2.50
Hdl Handle:
http://hdl.handle.net/10755/153725
Type:
Presentation
Title:
Cancer Patients' Decisional Conflict About Chemotherapy
Abstract:
Cancer Patients' Decisional Conflict About Chemotherapy
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Chang, Yu-Ping, RN, MS
P.I. Institution Name:Saint Louis University & FooYin University
Co-Authors:Luna Chang, RN, DrPH; Chuen-Mih Juang, RN, BSN
Objective: Decisional conflict is defined as a state of uncertainty related to a course of action. Such uncertainty happens when a patient makes a significant decision associated with loss, risk and values of life. Recently, more attention has been given on the importance of patient education and involvement in medical decision-making; however, shared decision making is not common in contemporary health care. Delayed-decision generated from decisional conflict will result in missing the best time of treatment and unnecessary medical expenses. This study aimed to explore the factors contributing to decisional conflict associated with chemotherapy among cancer patients. Design: Semi-structured individual interview was used to collect qualitative data. Population, Sample, Setting, and Year: Twelve cancer patients who had received chemotherapy in two general hospitals in southern Taiwan were interviewed from September 2002 to March 2003. Concept: Decisional Conflict, and Chemotherapy Methods: Two interviewers conducted the interviews based on a guide covering specific topics. The length of interviews varied between 40 and 80 minutes and the whole process was audio-taped; then all recorders were transcribed verbatim to maintain data integrity and to reduce perceptual bias. The transcripts processed by content analysis as suggested by Miles and Huberman (1994). Findings: The results indicated that the factors contributing to decisional conflict would be categorized into five themes, including “a lack of confidence in physician and treatment”, “an extreme fear about side effects of chemotherapy”, “depressed or anxious emotional state”, “feeling of lacking of family support”, “a hesitation between chemotherapy and traditional Chinese Medicine”. Conclusions: Congruent with other research all participants expressed the choice dilemma. The major difference was most patients spent much time to seek for traditional Chinese medicine first or consider combining traditional Chinese and chemotherapy. Implication: The finding provided a basis for clinical nurses using appropriate decision aids to facilitate shared decision-making.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCancer Patients' Decisional Conflict About Chemotherapyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153725-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Cancer Patients' Decisional Conflict About Chemotherapy</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chang, Yu-Ping, RN, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Saint Louis University &amp; FooYin University</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ns218@mail.fy.edu.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Luna Chang, RN, DrPH; Chuen-Mih Juang, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">Objective: Decisional conflict is defined as a state of uncertainty related to a course of action. Such uncertainty happens when a patient makes a significant decision associated with loss, risk and values of life. Recently, more attention has been given on the importance of patient education and involvement in medical decision-making; however, shared decision making is not common in contemporary health care. Delayed-decision generated from decisional conflict will result in missing the best time of treatment and unnecessary medical expenses. This study aimed to explore the factors contributing to decisional conflict associated with chemotherapy among cancer patients. Design: Semi-structured individual interview was used to collect qualitative data. Population, Sample, Setting, and Year: Twelve cancer patients who had received chemotherapy in two general hospitals in southern Taiwan were interviewed from September 2002 to March 2003. Concept: Decisional Conflict, and Chemotherapy Methods: Two interviewers conducted the interviews based on a guide covering specific topics. The length of interviews varied between 40 and 80 minutes and the whole process was audio-taped; then all recorders were transcribed verbatim to maintain data integrity and to reduce perceptual bias. The transcripts processed by content analysis as suggested by Miles and Huberman (1994). Findings: The results indicated that the factors contributing to decisional conflict would be categorized into five themes, including &ldquo;a lack of confidence in physician and treatment&rdquo;, &ldquo;an extreme fear about side effects of chemotherapy&rdquo;, &ldquo;depressed or anxious emotional state&rdquo;, &ldquo;feeling of lacking of family support&rdquo;, &ldquo;a hesitation between chemotherapy and traditional Chinese Medicine&rdquo;. Conclusions: Congruent with other research all participants expressed the choice dilemma. The major difference was most patients spent much time to seek for traditional Chinese medicine first or consider combining traditional Chinese and chemotherapy. Implication: The finding provided a basis for clinical nurses using appropriate decision aids to facilitate shared decision-making.</td></tr></table>en_GB
dc.date.available2011-10-26T12:28:18Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T12:28:18Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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