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Nurses' Perceptions of Their Involvement in Shared Decision-Making for Advanced Cancer Treatment and Palliative Care;
Jannicke Rabben1, Mariann Fossum2, Bella Vivat3
1Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.
Journal of Advanced Nursing
|April 26, 2025
Summary
Nurses perceive their vital role in shared decision-making for advanced cancer and palliative care, despite facing professional challenges. Enhancing interprofessional collaboration can improve patient involvement in treatment decisions.
Area of Science:
- Oncology Nursing
- Palliative Care
- Shared Decision-Making
Background:
- Shared decision-making (SDM) is crucial in advanced cancer and palliative care.
- Nurses play a key role in facilitating patient involvement in treatment decisions.
- Understanding nurses' perceptions of their contribution to SDM is essential.
Purpose of the Study:
- To explore nurses' perceptions of their involvement in SDM for advanced cancer and palliative care.
- To examine nurses' contributions to patient involvement in treatment decisions.
Main Methods:
- Exploratory qualitative research design.
- In-depth interviews with 15 nurses from two Norwegian hospitals (March-October 2023).
- Analysis using reflexive thematic analysis.
Main Results:
- Theme 1: Person-centredness—acquiring and sharing knowledge, including advocating for patients and providing support.
- Theme 2: Enacting the professional nurse role in complex situations, navigating challenges in palliative care decision-making, and balancing beneficence with patient autonomy.
- Nurses identified systemic and cultural factors influencing their roles and contributions to SDM.
Conclusions:
- Nurses perceive themselves as contributing to SDM but face role-related challenges and dilemmas.
- Enhanced interprofessional collaboration is suggested to improve patient involvement in SDM.
- Further development of nurses' contributions to SDM can support patient involvement in advanced cancer and palliative care.
Keywords:
cancerdecision‐makingnursingpalliative carepatientsperson‐centred carequalitative researchshared decision‐makingthematic analysisMore Related Videos
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