| 1. |
|
|
| 2. |
- Ramfelt, E., et al.
(författare)
-
Patients with cancer : their approaches to participation in treatment plan decisions
- 2005
-
Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 12:2, s. 143-155
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore experiences of participation in treatment planning decisions from the perspective of patients recently treated for colorectal cancer. Ten patients were purposively selected and interviewed. Constant comparative analysis, the core concept of grounded theory, was used. The dimensions were developed and organized into the main theme of ‘compliant participation in serious decisions’, which was composed of the two variations: complying with participation; and complying without participation. Complying with participation was characterized by feelings of self-confidence and self-competence and by open dialogue between the participants, significant others and the physician. Complying without participation was characterized by participants’ feelings of uncertainty and distress, and of being rushed into submitting to decisions without having time to reflect on the information provided or the opportunity to influence the treatment and care process. To participate (or choosing not to participate) builds on open and affirming dialogue, information and knowledge about the illness. Patient participation in treatment and care decision making is interpreted as a health promoting way of coping with illness.
|
|
| 3. |
|
|
| 4. |
|
|
| 5. |
|
|
| 6. |
|
|
| 7. |
- Ramfelt, E., et al.
(författare)
-
Treatment Decision - Making in a group of patients with colo-rectal cancer before surgery and a one year follow-up
- 2005
-
Ingår i: European Journal of Cancer Care. - 0961-5423 .- 1365-2354. ; 14:4, s. 327-335
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Encouraging patient participation in medical and nursing care is an active expression of respect for a person's autonomous choice. The aim of the present study was to compare preferences about the degree of participation in treatment decision-making in a group of patients with colo-rectal cancer before and one-year after surgery, and further to compare these preferences to the patients' actual participating role before surgery and their sense of coherence. Fifty-five persons diagnosed as having rectal or colon cancer were studied. The following instruments were used: The Control Preferences Scale (CPS) and the Sense of Coherence Scale (SOC). Results show that 71% and 75%, respectively, chose a collaborative participation role, before surgery and at follow-up. A majority, 64%, maintained their preferred role from before surgery to the one-year follow-up. Agreement between the preferred and the actual participating role was achieved by 31%. There were no statistically significant differences between the preferred role and with respect to the participants' sense of coherence either before surgery or at follow-up. The sense of coherence seemed not to be related to the preferences before surgery or at follow-up preferences. Further research is needed to elaborate the understanding about patients' preferences for participating in treatment and care decisions
|
|
| 8. |
|
|
