Nurses Roles in Decision Making for Palliative Patients Madihah Abdullah, Dr. Titih Huriah, M.Kep.,Ns.,Sp.Kep.K, Arianti, S.Kep.,Ns.,M.Kep.,Sp.Kep.,MB
Universitas Muhammadiyah Yogyakarta
Abstract
Background: Decision making is one of the crucial process that every patients with life threatening illness need to overcome. However, during the process there will be different perspectives between patients, doctors and families which may delay in delivering the care management. Objectives: The aim of this study is to review on the role of nurses in making the decision process easier for the palliative patients. Method: A systematic search had been conducted using PubMed/Medline, EBSCO, Science Direct, Proquest and Wiley Online. The term that had been used are a combination of “nurses- roles”, “decision making” and “palliative patients”. All the articles that published since 2010 until September 2019 have been included. Result: At the first phase of the selection, the title and abstract of the article had been reviewed. After full articles had been reviewed during the second phase, 11 articles had been selected for the final analysis. There are about 298 subjects in this studies which 10 of the studies had collected the data through interviews. Only one study had used quantitative with cluster randomized controlled trial method. The review of these articles shows that nurses may not involve in making decision directly for the patients but they are facilitating the process of making decision and leading the communication between physicians, patients and family. Therefore the decision can be made faster and satisfy the patients and family. Conclusion: Nurses plays important roles in bringing the care closer to the patients.
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