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Observing the Implementation of Shared Decision-making in Routine Radiotherapy Cancer Nursing: An Explorative Longitudinal Questionnaire Study
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.ORCID iD: 0000-0002-3668-3857
Department of Quality and Development, Södersjukhuset, Stockholm.
2021 (English)In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 44, no 5, p. 369-377Article in journal (Refereed) Published
Abstract [en]

Background

Healthcare professionals have driven decision-making in the past. However, shared decision-making has the potential to increase quality of care.

Objective

To determine to what degree patients undergoing routine pelvic radiotherapy care perceive decision-making as being shared between patient and healthcare professionals.

Methods

This exploratory longitudinal study covered 193 patients undergoing pelvic radiotherapy, mostly women (n = 161 [84%]) treated for a gynecological (n = 132 [68%]) or colorectal (n = 54 [28%]) cancer. We collected data regarding self-perceived level of shared decision-making at the start of radiotherapy and quality of life (QoL) (91%–95% response rate per week) during the radiotherapy period.

Results

The patients reported that they shared the decision-making with the healthcare professionals much (n = 137 [71%]), moderately (n = 33 [17%]), a little (n = 12 [6%]), or not at all (n = 11 [6%]). Male patients (P = .048), patients who did not live with their partner (P = .034), patients with higher education (P = .043), and patients with low functional capacity (P = .018) perceived lower levels of shared decision-making. A higher level of shared decision-making was related to higher QoL at baseline and during the first to third weeks of radiotherapy (P ranged from .001 to .044).

Conclusions

Almost 9 of 10 patients reported that they shared the decision-making moderately or much with the healthcare professionals. The study identified subgroups perceiving lower levels of shared decision-making and found that a higher level of shared decision-making was related to better QoL.

Implications

Healthcare professionals may need to pay extra attention to patients who may perceive that they share decision-making to a low extent.

This study was supported by the Swedish Cancer Society, the Vårdal Institute, the Cancer Rehabilitation Foundation, the County Council of Östergötland, and Linköping University, Sweden. 

Place, publisher, year, edition, pages
Wolters Kluwer, 2021. Vol. 44, no 5, p. 369-377
Keywords [en]
Cancer nursing, Communication, Decision-making, Implementation, Oncology nursing, Patient involvement, Patient-reported outcomes, Quality of life, Radiotherapy
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-32756DOI: 10.1097/NCC.0000000000000830ISI: 000691456600010PubMedID: 32541208Scopus ID: 2-s2.0-85114674262OAI: oai:DiVA.org:hig-32756DiVA, id: diva2:1442469
Note

This study was supported by the Swedish Cancer Society, the Vardal Institute, the Cancer Rehabilitation Foundation, the County Council of Ostergotland, and Linkoping University, Sweden.

Available from: 2020-06-17 Created: 2020-06-17 Last updated: 2022-12-01Bibliographically approved

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Efverman, Anna

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CiteExportLink to record
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