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

Sian K Smith, Django Nathan, Jennifer Taylor, Eleni Van Gelder, Ann Dixon, Georgia K B Halkett, Christopher Milross, Haryana M Dhillon

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

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: 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.

Original languageEnglish
Pages (from-to)97-106
Number of pages10
JournalEuropean Journal of Oncology Nursing
Volume30
Early online date6 Sep 2017
DOIs
Publication statusPublished - Oct 2017

Keywords

  • Adult
  • Aged
  • Aged, 80 and over
  • Communication
  • Decision Making
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms/psychology
  • New South Wales
  • Patient Education as Topic
  • Patients/psychology
  • Physician-Patient Relations
  • Qualitative Research
  • Radiotherapy/psychology

Cite this

Patients' experience of decision-making and receiving information during radiation therapy : A qualitative study. / Smith, Sian K; Nathan, Django; Taylor, Jennifer; Van Gelder, Eleni; Dixon, Ann; Halkett, Georgia K B; Milross, Christopher; Dhillon, Haryana M.

In: European Journal of Oncology Nursing, Vol. 30, 10.2017, p. 97-106.

Research output: Contribution to journalArticle

Smith, Sian K ; Nathan, Django ; Taylor, Jennifer ; Van Gelder, Eleni ; Dixon, Ann ; Halkett, Georgia K B ; Milross, Christopher ; Dhillon, Haryana M. / Patients' experience of decision-making and receiving information during radiation therapy : A qualitative study. In: European Journal of Oncology Nursing. 2017 ; Vol. 30. pp. 97-106.
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N2 - 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: 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.

AB - 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: 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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