Profese online 2009, 2(4):223-233 | DOI: 10.5507/pol.2009.021

NURSES IN THE PROCESS OF DECISION MAKING OF ONCOLOGICAL PATIENTS

Alica Slamková1, Ľubica Poledníková1, Andrea Čižmáriková2
1 Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University, Nitra, Czech Republic
2 Department of Radiational and Clinical Oncology, Nitra University Hospital, Nitra, Slovak Republic

This work focuses on solving the nursing diagnosis "Decisional Conflict (specify)" 000 83. It focuses on decision making related to health care in patients with the oncological disease. In our work we focus on the independent nursing interventions that help the patients in the decision-making process. To set the interventions and outcomes of nursing care in the conflict decision making, we used the chosen sets from the NIC (Nursing Interventions Classification) and NOC (Nursing Outcomes Classification) nursing classification systems; then we verified their use in practice. The aim of our research was the creation and verification of the nursing management of "conflict decision making" with the use of the chosen sets from NIC (5250 Decision-Making Support) and NOC (0906 Decision Making, and 1606 Participation: Health Care Decisions). The main research method was a quasi-experiment; we used it to verify the suitability of the use of NIC and NOC. Our hypothesis was that if nurses follow the chosen NIC 5250 set, then a patient exercises the responsibility and own management in the process. If nurses use the chosen NOC 0906 and NOC 1606 sets, then they can evaluate the patient's goals and expected outcomes more objectively and more exactly. The NIC 5250 set offers a systematic set of activities and a complex guidance to solve the nursing diagnosis. It allows the patients to set the goals of care and to identify the options of solutions. We evaluated the effectiveness of the activities by the use of the chosen NOC 0906 and NOC 1606 classification sets. The use of those sets made the evaluation of the outcomes more objective; the indicators of the evaluation were given by the sets, they were not created randomly and we used the given indicators in all patients for the same length of time.

Keywords: oncological patient, decisional conflict, nursing classification systems, nursing diagnosis, care management

Published: October 2009  Show citation

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Slamková, A., Poledníková, Ľ., & Čižmáriková, A. (2009). NURSES IN THE PROCESS OF DECISION MAKING OF ONCOLOGICAL PATIENTS. Profese Online, 2(4), 223-233. doi: 10.5507/pol.2009.021
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