Oncology Nurses' Communication Practices and Challenges Towards Advance Care Planning: A Sequential Explanatory Mixed-Method Study.
advance care planning
health communication
mixed methods
oncology nursing
registered nurses
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
06 Sep 2024
06 Sep 2024
Historique:
revised:
28
05
2024
received:
12
09
2023
accepted:
11
08
2024
medline:
6
9
2024
pubmed:
6
9
2024
entrez:
6
9
2024
Statut:
aheadofprint
Résumé
This study aims to explore the practice of advance care planning (ACP) among Chinese oncology nurses and identify challenges influencing care provision. A sequential explanatory mixed-method design was employed, comprising a quantitative phase to assess communication practices, followed by a qualitative phase to explore the challenges faced in ACP. The study employed convenience sampling, including 532 oncology nurses from seven hospitals in northern China. Quantitative data were collected through a cross-sectional survey and the ACP communication index from December 2021 to January 2022. The qualitative phase consisted of 19 interviews conducted between May and July 2022, which were thematically analysed to elucidate the challenges in ACP practices. Quantitative findings revealed a low frequency of ACP communication among Chinese oncology nurses. Qualitative analysis identified four themes: lack of optimal timing, passive engagement of patients or families, reluctance of healthcare professionals and unsupported policies. The study concluded that identified challenges compromise the effectiveness of ACP practices among Chinese oncology nurses. Inadequate communication, limited interdisciplinary collaboration and policy gaps contribute to nonstandardised ACP processes. The findings underscore the need for targeted interventions to enhance nurses' communication skills, foster interdisciplinary collaboration and provide policy support. Such interventions are pivotal to optimising end-of-life care in oncology settings and facilitating the integration of ACP into routine nursing practices. This study adhered to the Mixed Methods Article Reporting Standards. No contributions from patients or the public were involved in this study.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Introduction of High-level Talents Foundation of Inner Mongolia Autonomous Region
Organisme : General Program Foundation of Inner Mongolia Medical University
ID : YKD2022MS005
Organisme : National Science Foundation of Inner Mongolia Autonomous Region
ID : 2023QN08002
Organisme : National Natural Science Foundation of China
ID : 72174011
Organisme : Chongqing Science and Health Joint Medical Research Project -Epidemic prevention frontline medical staff project
ID : 2020FYYX127
Informations de copyright
© 2024 John Wiley & Sons Ltd.
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