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Factors associated with difficulties encountered by nurses in the care of terminally ill cancer patients in hospitals in Japan. | LitMetric

Factors associated with difficulties encountered by nurses in the care of terminally ill cancer patients in hospitals in Japan.

Palliat Support Care

Department of Adult Nursing/Terminal and Long-term Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033 Japan.

Published: March 2005

AI Article Synopsis

  • The study aimed to identify what factors make it tough for nurses in Japan's general wards when caring for terminally ill cancer patients.
  • Researchers surveyed 375 nurses about their experiences and challenges, looking into aspects like mentorship, end-of-life issue awareness, and their demographics.
  • Results showed that having a mentor significantly reduced difficulties, while more clinical experience helped with communication. However, increased awareness of end-of-life issues was linked to more challenges, suggesting better support and training could enhance nurses' abilities to provide care.

Article Abstract

Objective: To identify the factors associated with difficulties encountered by nurses working in general wards in hospitals in Japan.

Methods: Questionnaires including items regarding difficulties in providing care to terminally ill cancer patients, the existence of a mentor regarding end-of-life issues, awareness of end-of-life issues, and demographic factors were administered to 375 staff nurses working in general in-patient wards. Multivariate regression analyses were employed to investigate correlations between factors.

Results: Multivariate regression analysis revealed that the existence of a mentor for end-of-life issues was associated with fewer difficulties in all areas other than "Knowledge and skill of nurses." Clinical experience was inversely related to difficulties in "Communication with patients and families" and "Personal issues." Greater awareness of end-of-life issues was related to higher difficulties in most areas.

Significance Of Results: The existence of a mentor was correlated with fewer difficulties in most areas. Support by a palliative care team might be effective in reducing difficulties experienced by nurses and in improving care for terminally ill cancer patients. Basic communication training undertaken sooner after registration might be also useful.

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Source
http://dx.doi.org/10.1017/s1478951505050030DOI Listing

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