Nwozichi Chinomso, Omolabake Salako, Ojewale Margaret O, Faremi Funmilola, Brotobor Deliverance, Olaogun Elizabeth, Oshodi-Bakare Mosidat, Martins-Akinlose Oluwaseun
Wellstar School of Nursing, Kennesaw State University, Georgia, USA.
Nursology Academy, Ogun State, Nigeria.
Asia Pac J Oncol Nurs. 2024 Oct 23;11(12):100610. doi: 10.1016/j.apjon.2024.100610. eCollection 2024 Dec.
The purpose of this concept analysis was to explore and clarify the concept of time toxicity in the context of cancer care using Walker and Avant's method, identify its defining attributes, antecedents, and consequences, and explore its implications for cancer care.
Walker and Avant's eight-step method was employed to analyze time toxicity. The literature was reviewed, focusing on peer-reviewed articles, grey literature, and cancer care policy documents to identify the defining attributes, antecedents, consequences, and empirical referents of time toxicity. Contextual factors, such as health care infrastructure and socioeconomic status, shape the manifestation of time toxicity in different patient populations. Model, borderline, and contrary cases were developed to clarify the concept further.
Time toxicity is characterized by its defining attributes of temporal burden, disruption of daily life, cumulative effect, opportunity cost, and emotional strain. Antecedents include cancer diagnosis, complex treatment regimens, and health care inefficiencies, while consequences involve reduced quality of life, non-adherence to treatment, and economic strain. Empirical referents include time logs, patient-reported outcomes, and health care utilization data.
Our findings underscore the multidimensional nature of time toxicity and its significant implications for cancer patients' well-being. Importantly, we highlight the vital role of oncology nurses in mitigating its effects through care coordination and patient support, thereby making our research directly applicable to clinical practice.
本概念分析的目的是运用沃克和阿万特的方法，在癌症护理背景下探索并阐明时间毒性的概念，确定其定义属性、前因和后果，并探讨其对癌症护理的影响。
采用沃克和阿万特的八步法对时间毒性进行分析。对文献进行了综述，重点关注同行评议文章、灰色文献和癌症护理政策文件，以确定时间毒性的定义属性、前因、后果和实证参照。医疗保健基础设施和社会经济地位等背景因素塑造了时间毒性在不同患者群体中的表现形式。构建了模型案例、临界案例和相反案例以进一步阐明该概念。
时间毒性的特征在于其时间负担、日常生活中断、累积效应、机会成本和情感压力等定义属性。前因包括癌症诊断、复杂的治疗方案和医疗保健效率低下，而后果则涉及生活质量下降、治疗依从性差和经济压力。实证参照包括时间日志、患者报告的结果和医疗保健利用数据。
我们的研究结果强调了时间毒性的多维度性质及其对癌症患者福祉的重大影响。重要的是，我们强调了肿瘤护士在通过护理协调和患者支持减轻其影响方面的关键作用，从而使我们的研究直接适用于临床实践。
