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相关倡导的实际情况，进行了问卷调查。结果，确定了以下五个因素：“尊重患者个性”、“患者与家庭之间的调解”、“支持患者对治疗方法的正确理解”、“患者与医生之间的调解”、以及“协调癌症相关医学专家的联合会议”。分析护士对这五个因素的认识和实施的差异，发现护士的实施水平明显低于对所有因素的认识。目前的调查结果显示，尽管护士意识到倡导癌症患者自主决定治疗方法，但对已确定的五个倡导因素的落实力度不够。

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.