The Role of Nurse on the Treatment Decision Support for Older People with Cancer: A Systematic Review
<b>Background</b>: The number of older adults with cancer is increasing worldwide. The role of nurses in supporting patients’ decision-making is expanding, as this process is fraught with complexity and uncertainty due to comorbidities, frailty, cognitive decline, etc., in older adults w...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/4/546 |
| _version_ | 1797620741128060928 |
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| author | Hiroko Komatsu Yasuhiro Komatsu |
| author_facet | Hiroko Komatsu Yasuhiro Komatsu |
| author_sort | Hiroko Komatsu |
| collection | DOAJ |
| description | <b>Background</b>: The number of older adults with cancer is increasing worldwide. The role of nurses in supporting patients’ decision-making is expanding, as this process is fraught with complexity and uncertainty due to comorbidities, frailty, cognitive decline, etc., in older adults with cancer. The aim of this review was to examine the contemporary roles of oncology nurses in the treatment decision-making process in older adults with cancer. <b>Methods</b>: A systematic review of PubMed, CINAHL, and PsycINFO databases was conducted in accordance with PRISMA guidelines. <b>Results</b>: Of the 3029 articles screened, 56 full texts were assessed for eligibility, and 13 were included in the review. We identified three themes regarding nurses’ roles in the decision-making process for older adults with cancer: accurate geriatric assessments, provision of available information, and advocacy. Nurses conduct geriatric assessments to identify geriatric syndromes, provide appropriate information, elicit patient preferences, and communicate efficiently with patients and caregivers, promoting physicians. Time constraints were cited as a barrier to fulfilling nurses’ roles. <b>Conclusions</b>: The role of nurses is to elicit patients’ broader health and social care needs to facilitate patient-centered decision-making, respecting their preferences and values. Further research focusing on the role of nurses that considers diverse cancer types and healthcare systems is needed. |
| first_indexed | 2024-03-11T08:45:58Z |
| format | Article |
| id | doaj.art-776694907ee54c89859d435159c4669f |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T08:45:58Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-776694907ee54c89859d435159c4669f2023-11-16T20:46:44ZengMDPI AGHealthcare2227-90322023-02-0111454610.3390/healthcare11040546The Role of Nurse on the Treatment Decision Support for Older People with Cancer: A Systematic ReviewHiroko Komatsu0Yasuhiro Komatsu1Japanese Red Cross Kyushu International College of Nursing, 1-1 Asty, Munakata-City 811-4157, Fukuoka, JapanDepartment of Healthcare Quality and Safety, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi 371-8511, Gunma, Japan<b>Background</b>: The number of older adults with cancer is increasing worldwide. The role of nurses in supporting patients’ decision-making is expanding, as this process is fraught with complexity and uncertainty due to comorbidities, frailty, cognitive decline, etc., in older adults with cancer. The aim of this review was to examine the contemporary roles of oncology nurses in the treatment decision-making process in older adults with cancer. <b>Methods</b>: A systematic review of PubMed, CINAHL, and PsycINFO databases was conducted in accordance with PRISMA guidelines. <b>Results</b>: Of the 3029 articles screened, 56 full texts were assessed for eligibility, and 13 were included in the review. We identified three themes regarding nurses’ roles in the decision-making process for older adults with cancer: accurate geriatric assessments, provision of available information, and advocacy. Nurses conduct geriatric assessments to identify geriatric syndromes, provide appropriate information, elicit patient preferences, and communicate efficiently with patients and caregivers, promoting physicians. Time constraints were cited as a barrier to fulfilling nurses’ roles. <b>Conclusions</b>: The role of nurses is to elicit patients’ broader health and social care needs to facilitate patient-centered decision-making, respecting their preferences and values. Further research focusing on the role of nurses that considers diverse cancer types and healthcare systems is needed.https://www.mdpi.com/2227-9032/11/4/546older adultscancerdecision-makingnurse |
| spellingShingle | Hiroko Komatsu Yasuhiro Komatsu The Role of Nurse on the Treatment Decision Support for Older People with Cancer: A Systematic Review Healthcare older adults cancer decision-making nurse |
| title | The Role of Nurse on the Treatment Decision Support for Older People with Cancer: A Systematic Review |
| title_full | The Role of Nurse on the Treatment Decision Support for Older People with Cancer: A Systematic Review |
| title_fullStr | The Role of Nurse on the Treatment Decision Support for Older People with Cancer: A Systematic Review |
| title_full_unstemmed | The Role of Nurse on the Treatment Decision Support for Older People with Cancer: A Systematic Review |
| title_short | The Role of Nurse on the Treatment Decision Support for Older People with Cancer: A Systematic Review |
| title_sort | role of nurse on the treatment decision support for older people with cancer a systematic review |
| topic | older adults cancer decision-making nurse |
| url | https://www.mdpi.com/2227-9032/11/4/546 |
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