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Observing the Imple...
Observing the Implementation of Shared Decision-making in Routine Radiotherapy Cancer Nursing : An Explorative Longitudinal Questionnaire Study
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- Efverman, Anna (författare)
- Högskolan i Gävle,Med-Vårdvetenskap
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- Bergius Axelsson, Beata (författare)
- Department of Quality and Development, Södersjukhuset, Stockholm
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(creator_code:org_t)
- Wolters Kluwer, 2021
- 2021
- Engelska.
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Ingår i: Cancer Nursing. - : Wolters Kluwer. - 0162-220X .- 1538-9804. ; 44:5, s. 369-377
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- BackgroundHealthcare professionals have driven decision-making in the past. However, shared decision-making has the potential to increase quality of care.ObjectiveTo determine to what degree patients undergoing routine pelvic radiotherapy care perceive decision-making as being shared between patient and healthcare professionals.MethodsThis 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.ResultsThe 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).ConclusionsAlmost 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.ImplicationsHealthcare 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Nyckelord
- Cancer nursing
- Communication
- Decision-making
- Implementation
- Oncology nursing
- Patient involvement
- Patient-reported outcomes
- Quality of life
- Radiotherapy
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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