Truth-telling, decision-making, and ethics among cancer patients in nursing practice in China

2017 ◽  
Vol 26 (4) ◽  
pp. 1000-1008 ◽  
Author(s):  
Dong-Lan Ling ◽  
Hong-Jing Yu ◽  
Hui-Ling Guo
Keyword(s):  
Decision Making ◽  
Cancer Patients ◽  
Ethical Issue ◽  
Terminal Illness ◽  
Codes Of Ethics ◽  
Ethical Guidelines ◽  
Truth Telling ◽  
Case Scenario ◽  
Healthcare Practice

Background: Truth-telling toward terminally ill patients is a challenging ethical issue in healthcare practice. However, there are no existing ethical guidelines or frameworks provided for Chinese nurses in relation to decision-making on truth-telling of terminal illness and the role of nurses thus is not explicit when encountering this issue. Objectives: The intention of this paper is to provide ethical guidelines or strategies with regards to decision-making on truth-telling of terminal illness for Chinese nurses. Methods: This paper initially present a case scenario and then critically discuss the ethical issue in association with ethical principles and philosophical theories. Instead of focusing on attitudes toward truth disclosure, it aims to provide strategies regarding this issue for nurses. It highlights and discusses some of the relevant ethical assumptions around the perceived role of nurses in healthcare settings by focusing on nursing ethical virtues, nursing codes of ethics, and philosophical perspectives. And Confucian culture is discussed to explicate that deontology does not consider family-oriented care in China. Conclusion: Treating each family individually to explore the family’s beliefs and values on this issue is essential in healthcare practice and nurses should tailor their own approach to individual needs regarding truth-telling in different situations. Moreover, the Chinese Code of Ethics should be modified to be more specific and applicable. Finally, a narrative ethics approach should be applied and teamwork between nurses, physicians and families should be established to support cancer patients and to ensure their autonomy and hope. Ethical considerations: This paper was approved by the Ethics Committee of The Second Affiliated Hospital of Guangzhou Medical University. The authors have obtained consent to use the case study and it has been anonymised to preserve the patient's confidentiality.

scholarly journals Cancer Patients: Their Desire for Information and Participation in Treatment Decisions

1989 ◽  
Vol 82 (5) ◽  
pp. 260-263 ◽  
Author(s):  
H J Sutherland ◽  
H A Llewellyn-Thomas ◽  
G A Lockwood ◽  
D L Tritchler ◽  
J E Till
Keyword(s):  
Decision Making ◽  
Cancer Patients ◽  
Decision Maker ◽  
Treatment Decisions ◽  
Autonomous Decision ◽  
Disclosure Of Information ◽  
Participation In Decision Making ◽  
Psychological Autonomy ◽  
The Relationship

The relationship between cancer patients’ desire for information and their preference for participation in decision making has been examined. Approximately 77% of the 52 patients reported that they had participated in decision making to the extent that they wished, while most of the remaining 23% would have preferred an opportunity to have greater input. Although many of the patients actively sought information, a majority preferred the physician to assume the role of the primary decision maker. Ethically, the disclosure of information has been assumed to be necessary for autonomous decision making. Nevertheless, the results of this study indicate that patients may actively seek information to satisfy an as yet unidentified aspect of psychological autonomy that does not necessarily include participation in decision making.

scholarly journals Healthcare Interpreting and Informed Consent: What is the Interpreter’s Role in Treatment Decision-Making?

2007 ◽  
Vol 18 (2) ◽  
pp. 225-247 ◽  
Author(s):  
Andrew Clifford
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Medical Ethics ◽  
Treatment Decision ◽  
Cross Cultural ◽  
Professional Relationships ◽  
Case Scenario ◽  
Treatment Decision Making ◽  
General Communication

This article examines the part that healthcare interpreters play in cross-cultural medical ethics, and it argues that there are instances when the interpreter needs to assume an interventionist role. However, the interpreter cannot take on this role without developing expertise in the tendencies that distinguish general communication from culture to culture, in the ethical principles that govern medical communication in different communities, and in the development of professional relationships in healthcare. The article describes each of these three variables with reference to a case scenario, and it outlines a number of interventionist strategies that could be potentially open to the interpreter. It concludes with a note about the importance of the three variables for community interpreter training. Keywords: community interpreting, informed consent, role of the interpreter, healthcare.

scholarly journals The role of emotions in cancer patients’ decision-making

2019 ◽  
Vol 13 ◽  
Author(s):  
Ketti Mazzocco ◽  
Mariana Masiero ◽  
Maria Chiara Carriero ◽  
Gabriella Pravettoni
Keyword(s):  
Decision Making ◽  
Cancer Patients

Tools For Decision-Making In Older Cancer Patients. Role Of The Comprehensive Geriatric Assessment

2014 ◽  
Vol 14 (5) ◽  
pp. 651-656 ◽  
Author(s):  
M.J. Molina-Garrido ◽  
C. Guillen-Ponce ◽  
C. Castellano ◽  
B. Errasquin ◽  
A. Mora-Rufete ◽  
...  
Keyword(s):  
Decision Making ◽  
Cancer Patients ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Cancer Patients

What is the role of [11C]choline PET/CT in decision making strategy before post-operative salvage radiation therapy in prostate cancer patients?

2014 ◽  
Vol 53 (7) ◽  
pp. 990-992 ◽  
Author(s):  
Filippo Alongi ◽  
Tiziana Comito ◽  
Elisa Villa ◽  
Egesta Lopci ◽  
Iftode Cristina ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Radiation Therapy ◽  
Cancer Patients ◽  
Salvage Radiation Therapy ◽  
Choline Pet ◽  
Pet Ct

Observers’ Reactions to Social-Sexual Behavior at Work: An Ethical Decision Making Perspective

1999 ◽  
Vol 25 (6) ◽  
pp. 779-802 ◽  
Author(s):  
Lynn Bowes-Sperry ◽  
Gary N. Powell
Keyword(s):  
Decision Making ◽  
Sexual Behavior ◽  
Ethical Issue ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Full Time ◽  
Ethical Ideology ◽  
Decision Making Model ◽  
The Relationship

The role of observers has been generally ignored in prior theories and research on social-sexual behavior at work. This study proposed and tested an ethical decision making model of individuals’ reactions to social-sexual behavior that they witness at work. Full-time employees responded to vignettes regarding an incident of social-sexual behavior. The findings revealed the influence of both the moral intensity of the behavior and the ethical ideology of the observer on recognition of the behavior as an ethical issue and intentions to intervene in the behavior. In addition, respondents’ experiences with a sexualized work environment moderated the relationship between their recognition of social-sexual behavior as an ethical issue and their intentions to intervene in the behavior.

Market Situation Interpretation and Response: The Role of Cognitive Style, Organizational Culture, and Information Use

2003 ◽  
Vol 67 (3) ◽  
pp. 63-79 ◽  
Author(s):  
J. Chris White ◽  
P. Rajan Varadarajan ◽  
Peter A. Dacin
Keyword(s):  
Decision Making ◽  
Organizational Culture ◽  
Cognitive Style ◽  
Information Use ◽  
Case Scenario ◽  
Partial Least Squares Analysis ◽  
Marketing Decision ◽  
Market Situation ◽  
Advertising And Promotion

Improving marketing decision making requires a better understanding of the factors that influence how managers interpret and respond to a market situation. Building on extant literature, the authors develop a model that delineates antecedents of and responses to the interpretation of a market situation. Using case-scenario methodology, the authors test the model in the context of a marketing decision (annual advertising and promotion budget recommendation) with data collected from a nationwide sample of hospital marketing executives. The results of the partial least squares analysis show that (1) cognitive style, organizational culture, and information use affect the extent to which managers perceive a given market situation as one in which they can control the outcomes of their decision; (2) the more managers perceive a situation as controllable, the more they appraise that situation as an opportunity; and (3) the more managers appraise a situation as an opportunity, the greater is the magnitude of their response.

scholarly journals The role of family confidants and caregivers in the care of older cancer patients: Extending the concept of “shared decision‐making”

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Frank Gieseler ◽  
Andreas Heidenreich ◽  
Jacqueline Schubert ◽  
Fabian Frielitz ◽  
Christoph Rehmann‐Sutter ◽  
...  
Keyword(s):  
Decision Making ◽  
Cancer Patients ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Older Cancer Patients
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