-income urban area of New Jersey. SAMPLE:15...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/15.ONF.E279-E286
更新日期:2015-05-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To investigate knowledge, attitudes, and behaviors of nursing and midwifery students regarding breast self-examination (BSE). DESIGN:Descriptive, cross-sectional. SETTING:Aydin School of Health at Adnan Menderes University in Aydin, Turkey. SAMPLE:244 female students of nursing and midwifery. MET...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/09.ONF.E39-E46
更新日期:2009-01-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To identify publication rates of patient-related studies in oncology nursing research. DESIGN:Survey of publication rates of patient-related research. These results are one component of an integrative review and meta-analysis of a decade of patient-related oncology nursing research. SAMPLE:Authors ...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To address inconsistencies in the definition and operationalization of symptom distress by synthesizing the literature on cancer-related symptom distress in adults. DATA SOURCES:Electronic nursing, psychology, and medicine databases; online meeting abstracts; and various print sources. DATA SYNTHES...
journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
doi:10.1188/05.ONF.E42-E47
更新日期:2005-03-05 00:00:00
abstract::Flow cytometry is a method of rapidly analyzing large numbers of cells as they flow in a liquid medium through a laser source. Flow cytometry provides valuable information regarding DNA content, RNA content, and the percentage of cells in the S phase of the cell cycle. This information can be used to predict the aggre...
journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
doi:
更新日期:1992-04-01 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
abstract:PURPOSE/OBJECTIVES:To describe the usefulness of daily pain management diaries to outpatients with cancer who participated in a randomized clinical trial of the PRO-SELF Pain Control Program. DESIGN:Randomized clinical trial in which a daily pain management diary was used for data collection in the control group and f...
journal_title:Oncology nursing forum
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1188/02.ONF.1304-1313
更新日期:2002-10-01 00:00:00
abstract:PROBLEM IDENTIFICATION:Arab American women are an ethnic minority and immigrant population in the United States with unique and nuanced sociocultural factors that influence preventive health behaviors. The aims of this article are to evaluate and synthesize the existing evidence on cervical cancer screening behaviors, ...
journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
doi:10.1188/17.ONF.E20-E33
更新日期:2017-01-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To describe the preferences for participation in decision making of older adult patients newly diagnosed with symptomatic myeloma and to explore the association between sociodemographic variables and decisional role preferences. DESIGN:Descriptive, cross-sectional design. SETTING:Participants' home...
journal_title:Oncology nursing forum
pub_type: 杂志文章,多中心研究
doi:10.1188/14.ONF.411-419
更新日期:2014-07-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To explore the experience of being touched in people diagnosed with cancer and undergoing IV chemotherapy. RESEARCH APPROACH:Qualitative, phenomenologic. SETTING:Central New York and northern Pennsylvania, both in the northeastern United States . PARTICIPANTS:11 Caucasian, English-speaking adult...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/15.ONF.517-526
更新日期:2015-09-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To explore perceptions of colorectal cancer (CRC) and self-reported CRC screening behaviors among ethnic subgroups of U. S. blacks. DESIGN:Descriptive, cross-sectional, exploratory, developmental pilot. SETTING:Medically underserved areas in Hillsborough County, FL. SAMPLE:62 men and women aged 50...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/10.ONF.581-591
更新日期:2010-09-01 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:PURPOSE/OBJECTIVES:To analyze predictors of adjustment and growth in women who had experienced recurrent ovarian cancer using components of the Resiliency Model of Family Stress, Adjustment, and Adaptation as a conceptual framework. DESIGN:Cross-sectional. SETTING:Participants were recruited from national cancer advo...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/10.ONF.357-364
更新日期:2010-05-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To describe the side-effects burden experienced over time by 53 women who were receiving treatment for breast cancer and to describe the association of side-effects burden with psychological adjustment and life quality. DESIGN:Data were drawn from the Self-Help Intervention Project (SHIP), an interv...
journal_title:Oncology nursing forum
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1999-06-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To test body-related shame and guilt as predictors of breast cancer survivors' (BCS') moderate to vigorous intensity physical activity (MVPA) during six months and to examine motivational regulations as mediators of this association. . DESIGN:Prospective study. . SETTING:Survivors were recruited th...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/17.ONF.465-475
更新日期:2017-07-01 00:00:00
abstract::Fatigue is regarded as a universal and unavoidable side effect of cancer therapy, yet its epidemiology and prevalence in populations of people with cancer have not been well-documented. Using the conceptual framework of Piper, et al., this study examined and described the perception and manifestations of fatigue and i...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To examine colorectal cancer (CRC) screening embarrassment among men and women from three ethnic groups and the associated physician gender preference by patient gender and ethnicity. DESIGN:Cross-sectional, purposive sampling. SETTING:Urban community in Brooklyn, NY. SAMPLE:A purpose-derived, con...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/11.ONF.E409-E417
更新日期:2011-11-01 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:PURPOSE/OBJECTIVES:To explore patients' quality of life (QOL) as defined by RNs in adult and pediatric oncology settings and to examine, from the perspectives of clinical nurses, the knowledge that is needed to apply QOL research outcomes in clinical practice. DESIGN:Qualitative research design using a focus group tec...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/02.ONF.E118-E126
更新日期:2002-11-01 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 relationships among pain, fatigue, insomnia, and gender while controlling for age, comorbidities, and stage of cancer in patients newly diagnosed with lung cancer within 56 days of receiving chemotherapy. DESIGN:Secondary data analysis. SETTING:Accrual from four sites: two clinical c...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/07.ONF.785-792
更新日期:2007-07-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To identify whether rates of accidental falls are greater for cancer survivors living in the community during or post-treatment than people with no history of cancer. . DATA SOURCES:In a systematic literature review that was conducted in December 2013, MEDLINE®, EMBASE, PubMed, and Web of Science we...
journal_title:Oncology nursing forum
pub_type: 杂志文章,meta分析,评审
doi:10.1188/16.ONF.E64-E72
更新日期:2016-03-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To obtain preliminary data and determine the feasibility of a large-scale experimental study to test the efficacy of the Rogerian Science of Unitary Human Beings-based intervention of dialogue and therapeutic touch (TT) on pre- and postoperative anxiety and mood and postoperative pain from breast can...
journal_title:Oncology nursing forum
pub_type: 临床试验,杂志文章
doi:
更新日期:1998-09-01 00:00:00
abstract::This article describes some of the restrictions and obstacles that patients with cancer may face in home care. Though discharge from the hospital to home can be overwhelming and frightening, nurses and other healthcare professionals can assist the patient and caregiver to ensure a smooth transition. Issues such as tre...
journal_title:Oncology nursing forum
pub_type: 杂志文章,评审
doi:
更新日期:1992-01-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To develop and test an instrument to identity the most important incentives and barriers to exercise in women with breast cancer. DESIGN:Descriptive, quantitative, retrospective. SETTING:Ambulatory, national. SAMPLE:Phase I-11 Caucasian women, with a mean age of 43 years, who were treated for brea...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To develop and test an interactive multimedia module prototype designed to accommodate adults with limited literacy and without computer skills. DESIGN:Experimental, randomized, controlled, pretest, post-test. SETTING:Cancer treatment centers in California, Louisiana (pilot). New Hampshire, Pennsyl...
journal_title:Oncology nursing forum
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2001-10-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To compare the effect of providing high-risk patients with standard brochures versus personalized photo books as part of a comprehensive nursing intervention on knowledge, awareness, and confidence with skin self-examination (SSE) performance, as well as compliance in performing SSE. DESIGN:Randomiz...
journal_title:Oncology nursing forum
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1188/03.ONF.1029-1036
更新日期:2003-11-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To describe the planning, implementation, and evaluation of an educational program to increase the awareness of cancer clinical trials among community-dwelling seniors in a southeastern metropolitan community. DATA SOURCES:Published articles, research findings, conference proceedings, government-iss...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/03.ONF.E80-E83
更新日期:2003-07-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To develop an undergraduate oncology nursing course that provides deeper, more structured education in cancer care. DATA SOURCES:Oncology Nursing Society and American Cancer Society materials, current oncology nursing texts, and published periodical literature. DATA SYNTHESIS:An undergraduate oncol...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract:PURPOSE/OBJECTIVES:To assess the psychological, physical, and social situations and needs of patients with colorectal cancer (CRC) diagnosed at an advanced stage of the disease. DESIGN:Quantitative, descriptive. SETTING:An urban comprehensive cancer center in northeastern Poland. SAMPLE:50 patients undergoing first-...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:10.1188/11.ONF.E253-E259
更新日期:2011-07-01 00:00:00