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Factors affecting patient’s decision-making about treatment for cancer: a literature review.

Hayter, C. and Andrewes, T., 2021. Factors affecting patient’s decision-making about treatment for cancer: a literature review. Cancer Nursing Practice.

Full text available as:

Patient decision making cancer treatment final BURO copy.pdf - Accepted Version


Official URL:

DOI: 10.7748/cnp.2021.e1769


Decision-making about cancer treatment is complex. This literature review explores factors that impact on patients’ decision-making about treatment. Results were returned in MEDLINE, British Library, PsycINFO and Science Direct databases. These were filtered, using a PRISMA flowchart and inclusion and exclusion criteria applied. Six original papers, assessed as high quality using Critical Skills Appraisal Programme checklists, were reviewed. Data was collated and thematically analysed. Four themes were developed: communication and information giving, children and family influences, hope and treatment toxicities. These themes demonstrate the complexity of factors that influence decision-making about treatment and reinforce the importance of nurses, particularly clinical nurse specialists, using effective communication skills to make shared decision-making a reality. Developing a strong therapeutic relationship and getting to know patients over the course of their cancer journey, using communication tools, enables nurses to recognise and respond to emotional cues from patients and to start sensitive conversations about factors affecting them. Facilitating information sharing around treatment decision-making enhances patient’s experience by supporting their autonomy.

Item Type:Article
Uncontrolled Keywords:cancer treatment; decision-making; communication and information giving; children and family influences; hope; treatment toxicities; clinical nurse specialist
Group:Faculty of Health & Social Sciences
ID Code:35437
Deposited By: Symplectic RT2
Deposited On:26 Apr 2021 14:35
Last Modified:14 Mar 2022 14:27


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