Truth-telling to the seriously ill child – Nurses' experiences, attitudes, and beliefs.
Autor: | El Ali, Mandy, Licqurish, Sharon, O'Neill, Jenny, Gillam, Lynn |
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Předmět: |
WORK
NURSES ATTITUDES toward death NURSE-patient relationships FEAR CULTURAL identity OCCUPATIONAL roles CRITICALLY ill PATIENTS HOSPITAL nursing staff CINAHL database HIV-positive persons DEVELOPED countries BENEVOLENCE CANCER patients COGNITION in children ETHICAL problems SYSTEMATIC reviews MEDLINE THEMATIC analysis NURSES' attitudes TERMINAL care HONESTY DEVELOPING countries DISCLOSURE EXPERIENTIAL learning NURSING ethics HOSPITAL care of children PSYCHOLOGY information storage & retrieval systems TRANSCULTURAL medical care CHILDREN |
Zdroj: | Nursing Ethics; Aug2024, Vol. 31 Issue 5, p930-950, 21p |
Abstrakt: | Background: Nurses play an integral role in the care of children hospitalised with a serious illness. Although information about diagnostics, treatments, and prognosis are generally conveyed to parents and caregivers of seriously ill children by physicians, nurses spend a significant amount of time at the child's bedside and have an acknowledged role in helping patients and families understand the information that they have been given by a doctor. Hence, the ethical role of the nurse in truth disclosure to children is worth exploring. Methods: A systematic academic database and grey literature search strategy was conducted using CINAHL, Medline Psych Info, and Google Scholar. Keywords used included truth, children, nurse, disclosure, serious illness, and communication. A total of 17 publications of varying types were included in the final data set. Ethical Considerations: As this was a review of the literature, there were no direct human participants. Empirical studies included in the review had received ethics approval. Results: Of the 17 articles included in the review, only one directly reported on the experiences of nurses asked to withhold the truth from patients. Empirical studies were limited to HIV-positive children and children diagnosed with cancer and the dying child. Conclusion: A paucity of literature exploring the experiences, attitudes, and beliefs of nurses with regard to truth-telling to seriously ill children is evident. Little consideration has been given to the role nurses play in communicating medical information to children in a hospital setting. The 17 articles included in the review focused on cancer, and HIV, diagnosis, and end-of-life care. Further research should be undertaken to explore the experiences and attitudes of nurses to clinical information sharing to children hospitalised with a wide range of serious illnesses and in diverse clinical scenarios. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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