Shared Decision Making Among Individuals With Cancer in Non-Western Cultures: A Literature Review

Obeidat, Rana; Homish, Gregory G.; Lally, Robin M.

doi:10.1188/13.onf.454-463

Cited by 57 publications

(56 citation statements)

References 51 publications

(84 reference statements)

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“…Non-Western physicians are also reluctant to inform their patients of their cancer diagnosis and prefer to disclose the diagnosis to the family. [13] A study reported that Japanese patients were not given the opportunity to participate in decision making and forced to make treatment decisions without being given sufficient information. [13]…”

Section: Introductionmentioning

confidence: 99%

“…[13] A study reported that Japanese patients were not given the opportunity to participate in decision making and forced to make treatment decisions without being given sufficient information. [13]…”

Section: Introductionmentioning

confidence: 99%

“…In their narrative review of the non-Western literature of decision making among adult cancer patients, Obeidat et al . [13] found that only three studies recruited Arab cancer patients or healthcare providers. None of the three studies recruited Jordanian healthcare providers, including physicians, and addressed treatment decision making.…”

Section: Introductionmentioning

confidence: 99%

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Jordanian physicians' attitudes toward disclosure of cancer information and patient participation in treatment decision-making

Obeidat

Khrais

2016

Asia-Pacific Journal of Oncology Nursing

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Objective:This study aims to determine the attitude of Jordanian physicians toward disclosure of cancer information, comfort and use of different decision-making approaches, and treatment decision making.Methods:A descriptive, comparative research design was used. A convenience sample of 86 Jordanian medical and radiation oncologists and surgeons practicing mainly in oncology was recruited. A modified version of a structured questionnaire was used for data collection. The questionnaire is a valid measure of physicians’ views of shared decision making.Results:Almost 91% of all physicians indicated that the doctor should tell the patient and let him/her decide if the family should know of an early-stage cancer diagnosis. Physicians provide abundant information about the extent of the disease, the side effects and benefits of the treatment, and details of the treatment procedures. They also provided less information on the effects of treatment on the sexuality, mood, and family of the patient. Almost 48% of the participating physicians reported using shared decision making as their usual approach for treatment decision making, and 67% reported that they were comfortable with this approach. The main setting of clinical activity was the only factor associated with physicians’ usual approach to medical decision making. Moreover, age, years of experience, and main setting of clinical activity were associated with physicians’ comfort level with the shared approach.Conclusions:Although Jordanian physicians appreciate patient autonomy, self-determination, and right to information, paternalistic decision making and underuse of the shared decision-making approach persist. Strategies that target both healthcare providers and patients must be employed to promote shared decision making in the Jordanian healthcare system.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Jordanian physicians' attitudes toward disclosure of cancer information and patient participation in treatment decision-making

Obeidat

Khrais

2016

Asia-Pacific Journal of Oncology Nursing

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“…For example in many cultures disclosure of diagnostic and prognostic information to the patient is discouraged in an effort to protect the patient from distress [5,6]. Cultural values and communication expectations common in non-western cultures [7,8] may prevail even when patients and families migrate to countries with different communication norms.…”

Section: Introductionmentioning

confidence: 99%

Treatment decision making experiences of migrant cancer patients and their families in Australia

Shaw¹,

Zou²,

Butow³

2015

Patient Education and Counseling

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Objective: To explore treatment decision-making experiences of Australian migrants with cancer from Arabic, Chinese, or Greek backgrounds and their relatives.Methods: 73 patients and 18 caregivers from cancer support groups and oncology clinics participated in either a focus group (n=14) or semi-structured interview (n=21) conducted in the participant's own language. Participant treatment decision-making preferences were discussed as part of patients' overall treatment experience and a thematic analysis conducted.Results: Four main themes emerged from the data:(1) perceived role of the patient in decision-making;(2) access to information and the impact of language; (3)cultural influences (4)family involvement. The majority of participants experienced passive involvement during treatment consultations, but expressed a desire for greater involvement. Language rather than culture was a greater obstacle to active participation. Difficulty communicating effectively in English was the most significant barrier to participation in treatment decisions. To overcome language challenges, participants actively sought information from alternative sources. Conclusion and practice implications:This study provides new insights into the influence of language and culture on the treatment decision-making experiences of migrants with cancer and their families within the Australian cancer care system. To reduce health disparities doctors need to address language difficulties and be aware of cultural differences.

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“…Patients from Eastern cultures may value being accompanied by family and friends when cancer is diagnosed; however, assumptions based on culture should be avoided. Nurses should determine patient preferences for diagnosis disclosure, information requirements, and participation in decision making (Obeidat, Homish, & Lally, 2013).…”

Section: Literature Reviewmentioning

confidence: 99%

Consultation Techniques Using Shared Decision Making for Patients With Cancer and Their Families

Kawasaki¹

2014

Clinical Journal of Oncology Nursing

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This article elucidates the nursing consultation techniques in shared decision making (SDM) for patients with cancer and their family members. Descriptive data (207 records) from the nurse-led SDM consultation facility and content analysis were used to extract the nursing consultation techniques. In addition, the order in which these techniques were used to structure the SDM process for patients with cancer was identified. The author extracted eight categories pertaining to nurse consultation techniques for the SDM process: sharing feelings, helping to identify the focus of the consultations, helping to devise a personalized recovery plan, providing information in accordance with the patient's responses, supporting the patient to understand the information provided, ensuring continued treatment and care, strengthening the patient support system, and exploring possibilities on the basis of patient needs. The identified logical order in which these techniques were applied may be useful as a guide to systematic decision-making support.

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Shared Decision Making Among Individuals With Cancer in Non-Western Cultures: A Literature Review

Cited by 57 publications

References 51 publications

Jordanian physicians' attitudes toward disclosure of cancer information and patient participation in treatment decision-making

Jordanian physicians' attitudes toward disclosure of cancer information and patient participation in treatment decision-making

Treatment decision making experiences of migrant cancer patients and their families in Australia

Consultation Techniques Using Shared Decision Making for Patients With Cancer and Their Families

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