Factors Related To Patient Participation Congruence In Decision Making Among Women With Breast Cancer
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Factors Related To Patient Participation Congruence In Decision Making Among Women With Breast Cancer
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Author : 許璧文
language : en
Publisher:
Release Date : 2014
Factors Related To Patient Participation Congruence In Decision Making Among Women With Breast Cancer written by 許璧文 and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Breast categories.
Factors Related To Patient Participation Congruence In Decision Making Among Women With Breast Cancer
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Author : Biwen Xu
language : en
Publisher: Open Dissertation Press
Release Date : 2017-01-27
Factors Related To Patient Participation Congruence In Decision Making Among Women With Breast Cancer written by Biwen Xu and has been published by Open Dissertation Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-01-27 with categories.
This dissertation, "Factors Related to Patient Participation Congruence in Decision Making Among Women With Breast Cancer: a Systematic Review" by Biwen, Xu, 許璧文, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background Breast cancer prevalence is increasing in most countries. Not only the threat of death and impact of breast cancer treatment, but also the participation roles during treatment decision making can be substantial, leading to psychological distress and poor quality of life. Previous studies have explored patients' participation preference, the extent of participation congruence and related factors, revealing that women suffering from breast cancer may benefit from participation in treatment decision making whilst participation incongruity could be potentially detrimental for women with breast cancer. Objectives This study aimed to systematically review the literature and summarize the extent of breast cancer patients' participation preference, participation congruence, and related factors. Methods Multiple searches for key words were conducted through electronic sources, including PubMed, PsycINFO, and Medline via Ovid databases for all relevant English language literature. Studies were selected basing on specific inclusion/exclusion criteria. The STROBE checklist was applied for reporting quality assessment. Results A total of 778 studies were identified. Twelve eligible studies were included in this review. Twelve factors relating to breast cancer women's participation congruence in treatment decision making were identified as follows: age, nature of preferred role of treatment decision making, educational level, time related issues, language/ethnicity, marital status, information and recommendations of treatment, offering treatment options, physician characteristics, type of therapy or cancer program, stage of breast cancer, and surgeon volume. Conclusions Three themes (i.e. patient oriented, physician-patient interaction, and medical provision) of intervention points towards patient participation congruence were synthesized and discussed, and they were useful for improving the quality of existing breast cancer treatment decision making by addressing patient's perceived participation congruence. DOI: 10.5353/th_b5320745 Subjects: Breast - Cancer - Treatment - Decision making
Decision Making Among Women At High Risk For Breast Cancer
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Author : Claire C. Conley
language : en
Publisher:
Release Date : 2017
Decision Making Among Women At High Risk For Breast Cancer written by Claire C. Conley and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with Breast categories.
Women with a high risk of breast cancer have options for reducing risk, including surgery (mastectomy and/or oophorectomy), chemoprevention, and lifestyle changes. However, the ways in which women decide whether or not to pursue these options is not well understood. Both cognitive factors (e.g., perceived risk, perceived seriousness, attitudes) and emotional factors (e.g., cancer-related distress, emotion regulation) play a role in the decision-making process, but have not been tested as a single, integrated model. The present study investigates an innovative dual-pathway model of decision-making in a sample of women at high risk for breast cancer (N = 103). A single group, cross-sectional design was used. Participants self-reported cognitions about breast cancer risk (perceived susceptibility, perceived seriousness), attitudes about risk-reducing behaviors, cancer-related distress, emotion regulation, and intentions for risk-reducing behaviors. Mediation analyses examined hypothesized relationships between cognitive variables in predicting behavioral intentions, while moderation analyses examined hypothesized relationships between emotional variables in predicting behavioral intentions. Significant moderating effects of reappraisal were found for emotion-based models predicting mastectomy intentions (p = 0.04; 95% C.I. = [0.01, 0.03]) and chemoprevention intentions (p = 0.02; 95% C.I. = [0.01, 0.03]). No significant effects were observed for cognitive mediation models (all ps > 0.05; 95% C.I. lower bound = -0.03 – -0.01; 95% C.I. upper bound = 0.01 – 0.02). Results indicate that: 1) emotion regulation strategy use plays a significant role in risk-management decision-making; and 2) risk-management decisions are made independent of perceived severity. Results contribute to knowledge of decisional processes among women at high risk for breast cancer and highlight the need for modifications to existing health decision-making models. Specific targets for decision-making support interventions are identified.
Patient Participation In Medical Decision Making In The Treatment Of Breast Cancer
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Author : Barbara Miriam Lazarus
language : en
Publisher:
Release Date : 1983
Patient Participation In Medical Decision Making In The Treatment Of Breast Cancer written by Barbara Miriam Lazarus and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1983 with Breast categories.
Cancer Communication Uncertainty And Patient Satisfaction
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Author : Tara Traeder
language : en
Publisher:
Release Date : 2015
Cancer Communication Uncertainty And Patient Satisfaction written by Tara Traeder and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with categories.
A breast cancer diagnosis coupled with the necessity that treatment decisions be made soon after diagnosis often results in a great deal of stress and fear for patients. A key element of effectively engaging cancer patients in their diagnosis, treatment, and survivorship is appropriate and effective communication. The role of the patient navigator has emerged in breast cancer care over the last decade to help integrate information and care processes. A patient navigator is a cancer-care provider who offers support and guidance to breast cancer patients. Having a patient navigator on a cancer-care team may enhance the patient-centered care and significantly improve the effectiveness of communication during cancer treatment. Breast cancer treatment is a preference-sensitive decision because in most cases of breast cancer treatment, there is no clear best clinical choice. Instead, patients apply their personal values and beliefs to select the option they feel is best. Throughout the process of cancer screening, diagnosis, treatment and survivorship, there are many points of uncertainty. The purpose of the research reported herein was to assess the communicative influence of patient navigators on breast cancer patients' decision-making process. Specifically, I sought to determine if women who have access to a patient navigator during breast cancer treatment decision-making better manage uncertainty and experience greater patient satisfaction with the overall care experience than women who do not have access to a patient navigator. Participants in an online survey included 124 female breast cancer survivors who had finished active breast cancer treatment within three years of participating. The survey was distributed via convenience snowball sampling. Measures of interest were patient-centered communication, decisional conflict, and patient satisfaction. Qualitative interviews were conducted with 11 women who were selected via a purposeful random sampling procedure from the sample of online survey participants in the interests of better understanding the nuanced experience of breast cancer patients' treatment decision-making experience. Factor analysis revealed clusters appropriate to the dimensions of patient-centered communication, decisional conflict, and patient satisfaction. Independent samples t-tests and multiple regression analyses were used to test hypotheses. Several significant results surfaced in comparisons of participants who had a patient navigator on their cancer-care teams and others who did not. Participants who had a patient navigator as part of their cancer-care teams scored significantly higher on patient engagement, individual confirmation, decisional support, and patient satisfaction with the care experience than ones who did not. Patient-centered communication was a predictor of both decisional conflict and patient satisfaction, but only interpersonal sincerity and patient engagement revealed significant relationships when controlling for the other predictor variables. For the qualitative analysis, 19 categories emerged from semi-structured interviews with breast cancer survivors who had finished active treatment during the last three years. Categories included: (a) communication of the diagnosis, (b) uncertainty following diagnosis, (c) communication about treatment options, (d) information-processing of treatment options, (e) treatment decision-making process, (f) decision time pressure, (g) uncertainty during decision-making, (h) information-seeking, (i) decision-makers, (j) decisional support, (k) satisfaction with treatment decisions, (l) emotional support during decision-making, (m) cancer-care team composition and roles, (n) communication with patient navigators, (o) advanced provision of information/avoiding surprises, (p) communication between cancer-care team members, (q) fertility decisions, (r) survivor support, and (s) uncertainty of finishing treatment. Categories were further sub-divided for easier interpretation of quantitative data using qualitative feedback, which is described in detail. The results of this quasi-experimental examination of communication during cancer care and the influence on decisional conflict and patient satisfaction offer insights related to theoretical significance, the importance and the impact of patient navigators as members of a cancer-care team, and the practical implications for breast cancer-related communication. There appears to be a critical influence of nonverbal aspects of communication, namely proxemics, in the structural layout of cancer centers relating to a patient's ability to manage uncertainty. Implications for breast cancer communication involve a need to create consistency in patient navigation research and practice, improve communication about the timeframe necessary for breast cancer decision-making, and ensure patients receive sufficient social support throughout treatment decision-making.
Multidisciplinary Approach To Head And Neck Cancer An Issue Of Otolaryngologic Clinics Of North America E Book
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Author : Maie A. St. John
language : en
Publisher: Elsevier Health Sciences
Release Date : 2017-08-17
Multidisciplinary Approach To Head And Neck Cancer An Issue Of Otolaryngologic Clinics Of North America E Book written by Maie A. St. John and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-08-17 with Medical categories.
This issue of Otolaryngologic Clinics, guest edited by Dr. Maie St. John, is devoted to Multidisciplinary Approach to Head and Neck Cancer. Articles in this issue include: It Takes a Village – The Import of Multidisciplinary Care; The Role of the Patient: Shared Decision Making; A Story in Black and White: Radiologic Evaluation in the Multi-Disciplinary Setting; Beyond the Glass Slide: Pathology Review in the Multi-Disciplinary Setting; Surgical Innovations; It Takes Two – One Resects, One Reconstructs; Advances in Radiation Oncology: What to Consider; Precision Medicine: Genomic Profiles to Individualize Therapy; The Role of Systemic Treatment Before, During, and After Definitive Treatment; Decision Making for Diagnosis and Management: A Consensus Comes to Life; On Pain; Psychosocial Distress and Screening; First We Eat, Then We Do Everything Else: Nutrition; Functional Assessment and Rehabilitation: How to Maximize Outcomes; Survivorship - Morbidity, Mortality, Malignancy; and Immunotherapy: Who is Eligible?
Macarthur Competence Assessment Tool For Treatment Maccat T
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Author : Thomas Grisso
language : en
Publisher:
Release Date : 1998
Macarthur Competence Assessment Tool For Treatment Maccat T written by Thomas Grisso and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998 with Decision making categories.
The MacArthur Competence Assessment Tool for Treatment (MacCAT-T) is the product of an 8-year study of patients' capacities to make treatment decisions. It is a semi-structured interview that assists clinicians in assessing a patient's competence to consent to treatment. The process provides a patient with information about their medical/psychiatric condition, the type of treatment being recommended, its risks and benefits, as well as other possible treatments and their probable consequences. During this process, the MacCAT-T prompts the clinician to ask questions that assess the patient's understanding, appreciation, and reasoning regarding treatment decisions.The MacCAT-T Manual is a large-format, examiner-friendly field manual for conducting actual competency assessments. The MacCAT-T Record Form is well designed for recording, rating, and summarizing patient responses. The training videotape, Administering the MacCAT-T, demonstrates an actual administration of the test with discussion, comments, and annotations by Drs. Grisso and Appelbaum.The book, Assessing Competence to Consent to Treatment, describes the place of competence in the doctrine of informed consent, analyzes the elements of decision making, and shows how assessments of competence to consent to treatment can be conducted within varied general medical and psychiatric treatment settings. Includes numerous case studies.
Factors Conditioning The Autonomy Of Patients In Decision Making Processes In Clinical Settings
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Author : Jesús Molina-Mula
language : en
Publisher: Cambridge Scholars Publishing
Release Date : 2018-11-30
Factors Conditioning The Autonomy Of Patients In Decision Making Processes In Clinical Settings written by Jesús Molina-Mula and has been published by Cambridge Scholars Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-11-30 with Medical categories.
This book explores the factors that determine and influence the quality of care in clinical setting from the perspective of understanding the decision-making capacity of patients. It looks at the nurse’s relationship with the patient, including the implications of this relationship in nursing practice; the relationship of the nurse with the family; interprofessional relationships within the health team and their influence on the clinical practice of nurses; and the nurse's relationship with the health system and its influence on patient-family care. The volume will guide managers of health organizations to establish programs and policies that reduce the negative effects of current management on health teams. These changes will improve the quality of care, and increase the autonomy of patients in decision-making.
Helping People Share Decision Making
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Author : Debra de Silva
language : en
Publisher: The Health Foundation
Release Date : 2012
Helping People Share Decision Making written by Debra de Silva and has been published by The Health Foundation this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Chronic diseases categories.
Dissertation Abstracts International
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Author :
language : en
Publisher:
Release Date : 2006
Dissertation Abstracts International written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Dissertations, Academic categories.