School of Nursing, Weifang Medical University, Weifang, China.
Oncology Department, Weifang People's Hospital, Weifang, China.
Psychooncology. 2019 Dec;28(12):2415-2421. doi: 10.1002/pon.5273. Epub 2019 Nov 12.
To qualitatively investigate and explore oncology nurses' perceptions of cancer diagnosis disclosure (CDD) for cancer patients.
Purposive sampling led to the inclusion of 25 nurses with diverse characteristics from four inpatient oncology nursing wards in two tertiary hospitals. Semistructured, one-on-one, in-depth interviews were conducted. Colaizzi's analysis method was performed with NVivo software to develop categories and themes.
Four themes were identified: (a) impact of CDD, including advantages and disadvantages for patients and nurse distress; (b) barriers to CDD, including requests from family members, patients themselves, and communication skills; (c) strategies for CDD, including communication with family members, physician-nurse collaboration, and patient education; and (d) nurses' roles in CDD, including active participants and promoters and advocates.
More channels of information and education on cancer, cancer diagnosis, life, and death will be needed in the future. Nurses should actively participate in cancer diagnosis delivery, and more collaboration between nurses and physicians must occur.
定性调查和探索肿瘤护士对癌症患者癌症诊断披露（CDD）的看法。
采用目的抽样法，选取来自两家三级医院的四个肿瘤内科病房的 25 名具有不同特征的护士。进行半结构式、一对一的深入访谈。采用 NVivo 软件对 Colaizzi 的分析方法进行分类和主题开发。
确定了四个主题：（a）CDD 的影响，包括对患者和护士的痛苦的利弊；（b）CDD 的障碍，包括来自家属、患者本身和沟通技巧的要求；（c）CDD 的策略，包括与家属沟通、医师-护士协作和患者教育；以及（d）护士在 CDD 中的角色，包括积极的参与者、促进者和倡导者。
未来需要更多关于癌症、癌症诊断、生命和死亡的信息和教育渠道。护士应积极参与癌症诊断的实施，护士与医生之间必须进行更多的合作。
