Patients' experience of decision-making and receiving information during radiation therapy: A qualitative study

Purpose: This study aimed to explore: (i) patient perceptions of how they are involved in treatment decisions about radiation therapy; (ii) patient knowledge and understanding of treatment; and (iii) what patients value in their interactions with the radiation therapy treatment team. Method: Patient...

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Main Authors: Smith, S., Nathan, D., Taylor, J., van Gelder, E., Dixon, A., Halkett, Georgia, Milross, C., Dhillon, H.
Format: Journal Article
Published: xxx 2017
Online Access:http://hdl.handle.net/20.500.11937/56761
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author Smith, S.
Nathan, D.
Taylor, J.
van Gelder, E.
Dixon, A.
Halkett, Georgia
Milross, C.
Dhillon, H.
author_facet Smith, S.
Nathan, D.
Taylor, J.
van Gelder, E.
Dixon, A.
Halkett, Georgia
Milross, C.
Dhillon, H.
author_sort Smith, S.
building Curtin Institutional Repository
collection Online Access
description Purpose: This study aimed to explore: (i) patient perceptions of how they are involved in treatment decisions about radiation therapy; (ii) patient knowledge and understanding of treatment; and (iii) what patients value in their interactions with the radiation therapy treatment team. Method: Patients were recruited through radiation oncology departments at metropolitan hospital sites located in Sydney, New South Wales, Australia. Semi-structured interviews were conducted with 21 radiation therapy patients with different types of cancer. Data were analysed using a Framework analysis to compare and contrast patient experiences. Results: Greater opportunities are needed to empower patients to ask questions about their uncertainties and concerns. Improvements in these areas will benefit patients and enable them to feel better prepared and know what to expect before and after their treatment. Most patients perceived the decision to undergo radiation therapy as agreeing to radiation oncologists recommendations rather than making a choice, but they trusted their radiation oncologist and were happy to follow their advice. Only a few participants reported their radiation oncologist had explained why radiation therapy was recommended, or discussed the benefits and harms. Some participants did not feel prepared for the intensity and disruption of side effects, and conveyed uncertainty about their diagnosis and the potential risk of recurrence. Most patients, irrespective of their type of cancer, valued the treatment team showing a genuine interest in how the treatment was effecting them, and being made to feel part of the department. Conclusion: Greater opportunities are needed to empower patients to ask questions about their uncertainties and concerns. Improvements in these areas will benefit patients and enable them to feel better prepared and know what to expect before and after their treatment.
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spelling curtin-20.500.11937-567612017-10-02T04:14:31Z Patients' experience of decision-making and receiving information during radiation therapy: A qualitative study Smith, S. Nathan, D. Taylor, J. van Gelder, E. Dixon, A. Halkett, Georgia Milross, C. Dhillon, H. Purpose: This study aimed to explore: (i) patient perceptions of how they are involved in treatment decisions about radiation therapy; (ii) patient knowledge and understanding of treatment; and (iii) what patients value in their interactions with the radiation therapy treatment team. Method: Patients were recruited through radiation oncology departments at metropolitan hospital sites located in Sydney, New South Wales, Australia. Semi-structured interviews were conducted with 21 radiation therapy patients with different types of cancer. Data were analysed using a Framework analysis to compare and contrast patient experiences. Results: Greater opportunities are needed to empower patients to ask questions about their uncertainties and concerns. Improvements in these areas will benefit patients and enable them to feel better prepared and know what to expect before and after their treatment. Most patients perceived the decision to undergo radiation therapy as agreeing to radiation oncologists recommendations rather than making a choice, but they trusted their radiation oncologist and were happy to follow their advice. Only a few participants reported their radiation oncologist had explained why radiation therapy was recommended, or discussed the benefits and harms. Some participants did not feel prepared for the intensity and disruption of side effects, and conveyed uncertainty about their diagnosis and the potential risk of recurrence. Most patients, irrespective of their type of cancer, valued the treatment team showing a genuine interest in how the treatment was effecting them, and being made to feel part of the department. Conclusion: Greater opportunities are needed to empower patients to ask questions about their uncertainties and concerns. Improvements in these areas will benefit patients and enable them to feel better prepared and know what to expect before and after their treatment. 2017 Journal Article http://hdl.handle.net/20.500.11937/56761 10.1016/j.ejon.2017.08.007 xxx restricted
spellingShingle Smith, S.
Nathan, D.
Taylor, J.
van Gelder, E.
Dixon, A.
Halkett, Georgia
Milross, C.
Dhillon, H.
Patients' experience of decision-making and receiving information during radiation therapy: A qualitative study
title Patients' experience of decision-making and receiving information during radiation therapy: A qualitative study
title_full Patients' experience of decision-making and receiving information during radiation therapy: A qualitative study
title_fullStr Patients' experience of decision-making and receiving information during radiation therapy: A qualitative study
title_full_unstemmed Patients' experience of decision-making and receiving information during radiation therapy: A qualitative study
title_short Patients' experience of decision-making and receiving information during radiation therapy: A qualitative study
title_sort patients' experience of decision-making and receiving information during radiation therapy: a qualitative study
url http://hdl.handle.net/20.500.11937/56761