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Satisfaction with Korean Oncology Advanced Practice Nurses' Role: A Study of Patients, Physicians, and Nurses.

Soo Hyun KIM ; Yun Hee HAM ; Jeong Hye KIM ; Hye Kyung KIM ; Ok Hee HWANG ; Min Young KIM ; Insook LEE ; Jiyeon LEE ; Sun Hee KIM ; Ji Hyun SUNG ; Young Sook TAE

Asian Oncology Nursing.2014;14(1):41-49. doi:10.5388/aon.2014.14.1.41

PURPOSE: The purpose of this study was to describe the level of satisfaction with the role of Korean oncology advanced practice nurses (KOAPNs) among cancer patients, physicians, and nurses. METHODS: This study was conducted with 176 patients who had experienced KOPANs' care more than three times, as well as 82 physicians and 190 nurses who have worked with KOAPNs at four hospitals in Korea. RESULTS: The results indicate that 1) Overall satisfaction in the patient group was high (3.61) and they were most satisfied with the 'attentiveness' domain; 2) Overall satisfaction in the physician group was also high (3.61), however, that in the nurse group was relatively low (3.28); 'coordination & cooperation' showed the highest score for satisfaction in both groups, while 'research' domain showed the lowest score; 3) Cancer type in patients, working department in physicians or nurses, and duration working with KOAPNs in nurses showed significant association with satisfaction; and 4) The ratio of KOAPNs-to-patient, time since introduction of the KOAPNs policy, and incentive system were institutional factors showing significant association with it. CONCLUSION: These findings suggest the necessity for identification and standardization of the roles of KOAPNs, as well as promotion of awareness of KOAPNs' care.
Advanced Practice Nursing ; Humans ; Korea ; Motivation ; Oncology Nursing

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Awareness and Ethical Attitudes Toward 'Do-Not-Resuscitate (DNR)' for Cancer Patients.

Joo Yeon LEE ; Eun Hee CHOI ; Kyung Sook PARK

Asian Oncology Nursing.2014;14(1):32-40. doi:10.5388/aon.2014.14.1.32

PURPOSE: This descriptive study was conducted to investigate awareness and attitudes toward 'Do-Not-Resuscitate (DNR)'. METHODS: Study data were collected from July 24 to September 30, 2011 using structured questionnaires. Study subjects were 209 patients suffering from cancer at "C" Univ. hospital located in Seoul and Cancer Patient Coalition in Seoul. The purpose of the study was explained directly to them. All the data of 209 questionnaires were collected and analyzed without dropping out. RESULTS: In terms of awareness toward DNR, 61.5% said DNR is "necessary" because "their recoveries are impossible" (51.7%) and "they want dignified deaths" (41.1%). When it comes to ethical attitudes toward DNR according to demographic characteristics, there were significant differences both between genders (p<.032) on "Medical staff should tell hopeless patients their conditions openly" and between level of education and monthly income (p<.013) on "DNR decision should be made according to the guideline, if needed". CONCLUSION: The result of this study suggests that decisions on DNR should be made not by only families and doctors but by patients themselves as well. For this, sufficient explanations and education programs for DNR need to be developed and DNR decision including both patient's and family's demand should be standardized.
Education ; Ethics ; Humans ; Seoul ; Surveys and Questionnaires

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

Ae Ran PARK ; Hyang Sook SO ; Myeong Cheong CHAE

Asian Oncology Nursing.2014;14(1):23-31. doi:10.5388/aon.2014.14.1.23

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.
Bioethics* ; Diagnosis ; Humans ; Surveys and Questionnaires

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Comparison of Distress and Body Image according to the Stages of Cancer Survivorship in Gynecological Cancer Patients.

Jeong Sook PARK ; Hye Ran LEE

Asian Oncology Nursing.2014;14(1):15-22. doi:10.5388/aon.2014.14.1.15

PURPOSE: This study was to compare distress and body image according to the stages of cancer survivorship in patients with gynecological cancer. METHODS: The subjects were 231 patients who visited for treatment or follow-up care at a university medical center in a city, Korea. These participants were divided into three groups based on the stages of cancer survivorship. The data were collected from November, 18, 2010 to January, 28, 2011 with the use of a structured questionnaire which measured the distress thermometer (DT) and problem list (PL), and body image. RESULTS: Distress scores were not significantly different among three stages of cancer survivorship, but the patients of acute cancer survival experienced the distress of 4.50 point of moderate level (DT>4). The problem list of distress score was significantly higher in the acute cancer survival than long-term cancer survival (F=3.04, p=.048). The score of body image was significantly lower in the acute cancer survival stage than long-term cancer survival (F=3.69, p=.026). CONCLUSION: Gynecological cancer patients in the acute cancer survival among the three stages will to need to provide a nursing intervention to decrease distress and improve body image.
Academic Medical Centers ; Body Image* ; Follow-Up Studies ; Humans ; Korea ; Nursing ; Survival Rate* ; Thermometers ; Surveys and Questionnaires

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Factors Affecting Symptom Experiences of Breast Cancer Patients: Based on the Theory of Unpleasant Symptoms.

Hyojin KIM ; Sanghee KIM ; Hyangkyu LEE ; Sangeun OH

Asian Oncology Nursing.2014;14(1):7-14. doi:10.5388/aon.2014.14.1.7

PURPOSE: The purpose of this study was to identify the factors affecting symptom experiences of breast cancer patients. METHODS: A cross-sectional descriptive study was conducted with based on the Unpleasant symptom Theory. Sixty breast cancer patients were recruited. We measured their symptom experiences, physiologic factors (immune system function and specific perceived symptoms), psychological factors (depression and anxiety), and situational factors (family support). After obtaining permission from the IRB, data were collected from self-report questionnaires and electronic medical records from a single cancer center. Descriptive statistics, t-test, one-way ANOVA, correlations and multiple regressions were used to analyze the data. RESULTS: The most frequent and severe symptoms were fatigue (4.47+/-2.99), numbness or tingling (3.67+/-3.08) and sadness (3.45+/-3.64). Symptom experiences were significantly positively correlated with psychological factors (r=.603, p<.01) and physical symptoms (r=.384, p<.01). Symptom experiences and situational factors (r=.302, p<.05) were had a significantly negative correlation. The factor that had the most impact on symptom experiences were psychological factors, followed by perceived physical symptoms. The regression model explained 44.8% of the variances. CONCLUSION: Based on the results of this study, the physiological, psychological and situational factors should be considered for caring breast cancer patients.
Breast Neoplasms* ; Electronic Health Records ; Ethics Committees, Research ; Fatigue ; Humans ; Hypesthesia ; Nursing Theory ; Oncology Nursing ; Psychology ; Surveys and Questionnaires

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Differential Diagnosis between Hand-foot Syndrome and Gout in Colorectal Cancer with Capecitabine: A Case Study and Review of the Literature.

Jeong Yun PARK

Asian Oncology Nursing.2014;14(1):1-6. doi:10.5388/aon.2014.14.1.1

PURPOSE: This study is to present a case of a patient experiencing foot pain after being prescribed capecitabine and to review the differential diagnosis between hand-foot syndrome and gout. METHODS: This case is an 89-year-old patient endorsed to an emergency department with a 2-day history of foot swelling and pain. RESULTS: The old patient was treated with capecitabine which was orally administered twice daily for 2 weeks, followed by 1 week of rest. He experienced severe pain in his foot area during the 3rd chemotherapy cycle. Side effects must be assessed to keep treatment on course. CONCLUSION: Clinical specialists should be knowledgeable of differential diagnosis.
Aged ; Aged, 80 and over ; Colorectal Neoplasms* ; Diagnosis, Differential* ; Drug Therapy ; Emergency Service, Hospital ; Foot ; Gout* ; Hand-Foot Syndrome* ; Humans ; Specialization ; Capecitabine

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Experience of Colorectal Cancer Survival Journeys: Born Again after Going Through an Altered Self Image.

Jung Ae PARK ; Kyung Sook CHOI

Asian Oncology Nursing.2013;13(3):163-173. doi:10.5388/aon.2013.13.3.163

PURPOSE: This microethnographic study was performed to understand the survival experiences of patients after surgical resection of colorectal cancer. METHODS: In-depth interviews of seven male and six female patients with colorectal cancer were conducted after being observed. Digital-audio recordings of the interviews were transcribed verbatim and then qualitatively analyzed. RESULTS: The survival journeys of patients with colorectal cancer surgery were described as 'born again after going through an altered self-image'. This consists of 4 phases: 'Confrontation of the cancer diagnosis', 'Fierce compliance', 'Leveling off', and 'Born again'. Their self-images were significantly altered subsequent to confronting their cancer diagnosis. While they were in the phase of fierce compliance, patients were introverted from the outside world, but upon receiving help from a substantial supportive system including family, health professionals, peer patients, and religion, their internalized self-image was reinforced. This would significantly boost the patients' morale. Finally they felt born again with an emotional and spiritual self-image. CONCLUSION: Nursing intervention should be differentiated and specified according to the specific phase of the long term colorectal cancer survival journey. Colorectal cancer patients should be provided with a specialized nursing program to improve their self-images.
Colorectal Neoplasms* ; Compliance ; Diagnosis ; Female ; General Surgery ; Health Occupations ; Humans ; Life Change Events ; Male ; Morale ; Nursing ; Self Concept ; Survivors

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Phenomenology of the Experiences of Women with Thyroidectomy.

Kyoung Min LEE ; Geum Ju LEE

Asian Oncology Nursing.2013;13(3):152-162. doi:10.5388/aon.2013.13.3.152

PURPOSE: The purpose of this study was to identify the common themes of the experiences of women with thyroidectomies in Korea. METHODS: A descriptive phenomenological method was used in this study. The data were collected by individual in-depth interviews with six participants, and analyzed using methods presented by Colaizzi. RESULTS: Five theme clusters were derived from the data as follows: "Uninvited guest came without notice", "Feeling of confinement", "Suffering and endurance to live", "Added suffering for a woman", "The crossover of anxiety and affirmation" CONCLUSION: The results of this study can guide nurses to understand women with thyroidectomy and contribute to the nursing education program development and improvement of nursing practice.
Anxiety ; Education, Nursing ; Female ; Humans ; Methods ; Nursing ; Program Development ; Thyroidectomy*

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Symptom and Interference of Activities of Daily Living of Chemotherapy-Induced Peripheral Neuropathy in Patients Receiving Taxanes and Platinums.

Jeong Hye KIM ; Kyoung Min LEE ; Mi Jin JEON ; Mi Ee SEOL ; Soon Haeng LEE ; Jeongyun PARK

Asian Oncology Nursing.2013;13(3):145-151. doi:10.5388/aon.2013.13.3.145

PURPOSE: The purpose of this study was to identify the symptoms and interference of activities of daily living (ADL) of chemotherapy induced peripheral neuropathy (CIPN) in patients receiving taxane and platinums. METHODS: 141 cancer patients were recruited in the cross-sectional survey design. The instruments used in the study was the Chemotherapy-induced Peripheral Neuropathy Assessment Tool (CIPNAT) developed by Tofthagen and colleagues. RESULTS: The patients experienced the symptom and interference of ADL of CIPN moderately. The most common symptom was nerve pain (70.2%) and the patients with high cumulative doses showed a significant of tingling sensation in the feet. Symptom severity increased substantially with cumulative dose of chemotherapeutic agents. CONCLUSION: The results of this study suggest that chemotherapy-induced peripheral neuropathy increase due to repeated chemotherapy and nursing intervention is necessary to reduce symptom severity and interference of ADL of CIPN.
Activities of Daily Living* ; Bridged Compounds ; Cross-Sectional Studies ; Drug Therapy ; Foot ; Humans ; Neuralgia ; Nursing ; Peripheral Nervous System Diseases* ; Platinum* ; Sensation ; Taxoids*

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A Comparative Study of Life Styles between Lung Cancer Patients and Healthy Adults.

Yanggyeong YOO ; Youngrye PARK ; Eunhi CHOI

Asian Oncology Nursing.2013;13(3):136-144. doi:10.5388/aon.2013.13.3.136

PURPOSE: The purpose of this study was to provide basic data for the development of a life habit improvement program, designed to prevent occurrence of lung cancer for adults, by comparing various factors related to cancer outbreak. METHODS: The study was designed to be a retrospective comparison survey study of the lung cancer patient group and healthy adult group. 91 lung cancer patients visited J university hospital and 105 conveniently-selected healthy adults were recruited from October 2011 to August 2012. Data were analyzed using descriptive statistics, chi2-test/t-test and logistic regression with the SPSS program. RESULTS: Active smoking, secondhand smoking and frequency of meat consumption emerged as risk factors of lung cancer occurrence for adults. CONCLUSION: As a result of comparative analysis of lung cancer patients and healthy adults' various lifestyle-related cancer risk factors, non-smoking, avoiding secondhand smoke and reducing meat consumption were suggested as a means of preventing the occurrence of lung cancer.
Adult* ; Economics ; Humans ; Life Style* ; Logistic Models ; Lung Neoplasms* ; Lung* ; Meat ; Retrospective Studies ; Risk Factors ; Smoke ; Smoking ; Tobacco Smoke Pollution

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