Seminars in oncology nursing
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To review theoretical perspectives relating to the communication of informed consent and to describe research efforts and strategies to enhance the informed consent process and document. ⋯ Nurses must ensure that patients understand informed consent information. Several communication strategies are posited.
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To review the informed consent process in relation to oncology nursing roles and responsibilities, patient comprehension, cultural sensitivity, and qualitative methodologies. ⋯ Situations related to informed consent provide challenges and opportunities for professional growth. Keeping abreast of the evolving standards and concepts of informed consent enhances the essential roles that nurses play in clinically based research.
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To review the historical perspective of informed consent in clinical practice and research as it pertains to human subjects. ⋯ Knowledge of the history of informed consent is important for practicing cancer nurses to ensure they understand the significance of preserving patient autonomy and advocate for the patient and research subject.
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To provide a review of the development and impact of palliative care; to discuss quality of lie as a framework for guiding clinical practice and research in palliative care; and to identify future trends that are likely to affect palliative care services. ⋯ Incorporation of palliative care principles across the cancer illness trajectory requires an attitude shift by all members of the multidisciplinary team.
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To examine the issues and methods in measuring the cost-effectiveness of palliative care for incurable cancer. ⋯ Nurses influence both the cost and the effectiveness of palliative care. Cost of nursing services is often factored into the numerator of the cost-effective equation. Effectiveness of nursing care should be factored into the denominator and can be measured in multiple ways, including the impact on patients' quality of life. Nurses can play an active role in assessing and advocating for the cost-effectiveness of palliative interventions.