Recognition of Patients, Families, Nurses, and Physicians about Clinical Decision-making and Biomedical Ethics

Ae Ran Park; Hyang Sook So; Myeong Cheong Chae

doi:10.5388/aon.2014.14.1.23

Journal List > Asian Oncol Nurs > v.14(1) > 1081816

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Park, So, and Chae: Recognition of Patients, Families, Nurses, and Physicians about Clinical Decision-making and Biomedical Ethics

Original Article

Asian Oncology Nursing 2014; 14(1): 23-31.

Published online: 31 March 2014

DOI: https://doi.org/10.5388/aon.2014.14.1.23

Recognition of Patients, Families, Nurses, and Physicians about Clinical Decision-making and Biomedical Ethics

Ae Ran Park¹, Hyang Sook So¹, Myeong Cheong Chae²

¹College of Nursing, Chonnam National University, Gwangju, Korea.

²Department of Nursing, Gwangju Woman's University, Gwangju, Korea.

Address reprint requests to: So, Hyang Sook. College of Nursing, Chonnam National University, 160 Baekseo-ro, Dong-gu, Gwangju 501-746, Korea. Tel: +82-62-530-4952, Fax: +82-62-227-4009, hsso@jnu.ac.kr

Received 22 January 2014 Accepted 20 March 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To identify the recognition of patients, families, nurses, and physicians about clinical decision-making and biomedical ethics.

Methods

Data were collected from October 23 to 30, 2012 using the structured questionnaires. A total of 200 data were analyzed using SPSS 20.0 version.

Results

Response about 'who should receive the first notice of a cancer diagnosis?' was significant difference statistically. Cancer patients had preferences to be notified their diagnosis first. Patients responded the person who made decision of treatment options would be physician first and then themselves. Families, nurses, and physicians answered that decision-maker would be both of patient and family. All four groups answered that the person who made decision about care-giver after discharge was patient and their family. Nurses and physicians who didn't aware of the advanced directive were over 30.0%, and patients and family who didn't aware of that were over 60.0%. Lastly, the rate of positive answer about making attempt of advanced directive after legalization was over 80.0%.

Conclusion

Patient's attitude about making decisions is different from family's attitude. Nurses and physicians have to put emphasis on the patient's autonomy & self-determination and family members' needs.

Keywords: Medical Decision Making, Biomedical Ethics

Figures and Tables

Table 1

General Characteristics of Respondents (N=200)

Table 2

Locus of Clinical Decision - making by Respondents (N=200)

^*Duplicable respondents; ^†Not calculated for significance.

Table 3

Attitudes about Bioethic - related Issues by Respondents (N=200)

CPR=cardio - pulmonary resuscitator; ^*Duplicable respondents; ^†Not calculated for significance.

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