Constructing an organizational concept of practical nursing advocacy in a clinical setting

为了解癌症患者自主选择治疗方法的实际情况，进行了问卷调查。结果，确定了以下五个因素：“尊重患者个体”、“患者和家庭之间的调解”、“支持患者正确理解治疗方法”、“患者和医生之间的调解”和“协调包括癌症相关医学专家在内的联席会议”。护士的认识和执行这五个因素的差异分析显示，执行水平显着低于所有因素的认识。目前的研究结果表明，有五个确定的宣传因素的实施不足，尽管护士的意识倡导癌症患者的治疗方法的自决。

In order to clarify the actual situation of advocacy related to cancer patients' self-determination of treatment methods, a questionnaire survey was conducted. As a result, the following five factors were identified : 'respect for patient individuality', 'mediation between patients and families', 'support correct patient understanding of treatment methods', 'mediation between patients and doctors', and 'coordinating joint conferences involving cancer-related medical experts'. Analysis of differences in nurse awareness and implementation of these five factors revealed significantly lower levels of implementation than awareness for all factors. The present findings suggest that there is insufficient implementation of the five identified advocacy factors despite nurses' awareness of advocacy for cancer patients' self-determination of treatment methods.