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"I Made All Decisions Myself": Breast Cancer Treatment Decision-Making by Receivers and Decliners
Eunjung Kim1, Sou Hyun Jang2, M Robyn Andersen3
1Department of Family and Child Nursing, University of Washington, Seattle, USA.
Asia-Pacific Journal of Oncology Nursing
|April 14, 2021
Summary
Women with breast cancer make decisions about adjuvant treatments differently. Understanding these diverse decision-making behaviors is crucial for providing adequate patient support and ensuring essential care.
Area of Science:
- Oncology
- Decision Science
- Patient Behavior
Background:
- Many women diagnosed with breast cancer decline adjuvant treatments.
- Understanding the decision-making processes behind treatment acceptance or refusal is limited.
Purpose of the Study:
- To explore and compare the decision-making behaviors of breast cancer patients who accepted (receivers) versus refused (decliners) adjuvant treatments.
Main Methods:
- Inductive content analysis of in-depth, semi-structured interviews.
- Seven women (four receivers, three decliners) diagnosed with breast cancer were interviewed.
Main Results:
- Receivers cited influence from doctors and family; decliners felt supported by doctors and were influenced by others' therapy experiences, test results, and side effect concerns.
- Receivers relied on books and expressed decision discomfort, while decliners used diverse information sources.
- Both groups believed they made autonomous decisions, though receivers reported negative views on some medical advice and occasional gaps in the decision process.
Conclusions:
- Breast cancer patients require enhanced support to comprehend prescribed care.
- Effective communication and shared decision-making are vital for patients navigating treatment choices.
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