Decisional conflict in end-of-life cancer treatment among family surrogates: A cross-sectional survey

Bo Min Jeon, Su Hyun Kim, Soo Jung Lee

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

The aims of this study were to examine the extent of decisional conflict in end-of-life cancer treatments and to investigate the influences and predictors of decisional conflict among family surrogates. A cross-sectional, descriptive, correlational design was applied. Data were collected from a convenience sample of 102 family members who had participated in end-of-life cancer decision-making. We enrolled participants from inpatient oncology units at a university hospital in South Korea from May 2014 to January 2016. The results indicated that many family surrogates had high levels of decisional conflict and psychological stress after end-of-life cancer decision-making. Hierarchical multiple regression analyses demonstrated that decisional conflict had significant, substantial influences on decision regret and psychological stress after controlling for demographic variables. Family surrogates who were aware of the patients' wishes about end-of-life treatments and those who had good family functioning had less decisional conflict. To relieve decisional conflict regarding end-of-life cancer treatment among family surrogates, it is necessary to encourage patients to share their end-of-life treatment wishes with family members and to consider family functioning in the end-of-life decision-making process.

Original languageEnglish
Pages (from-to)472-478
Number of pages7
JournalNursing and Health Sciences
Volume20
Issue number4
DOIs
StatePublished - Dec 2018

Keywords

  • cancer
  • decision-making
  • family
  • Korea
  • surrogate

Fingerprint

Dive into the research topics of 'Decisional conflict in end-of-life cancer treatment among family surrogates: A cross-sectional survey'. Together they form a unique fingerprint.

Cite this