PURPOSE/ OBJECTIVES: To address decision-making styles among breast cancer survivors considering breast reconstruction. . DESIGN: A primary analysis of a cross-sectional sample among survivors who chose to have breast reconstruction to examine correlations among patient age, decision-making style, and the level of involvement of decision making. . SETTING: Hadassah Medical Center in Jerusalem, Israel. . SAMPLE: 70 women who had undergone breast reconstruction surgery in the past five years. . METHODS: Participants completed decision-making style and demographic questionnaires and an assessment of their level of involvement in the decision-making process. . MAIN RESEARCH VARIABLES: Level of involvement in decision making, decision-making model between provider and patient, and decision-making styles were examined. . FINDINGS: No correlation was found between four main decision-making styles and patient age or the extent of patient decision-making involvement and age. A statistically significant correlation was found between the level of involvement in decision making and the decision-making style of the patient. . CONCLUSIONS: Nurses should assess patient decision-making styles to ensure maximum patient involvement in the decision-making process based on personal desires regardless of age. . IMPLICATIONS FOR NURSING: Nurses working in breast cancer care must address the decision-making process of patients diagnosed with breast cancer, including the choice to undergo breast reconstruction after mastectomy. Nurses should understand the complex factors that influence a woman's decision-making style to best help with the decision.
PURPOSE/ OBJECTIVES: To address decision-making styles among breast cancer survivors considering breast reconstruction. . DESIGN: A primary analysis of a cross-sectional sample among survivors who chose to have breast reconstruction to examine correlations among patient age, decision-making style, and the level of involvement of decision making. . SETTING: Hadassah Medical Center in Jerusalem, Israel. . SAMPLE: 70 women who had undergone breast reconstruction surgery in the past five years. . METHODS:Participants completed decision-making style and demographic questionnaires and an assessment of their level of involvement in the decision-making process. . MAIN RESEARCH VARIABLES: Level of involvement in decision making, decision-making model between provider and patient, and decision-making styles were examined. . FINDINGS: No correlation was found between four main decision-making styles and patient age or the extent of patient decision-making involvement and age. A statistically significant correlation was found between the level of involvement in decision making and the decision-making style of the patient. . CONCLUSIONS: Nurses should assess patient decision-making styles to ensure maximum patient involvement in the decision-making process based on personal desires regardless of age. . IMPLICATIONS FOR NURSING: Nurses working in breast cancer care must address the decision-making process of patients diagnosed with breast cancer, including the choice to undergo breast reconstruction after mastectomy. Nurses should understand the complex factors that influence a woman's decision-making style to best help with the decision.
Entities:
Keywords:
breast cancer; breast care nurse; decision making; mastectomy; reconstruction
Authors: Sascha M Keij; Joyce E de Boer; Anne M Stiggelbout; Wändi Bruine de Bruin; Ellen Peters; Saïda Moaddine; Marleen Kunneman; Arwen H Pieterse Journal: BMJ Open Date: 2022-05-24 Impact factor: 3.006
Authors: Kelly M de Ligt; Laurentine S E van Egdom; Linetta B Koppert; Sabine Siesling; Janine A van Til Journal: Eur J Cancer Care (Engl) Date: 2019-05-09 Impact factor: 2.328