Barriers and facilitators for shared decision-making in oncology inpatient practice: an explorative study of the healthcare providers’ perspective

Steenbergen, Milou; Vries, Jolanda De; Arts, Rita; Beerepoot, Laurens V.; Traa, Marjan J.

doi:10.1007/s00520-022-06820-1

Cited by 12 publications

(8 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Beyond the benefits of rapid data gathering and reporting, hospitalization also alleviated decisional uncertainty since information can be relayed quickly and questions answered immediately by inpatient providers. This adds to previous studies that found that the ability to exchange desired information facilitates SDM in hospitalized patients [ 18 , 20 – 22 ]. Oncologists also described how hospitalization can promote information retention and consolidation since inpatient providers can start a chain of information repetition, preparing patients to participate in SDM [ 23 , 24 ].…”

Section: Discussionsupporting

confidence: 59%

“…Oncologists recommended handoffs and tailored, standardized information in discharge instructions, which could address difficulties regarding pending test follow-up and a lack of information integration at discharge. This complements and adds to a recent qualitative oncology inpatient SDM study which proposed that the electronic health record could be leveraged to better promote SDM [ 18 ]. Lastly, education on reputable online information and orientation to cancer care delivery were recommended by both patients and oncologists to facilitate effective SDM.…”

Section: Discussionmentioning

confidence: 87%

See 1 more Smart Citation

Shared decision-making needs, barriers, and facilitators of patients with newly diagnosed advanced cancer in the hospital: a multi-level, mixed-methods study

Reyes,

Wong,

Petrofsky

et al. 2024

Support Care Cancer

View full text Add to dashboard Cite

Purpose Little is known about the shared decision-making (SDM) needs, barriers, and facilitators of patients with newly diagnosed advanced cancer in the hospital. Understanding this may improve SDM and cancer care quality in this vulnerable population. Methods A single-site, mixed-methods study of hospitalized patients with newly diagnosed advanced cancer, caregivers, and oncologists was conducted. After discharge, patient ± caregiver semi-structured interviews exploring SDM needs, barriers, and facilitators regarding their most important upcoming cancer-related decision were conducted. Oncologists were surveyed about patient knowledge and SDM needs using closed- and open-ended questions, respectively. Thematic analysis was performed for qualitative data with a focus on themes unique to or amplified by hospitalization. Descriptive statistics and the Chi-squared test were performed for quantitative data. Results Patients and caregivers reported high SDM needs surrounding treatment and prognostic information, leading to decisional conflict. Eight themes emerged: anticipated cancer treatment decisions, variable control preferences in decision-making, high cancer-related information needs and uncertainty, barriers and facilitators to information gathering during and post hospitalization, and decision-making facilitators. Among 32 oncologists, most (56%) reported patients were poorly informed about treatment and prognosis. Oncologists reported variable expectations about patient knowledge after hospitalization, facilitators to patient decision-making, and patient uncertainty while awaiting an outpatient oncologist appointment. Conclusion Patients newly diagnosed with advanced cancer in the hospital have high SDM needs and experience decisional conflict. This may be due to barriers unique to or exacerbated by hospitalization. Further research is needed to develop strategies to address these barriers and enhance the facilitators identified in this study.

show abstract

Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 87%

Shared decision-making needs, barriers, and facilitators of patients with newly diagnosed advanced cancer in the hospital: a multi-level, mixed-methods study

Reyes,

Wong,

Petrofsky

et al. 2024

Support Care Cancer

View full text Add to dashboard Cite

show abstract

“…[72][73][74][75][76][77][78][79][80][81][82][83][84] On the other hand, facilitators include patient education, decision aids, interdisciplinary collaboration, clear communication channels, shared goals, effective leadership, supportive team culture, cultural competency training, and the use of professional interpreters. 72,77,79,82,[84][85][86] Understanding and addressing these enablers and barriers are crucial for healthcare providers and policymakers to promote and implement patientcentred care effectively in the context of chronic diseases.…”

Section: Barriers and Enablersmentioning

confidence: 99%

Analysis and mapping the research landscape on patient‐centred care in the context of chronic disease management

Sweileh

2024

Evaluation Clinical Practice

View full text Add to dashboard Cite

RationalePatient‐centred care has emerged as a transformative approach in managing chronic diseases, aiming to actively involve patients in their healthcare decisions.Aims and ObjectivesThis study was conducted to analyse and map the research landscape on patient‐centred care in the context of chronic disease management.MethodsThis study used Scopus to retrieve the relevant articles. The analysis focused on the growth pattern, highly cited articles, randomised clinical trials, patients and providers perspectives, facilitators and barriers, frequent author keywords, emerging topics, and prolific countries and journals in the field.ResultsIn total, 926 research articles met the inclusion criteria. There was a notable increase in the number of publications over time. Cancer had the highest number of articles (n = 379, 40.9%), followed by diabetes mellitus, and mental health and psychiatric conditions. Studies on patient‐centred care in diabetic patients received the highest number of citations. The results identified 52 randomised controlled trials that covered four major themes: patient‐centred care for diabetes management, shared decision‐making in mental health and primary care, shared decision‐making in cancer care, and economic evaluation and cost‐effectiveness. The study identified 51 studies that examined the impact of tools such as computer‐based systems, decision aids, smartphone apps, and online tools to improve patient‐centred outcomes. A map of author keywords showed that renal dialysis, HIV, and atrial fibrillation were the most recent topics in the field. Researchers from the United States contributed to more than half of the retrieved publications. The top active journals included “Patient Education and Counselling” and “Health Expectations”.ConclusionThis study provides valuable insights into the research landscape of patient‐centred care within the context of chronic diseases. The current study provided a comprehensive overview of the research landscape on patient‐centred care, which can empower patients by raising their awareness about clinical experiences and outcomes.

show abstract

“…They do not always understand the information they are given by their healthcare provider, or are not used to making decisions about their own treatment. 11 Moreover, people sometimes do not recognize the importance of their own preferences and often feel insecure about using medical information to participate in decision-making. 12 Several studies in different countries have been performed to determine individuals' preferences regarding glucoselowering medication for type 2 diabetes.…”

Section: Introductionmentioning

confidence: 99%

Preferred Conversation Topics with Respect to Treatment Decisions Among Individuals with Type 2 Diabetes

Tichler¹,

Hertroijs²,

Ruwaard³

et al. 2023

PPA

View full text Add to dashboard Cite

Purpose Greater knowledge of individuals’ needs and preferences can enhance shared decision-making, which is associated with improved quality of decisions and increased satisfaction. This study aimed to identify and prioritize the attributes (ie conversation topics) that individuals with type 2 diabetes find it most important to discuss with their healthcare provider regarding treatment decisions. Patients and Methods First, small group interviews were organized with adults with type 2 diabetes (N=8) treated in primary care to identify the attributes that they find important to discuss regarding treatment decisions. A five-step nominal group technique was applied during the interviews. An object best-worst scaling (BWS) survey was subsequently distributed to individuals with self-reported diabetes participating in the Dutch Health Care Consumer Panel of the Netherlands Institute for Health Services Research (N=600) to determine the relative importance score (RIS) of the identified attributes. A higher RIS indicates a higher level of perceived importance. Subgroup and latent class analyses were performed to explore whether individuals’ demographic and disease characteristics influenced their attribute preferences. Results A total of 21 attributes were identified during three small group interviews with individuals with type 2 diabetes. Respondents in the BWS survey (N=285) viewed “quality of life” (RIS=11.97), “clinical outcomes” (RIS=10.40), “long-term diabetes complications” (RIS=9.83) and “short-term adverse medication” (RIS=7.72) as the most important in the decision-making process for the treatment of type 2 diabetes. Some differences in attribute preferences were identified according to demographic and disease characteristics. Conclusion In general, individuals with type 2 diabetes not only want to discuss the biological effects of treatments, but also the impact of treatment on their quality of life. Healthcare providers should be aware that attributes are viewed differently by different individuals. This emphasizes the need for tailor-made healthcare decisions, which means eliciting and responding to individual preferences in the decision-making process.

show abstract

Barriers and facilitators for shared decision-making in oncology inpatient practice: an explorative study of the healthcare providers’ perspective

Cited by 12 publications

References 27 publications

Shared decision-making needs, barriers, and facilitators of patients with newly diagnosed advanced cancer in the hospital: a multi-level, mixed-methods study

Shared decision-making needs, barriers, and facilitators of patients with newly diagnosed advanced cancer in the hospital: a multi-level, mixed-methods study

Analysis and mapping the research landscape on patient‐centred care in the context of chronic disease management

Preferred Conversation Topics with Respect to Treatment Decisions Among Individuals with Type 2 Diabetes

Contact Info

Product

Resources

About