Telling the Truth to Terminal Cancer Patients ：Physicians and Nurses’ Intention Behavior and Distress
Date Issued
2004
Date
2004
Author(s)
Cheng, Shao-Jen
DOI
zh-TW
Abstract
The purpose of this study was to investigate physicians and nurses’ intention behavior for truth telling and distress that they often encountered when executing it. The subjects of this study are 29 physicians and 139 nurses recruited from a medical center and an oncology specialized hospital in Taipei. The research method of this study is questionnaire survey. The major results of this study are 1) the physicians and nurses’ attitude are positive toward truth telling； 2) There is no significant difference between the physicians’ and the nurses’s attitude and intention behaviors toward truth telling （p＞0.05）； 3) When deciding whether or not telling the truth, the physicians are most influenced by family members’ willingness and the patient’s steadiness of emotion, while the nurses are most influenced by the patient’s willingness and steadiness of emotion； 4) The most difficult situation that the physicians and nurses encountered is of different opinions from different family members, especially during the time making the decision on whether or not signing the consent form of “executing no CPR.”； 5) The nurses have more distress at facing a patient who does not know his/her terminal situation than the physicians do； 6) For the physicians, “The hospice training course”（β＝0.64） and “Weakness of truth telling”（β＝0.475）are both the predictors of doctors’ intention and behaviors for truth telling. 56% of the variances are explained； 7) For the nurses, “The benefits of truth telling” （β＝0.506） and “Whether or not avoid discussing death issue with patients” （β＝-0.125）are the most important factors of nurses’ intention behaviors for truth telling （p＜0.001；R2＝27.6%）. 27% of the variances are explained. This research reveals that the hospice training course is an important factors to improve the physicians and nurses’ intention behavior.
Subjects
癌末
困擾
病情告知
行為意向
Terminal
Truth Telling
Distress
Intention Behavior
SDGs
Type
other
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