Journal article
The Geriatric Cancer Experience at the End of Life: Testing an Adapted Model
Oncology nursing forum, Vol.36(6), pp.664-673
11/01/2009
DOI: 10.1188/09.ONF.664-673
PMID: 19887354
Abstract
Purpose/Objectives: To test an adapted end-of-life conceptual model of the geriatric cancer experience and provide evidence for the validity and reliability of the model for use in practice and research.
Design: Nonexperimental and cross-sectional using baseline data collected within 24-72 hours of admission to hospice.
Setting: Two hospices in the southeastern United States.
Sample: 403 hospice homecare patients; 56% were men and 97% were Caucasian with a mean age of 77.7 years.
Methods: Confirmatory factor analyses using structural equation modeling with AMOS (TM) statistical software.
Main Research Variables: Clinical status; physiologic, psychological, and spiritual variables; and quality of life (QOL).
Findings: A three-factor model with QOL as an outcome variable showed that 67% of the variability in QOL is explained by the patient's symptom and spiritual experiences.
Conclusions: As symptoms and associated severity and distress increase, the patient's QOL decreases. As the spiritual experience increases (the expressed need for inspiration, spiritual activities, and religion), QOL also increases.
Implications for Nursing: The model supports caring for the physical and metaphysical dimensions of the patient's life. It also highlights a need for holistic care inclusive of physical, emotional, and spiritual domains.
Details
- Title: Subtitle
- The Geriatric Cancer Experience at the End of Life: Testing an Adapted Model
- Creators
- Harleah G. Buck - University of PennsylvaniaJanine Overcash - Univ S Florida, Coll Nursing, Tampa, FL USASusan C. McMillan - Univ S Florida, Coll Nursing, Tampa, FL USA
- Resource Type
- Journal article
- Publication Details
- Oncology nursing forum, Vol.36(6), pp.664-673
- Publisher
- Oncology Nursing Soc
- DOI
- 10.1188/09.ONF.664-673
- PMID
- 19887354
- ISSN
- 0190-535X
- eISSN
- 1538-0688
- Number of pages
- 10
- Language
- English
- Date published
- 11/01/2009
- Academic Unit
- Nursing
- Record Identifier
- 9984370653302771
Metrics
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