The traditional concept of more treatment equals better outcome, along with the advancements in medical knowledge and technology, resulted in some unnecessary or even harmful treatments. In 2012, the American Board of Internal Medicine (ABIM) Foundation proposed a "Choosing Wisely" concept that aimed to promote better communications between physicians and patients in order to avoid unnecessary or harmful treatments or cares. The Canada established the Choosing Wisely Canada in 2014, followed by Netherlands and the United Kingdom and into the field of nursing and pharmacy. In 2017, there were more than 80 professional associations that collaborated and created more than 520 items in the Choosing Wisely suggestion lists in the US. The America Nurse Association (ANA) first published a top-five list of low-val¬ue nursing-oriented practice in 2014. Currently, among the 20 items listed, five related to cancer care. The first study in Taiwan on Choosing Wisely, conducted by the National Health Research Institute in 2017, was "Evaluation of efficacy in healthcare resource utilization-Exploring of low-value healthcare." However, there was no relevant research specifically on nursing. Because cancer mortality continued the top 10 list in Taiwan, this study will focus on cancer-related nursing care. This study aimed to present the Choosing Wisely literatures in cancer nursing in order to raise the awareness of the Choosing Wisely concept among oncology nurses.
Translated title of the contributionChoosing Wisely in Cancer Nursing: Literature Review
Original languageChinese (Traditional)
Pages (from-to)5-12
Number of pages8
Issue number3
Publication statusPublished - Nov 1 2019


  • cancer
  • choosing wisely
  • low value practice


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