Ethical Dilemmas Among Oncology Nurses in China: Cross-Sectional Study
2024

Ethical Dilemmas Among Oncology Nurses in China

Sample size: 373 publication 10 minutes Evidence: moderate

Author Information

Author(s): Ko Eunjeong, Neda Shamsalizadeh, Jaehoon Lee, Ping Ni

Primary Institution: School of Social Work, San Diego State University

Hypothesis

What are the ethical dilemmas relating to cancer prognosis communication among oncology nurses in China?

Conclusion

Chinese oncology nurses frequently encounter ethical dilemmas and barriers in communicating cancer prognoses, highlighting the need for culturally tailored communication training.

Supporting Evidence

  • Nurses reported a moderate level of ethical dilemmas in prognostic communication (mean 13.5, SD 3.42).
  • Significant predictors of ethical dilemmas included perceived barriers and experiences with prognosis communication.
  • 71% of participants reported families often requested withholding communication from patients.

Takeaway

Nurses in China often struggle with telling cancer patients their prognosis because of cultural beliefs and pressures, which can make their job very hard.

Methodology

A cross-sectional survey was conducted with 373 oncology nurses in mainland China, using ordinary least squares regressions to identify factors contributing to ethical dilemmas.

Potential Biases

Potential biases may arise from the convenience sampling method and the cultural context influencing responses.

Limitations

The study was limited to four hospitals in Wuhan, which may not represent oncology nurses in other regions of China.

Participant Demographics

The median age of participants was 30 years, predominantly female (94.4%), with a majority holding a bachelor's degree.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.2196/63006

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