PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS

Background: Nurses have a key role in promoting patients’ involvement in decision-making process of palliative care to improve their dignity and satisfaction. However, there is a dearth of studies exploring this involvement, especially in public health centers in Indonesia. Objective: This study ai...

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Autores principales:	Atsarina Fauzan, Sri Setiyarini, Christantie Effendy, Martina Sinta Kristanti
Formato:	article
Lenguaje:	EN
Publicado:	Belitung Raya Foundation 2019
Materias:	decision-making palliative care public health center cancer Nursing RT1-120
Acceso en línea:	https://doi.org/10.33546/bnj.815 https://doaj.org/article/dba32b25fa704e71abdf3df8f0a74c5f
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spelling	oai:doaj.org-article:dba32b25fa704e71abdf3df8f0a74c5f2021-12-02T15:22:44ZPERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERShttps://doi.org/10.33546/bnj.8152477-40732477-4073https://doaj.org/article/dba32b25fa704e71abdf3df8f0a74c5f2019-08-01T00:00:00Zhttps://belitungraya.org/BRP/index.php/bnj/article/view/815https://doaj.org/toc/2477-4073https://doaj.org/toc/2477-4073Background: Nurses have a key role in promoting patients’ involvement in decision-making process of palliative care to improve their dignity and satisfaction. However, there is a dearth of studies exploring this involvement, especially in public health centers in Indonesia. Objective: This study aimed to explore the perception of nurses in decision-making process and to understand what type of decision-making made by health care providers in palliative care. Methods: This was a descriptive explorative study with qualitative approach. Participants were selected using purposive and snowball sampling. Data were collected using Focus Group Discussion (FGD) and in-depth interview. Content analysis method by inductive approach was used for data analysis. Consolidated criteria for reporting qualitative research (COREQ) was also used. Results: Eight themes emerged in this study, namely: (1) Collecting information about patients’ current physiological condition, (2) Creating alternative strategies according to the patients’ current physiological condition, (3) Establishing implementation type to be performed, (4) Providing information to the patients, (5) Discussing decision-making between patients and family, (6) Choosing/rejecting an action by patients, (7) Performing selected actions, and (8) Evaluating action. Three points that are different from the existing theory were: (i) there was a discussion between patients and family, (ii) the absence of the process of collecting information after a patient rejects to act, and (iii) there were three types of decision-making: paternalistic, shared, and informed decision-making. Conclusion: This study serves as an input for nurses to pay more attention in decision-making process in palliative care in patients with cancer, and to encourage patients to give contribution in decision-making as part of shared decision-making.Atsarina FauzanSri SetiyariniChristantie EffendyMartina Sinta KristantiBelitung Raya Foundationarticledecision-makingpalliative carepublic health centercancerNursingRT1-120ENBelitung Nursing Journal, Vol 5, Iss 4, Pp 169-175 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	decision-making palliative care public health center cancer Nursing RT1-120
spellingShingle	decision-making palliative care public health center cancer Nursing RT1-120 Atsarina Fauzan Sri Setiyarini Christantie Effendy Martina Sinta Kristanti PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS
description	Background: Nurses have a key role in promoting patients’ involvement in decision-making process of palliative care to improve their dignity and satisfaction. However, there is a dearth of studies exploring this involvement, especially in public health centers in Indonesia. Objective: This study aimed to explore the perception of nurses in decision-making process and to understand what type of decision-making made by health care providers in palliative care. Methods: This was a descriptive explorative study with qualitative approach. Participants were selected using purposive and snowball sampling. Data were collected using Focus Group Discussion (FGD) and in-depth interview. Content analysis method by inductive approach was used for data analysis. Consolidated criteria for reporting qualitative research (COREQ) was also used. Results: Eight themes emerged in this study, namely: (1) Collecting information about patients’ current physiological condition, (2) Creating alternative strategies according to the patients’ current physiological condition, (3) Establishing implementation type to be performed, (4) Providing information to the patients, (5) Discussing decision-making between patients and family, (6) Choosing/rejecting an action by patients, (7) Performing selected actions, and (8) Evaluating action. Three points that are different from the existing theory were: (i) there was a discussion between patients and family, (ii) the absence of the process of collecting information after a patient rejects to act, and (iii) there were three types of decision-making: paternalistic, shared, and informed decision-making. Conclusion: This study serves as an input for nurses to pay more attention in decision-making process in palliative care in patients with cancer, and to encourage patients to give contribution in decision-making as part of shared decision-making.
format	article
author	Atsarina Fauzan Sri Setiyarini Christantie Effendy Martina Sinta Kristanti
author_facet	Atsarina Fauzan Sri Setiyarini Christantie Effendy Martina Sinta Kristanti
author_sort	Atsarina Fauzan
title	PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS
title_short	PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS
title_full	PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS
title_fullStr	PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS
title_full_unstemmed	PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS
title_sort	perception of nurses in decision-making process in palliative care for patients with cancer in public health centers
publisher	Belitung Raya Foundation
publishDate	2019
url	https://doi.org/10.33546/bnj.815 https://doaj.org/article/dba32b25fa704e71abdf3df8f0a74c5f
work_keys_str_mv	AT atsarinafauzan perceptionofnursesindecisionmakingprocessinpalliativecareforpatientswithcancerinpublichealthcenters AT srisetiyarini perceptionofnursesindecisionmakingprocessinpalliativecareforpatientswithcancerinpublichealthcenters AT christantieeffendy perceptionofnursesindecisionmakingprocessinpalliativecareforpatientswithcancerinpublichealthcenters AT martinasintakristanti perceptionofnursesindecisionmakingprocessinpalliativecareforpatientswithcancerinpublichealthcenters
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PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS

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