title: Oncology Nurses' Experiences With Patients Who Choose to Discontinue Cancer Chemotherapy.
abstract: To describe the experiences of oncology nurses whose patients prematurely discontinue cancer chemotherapy. .
  
  
  
  Qualitative, in-depth interviews. .
  
  
  
  Large oncology practice in South Carolina. .
  
  
  
  Seven oncology nurses. .
  
  
  
  A general interview guide was used to obtain descriptions about nurses' experiences with patients who chose to discontinue chemotherapy. Interviews were analyzed using van Manen's approach to hermeneutic phenomenology. .
  
  
  
  Nurses experienced mixed emotions and struggled to balance their feelings with their respect for patient autonomy. Participants perceived that treatment side effects and inconvenience, advanced age, pessimistic attitude, and lack of social support influenced patients' decisions to discontinue treatment.  .
  
  
  
  Findings indicate that nurses experience distress when patients prematurely discontinue treatment, and participants identified opportunities to support patients in continuing treatment. .
  
  
  
  Oncology nurses respect patients' rationales for discontinuing therapy and support their right to independent decision making. Nurses also struggle to cope with their reactions to patients' decisions. This tug of war somewhat parallels patients' struggles to balance quality of life with longevity.
authors.affiliation: University of South Carolina.
authors.forename: Kathy
authors.initials: K
authors.lastname: Dhotre
authors.affiliation: University of South Carolina.
authors.forename: Swann Arp
authors.initials: SA
authors.lastname: Adams
authors.affiliation: University of South Carolina.
authors.forename: James R
authors.initials: JR
authors.lastname: Hebert
authors.affiliation: Karolinska Institute.
authors.forename: Matteo
authors.initials: M
authors.lastname: Bottai
authors.affiliation: Palmetto Health, South Carolina Cancer Center, Columbia.
authors.forename: Sue P
authors.initials: SP
authors.lastname: Heiney
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D001291:Attitude of Health Personnel; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy*; D009723:Nurse-Patient Relations; D009741:Nursing Staff, Hospital / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D013022:South Carolina; D011795:Surveys and Questionnaires; D000074822:Treatment Adherence and Compliance / Q000523:psychology*
chemical_list: D000970:Antineoplastic Agents
keywords: cancer; qualitative study; treatment adherence; treatment discontinuation