The influence of a department's psychosocial climate and treatment environment on cancer patients' anxiety during radiotherapy

Abstract

Both the treatment environment and the psychosocial climate of the RT clinic significantly impact cancer patient state anxiety levels. These findings suggest that actively employing a person-centered approach during RT, and designing the treatment environment to be more attentive to the patient experience can both play a significant role in decreasing patient situational anxiety during treatment.

Person‐centred climate and psychometrical exploration of person‐centredness and among patients not conveyed by the Ambulance Care Service

“…However, the performance of this subscale was comparable with previous studies by Mullaney et al. , suggesting that patients relate to their own home environment when answering these items. All 17‐items in the PCQ‐P originally started with ‘A place’.…”

“…We assumed that the subscale Everydayness might be difficult to apply in this context because the PCQ-P was originally designed for an intrahospital setting. However, the performance of this subscale was comparable with previous studies by Mullaney et al (40), suggesting that patients relate to their own home environment when answering these items. All 17-items in the PCQ-P originally started with 'A place'.…”

“…As the patients were not conveyed by ambulance to the AED, we chose to change the wording to; ‘I experience the care provided by the ambulance clinicians as a care where…’ after having consulted the designer of the instrument. This may have improved understanding, resulting in a rating level of the PCQ‐P (total and subscales) comparable with a previous study .…”

“…after having consulted the designer of the instrument. This may have improved understanding, resulting in a rating level of the PCQ-P (total and subscales) comparable with a previous study (40).…”

“…Overall, the climate was perceived as good, with a mean of 92 (Table 4). This can be compared to the similar scores of patients undergoing radiotherapy due to cancer (40). Surprisingly, the dimension of Everydayness had high scores, despite the fact that it stems from an institutional perspective on the physical environment and the patients in our study were in their own home.…”