Patient participation in decision making: views of health professionals caring for people with colorectal cancer.

2.50
Hdl Handle:
http://hdl.handle.net/10541/72877
Title:
Patient participation in decision making: views of health professionals caring for people with colorectal cancer.
Authors:
Beaver, Kinta; Craven, Olive; Witham, Gary; Tomlinson, Mary; Susnerwala, Shabbir; Jones, David R; Luker, Karen
Abstract:
AIM: The aim of this study was to explore views on patient participation in decision making, as described by health professionals caring for people with colorectal cancer. BACKGROUND: Patient participation in health-care decision making is on the policy agenda at an international level. However, many aspects of cancer care and treatment are complex and it is unclear how health professionals view their role as promoters of patient participation. DESIGN: A qualitative exploratory study. METHODS: In depth interviews with 35 health professionals in clinical practice. Data were analysed using thematic content analysis, assisted by a computer software package for analysis of qualitative data (N-VIVO). RESULTS: Choices in relation to surgical treatment were viewed as limited. Although it was perceived that patients could be more involved in decisions related to adjuvant treatment, providing information on various chemotherapy regimes was challenging. It was acknowledged that patients could be involved in treatment choices but there was far less clarity concerning aspects of physical and psychological care. Age was a factor when determining which patients should be offered treatment choices. CONCLUSION: The availability and presentation of choices to patients is context specific and tailored to the preferences of individuals. If health professionals focus only on aspects of decision making related to treatment, the potential for shared partnerships with patients in relation to choices about physical and psychological care may be lost. This may be particularly pertinent for nurses and allied professions who engage with patients throughout the illness trajectory. RELEVANCE TO CLINICAL PRACTICE: Policy makers should arguably appreciate that health professionals have an awareness of current thinking on patient participation, but may find policy recommendations challenging to implement in clinical practice when faced with the individual needs and preferences of patients and the complexities and uncertainties of disease management.
Affiliation:
School of Nursing, Midwifery & Social Work, University of Manchester, Manchester, UK. kinta.beaver@manchester.ac.uk
Citation:
Patient participation in decision making: views of health professionals caring for people with colorectal cancer. 2007, 16 (4):725-33 J Clin Nurs
Journal:
Journal of Clinical Nursing
Issue Date:
Apr-2007
URI:
http://hdl.handle.net/10541/72877
DOI:
10.1111/j.1365-2702.2006.01587.x
PubMed ID:
17402954
Type:
Article
Language:
en
ISSN:
0962-1067
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorBeaver, Kinta-
dc.contributor.authorCraven, Olive-
dc.contributor.authorWitham, Gary-
dc.contributor.authorTomlinson, Mary-
dc.contributor.authorSusnerwala, Shabbir-
dc.contributor.authorJones, David R-
dc.contributor.authorLuker, Karen-
dc.date.accessioned2009-07-07T16:17:25Z-
dc.date.available2009-07-07T16:17:25Z-
dc.date.issued2007-04-
dc.identifier.citationPatient participation in decision making: views of health professionals caring for people with colorectal cancer. 2007, 16 (4):725-33 J Clin Nursen
dc.identifier.issn0962-1067-
dc.identifier.pmid17402954-
dc.identifier.doi10.1111/j.1365-2702.2006.01587.x-
dc.identifier.urihttp://hdl.handle.net/10541/72877-
dc.description.abstractAIM: The aim of this study was to explore views on patient participation in decision making, as described by health professionals caring for people with colorectal cancer. BACKGROUND: Patient participation in health-care decision making is on the policy agenda at an international level. However, many aspects of cancer care and treatment are complex and it is unclear how health professionals view their role as promoters of patient participation. DESIGN: A qualitative exploratory study. METHODS: In depth interviews with 35 health professionals in clinical practice. Data were analysed using thematic content analysis, assisted by a computer software package for analysis of qualitative data (N-VIVO). RESULTS: Choices in relation to surgical treatment were viewed as limited. Although it was perceived that patients could be more involved in decisions related to adjuvant treatment, providing information on various chemotherapy regimes was challenging. It was acknowledged that patients could be involved in treatment choices but there was far less clarity concerning aspects of physical and psychological care. Age was a factor when determining which patients should be offered treatment choices. CONCLUSION: The availability and presentation of choices to patients is context specific and tailored to the preferences of individuals. If health professionals focus only on aspects of decision making related to treatment, the potential for shared partnerships with patients in relation to choices about physical and psychological care may be lost. This may be particularly pertinent for nurses and allied professions who engage with patients throughout the illness trajectory. RELEVANCE TO CLINICAL PRACTICE: Policy makers should arguably appreciate that health professionals have an awareness of current thinking on patient participation, but may find policy recommendations challenging to implement in clinical practice when faced with the individual needs and preferences of patients and the complexities and uncertainties of disease management.en
dc.language.isoenen
dc.subjectColorectal Canceren
dc.subject.meshAdult-
dc.subject.meshColorectal Neoplasms-
dc.subject.meshDecision Making-
dc.subject.meshHealth Personnel-
dc.subject.meshHumans-
dc.subject.meshMiddle Aged-
dc.subject.meshPatient Participation-
dc.titlePatient participation in decision making: views of health professionals caring for people with colorectal cancer.en
dc.typeArticleen
dc.contributor.departmentSchool of Nursing, Midwifery & Social Work, University of Manchester, Manchester, UK. kinta.beaver@manchester.ac.uken
dc.identifier.journalJournal of Clinical Nursingen
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