2026-03-09T03:16:57Z https://jrckicn.repo.nii.ac.jp/oai

oai:jrckicn.repo.nii.ac.jp:00000872 2023-10-02T06:40:50Z 15

The Role of Nurse on the Treatment Decision Support for Older People with Cancer: A Systematic Review KOMATSU, Hiroko 小松, 浩子 コマツ, ヒロコ KOMATSU, Yasuhiro 小松, 康宏 コマツ, ヤスヒロ © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 高齢者 がん 意思決定 看護師 older adults cancer decision-making nurse application/pdf Background: The number of older adults with cancer is increasing worldwide. The role of nurses in supporting patients’ decision-making is expanding, as this process is fraught with complexity and uncertainty due to comorbidities, frailty, cognitive decline, etc., in older adults with cancer. The aim of this review was to examine the contemporary roles of oncology nurses in the treatment decision-making process in older adults with cancer. Methods: A systematic review of PubMed, CINAHL, and PsycINFO databases was conducted in accordance with PRISMA guidelines. Results: Of the 3029 articles screened, 56 full texts were assessed for eligibility, and 13 were included in the review. We identified three themes regarding nurses’ roles in the decision-making process for older adults with cancer: accurate geriatric assessments, provision of available information, and advocacy. Nurses conduct geriatric assessments to identify geriatric syndromes, provide appropriate information, elicit patient preferences, and communicate efficiently with patients and caregivers, promoting physicians. Time constraints were cited as a barrier to fulfilling nurses’ roles. Conclusions: The role of nurses is to elicit patients’ broader health and social care needs to facilitate patient-centered decision-making, respecting their preferences and values. Further research focusing on the role of nurses that considers diverse cancer types and healthcare systems is needed. MDPI 2023-02-12 eng journal article VoR https://jrckicn.repo.nii.ac.jp/records/872 https://doi.org/10.3390/healthcare11040546 https://doi.org/10.3390/healthcare11040546 MDPI isIdenticalTo:https://doi.org/10.3390/healthcare11040546 2227-9032 Healthcare Healthcare 11 4 546