Related Experiment Video
Updated: Mar 6, 2026
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
9.3K
[Barriers and facilitators to implementing shared decision-making in oncology: Patient perceptions]
M Ortega-Moreno1, N Padilla-Garrido1, L Huelva-López2
1Facultad de Ciencias Empresariales, Universidad de Huelva, Huelva, España.
Summary
Shared Decision Making (SDM) in cancer care is limited, with many patients not actively involved in treatment choices. Overcoming communication barriers and enhancing physician motivation are key to improving patient participation.
Area of Science:
- Oncology
- Health Services Research
- Patient-Centered Care
Background:
- Shared Decision Making (SDM) is crucial for patient-centered cancer care.
- Understanding patient perspectives on treatment decisions is essential for improving care models.
Purpose of the Study:
- To identify who makes treatment decisions from the cancer patient's viewpoint.
- To determine barriers and facilitators impacting Shared Decision Making (SDM) implementation.
Main Methods:
- Cross-sectional, descriptive study with 108 cancer patients.
- Self-report questionnaires collected data on demographics, treatment decisions, and SDM barriers/facilitators.
Main Results:
- 38.1% of patients reported participating in SDM.
- Barriers included time constraints, information complexity, paternalism, and poor communication.
- Physician motivation and patient interest facilitated SDM, while decision-making tools or financial incentives did not.
Conclusions:
- Cancer patients perceive limited involvement in their treatment decisions.
- Healthcare models require improvement to overcome barriers and foster greater patient participation in decision-making.
Related Concept Videos
01:21Barriers to Effective Communication II
5.2K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
5.2K
01:27Nursing Ethical Principles II
2.4K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.4K
01:27Ethical Issues
2.4K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.4K
01:30Ethical Dilemmas II
2.6K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.6K
01:13Patient-centered Care
3.2K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.2K
01:15Methods of Documentation VI: Case Management Model
992
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
992