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

Abstract

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.