Improving the Quality of Decision Making in Breast Cancer: Consultation Planning Template and Consultation Recording Template
Oncology nursing forumPublished 1 January 2003
Karen Sepucha, Jeffrey Belkora, Caryn Aviv, Stephanie Mutchnick, Laura J. Esserman
Citations23
SJR quartileQ3
SJR score0.48
SNIP0.50
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Two templates that can be used to improve the quality of breast cancer treatment decisions are described, which are practical tools that nurses can use to help patients make better decisions.
Abstract
Nurses often provide the majority of education and coaching for patients making decisions. As patients' demands for involvement in decision making increase, nurses need practical tools to help patients participate. The templates are practical tools that nurses can use to help patients make better decisions.
Keywords
MedicineHealth Professions
Cochrane Database of Systematic ReviewsDecision aids for people facing health treatment or screening decisions
6,616 Citations2017Dawn Stacey, France Légaré +9 more
Decision aids reduced the proportion of undecided participants and appeared to have a positive effect on patient-clinician communication, and those exposed to a decision aid were either equally or more satisfied with their decision, the decision-making process, and the preparation for decision making compared to usual care.
JAMAHealth Information on the Internet
1,213 Citations2001Gretchen Berland, Marc N. Elliott +11 more
Accessing health information using search engines and simple search terms is not efficient, coverage of key information on English- and Spanish-language Web sites is poor and inconsistent, although the accuracy of the information provided is generally good.
New England Journal of MedicineMedical Records That Guide and Teach
977 Citations1968Lawrence L. Weed
The beginning clinical clerk, the house officer and the practicing physician are all confronted with conditions that are frustrating in every phase of medical action.
BMJDecision aids for patients facing health treatment or screening decisions: systematic review
877 Citations1999Annette M. O’Connor, Alaa Rostom +7 more
JAMAA Model of Empathic Communication in the Medical Interview
783 Citations1997Anthony L. Suchman
Based on observations, the basic empathic skills seem to be recognizing when emotions may be present but not directly expressed, inviting exploration of these unexpressed feelings, and effectively acknowledging these feelings so the patient feels understood.
PubMedSoliciting the patient's agenda: have we improved?
736 Citations1999M. Kim Marvel, Ronald M. Epstein +2 more
New England Journal of MedicineMedical Records That Guide and Teach
449 Citations1968Lawrence L. Weed
The Medical Interview: Clinical Care, Education, and Research
263 Citations2011Mack Lipkin, Samuel M. Putnam +1 more
Higher cognitive functioning is associated with better memory, attention and concentration, and the quality of associations in a larger group of people is improved.
JNCI MonographsDecision Aids for Patients Considering Options Affecting Cancer Outcomes: Evidence of Efficacy and Policy Implications
240 Citations1999Annette M. O’Connor, Valerie Fiset +6 more
The purpose of this paper is to review published evidence about the efficacy of decision aids focused on cancer outcomes, several recommendations for research are made, and dissemination issues are identified.
Medical Decision MakingRandomized Trial of a Patient Decision Aid for Choice of Surgical Treatment for Breast Cancer
183 Citations2001Vivek Goel, Carol Sawka +3 more
Although the decision aid had minimal impact on the main study outcomes, a subgroup of women who were initially leaning toward mastectomy or were unsure had lower decisional conflict and may have benefited.
Journal of General Internal MedicineOh, by the way …
174 Citations1994Jocelyn White, Wendy Levinson +1 more
Orienting patients in the flow of the visit, assessing patient beliefs, checking for understanding, and addressing emotions and psychosocial issues early on may decrease the number of new problems in the final moments of theVisit.
Journal of General Internal MedicineEvaluation of two methods to facilitate shared decision making for men considering the prostate-specific antigen test
154 Citations2001Dominick L. Frosch, Robert M. Kaplan +1 more
Providing information about PSA screening in the form of video or discussion is feasible and significantly alters PSA Screening rates.
Journal of General Internal MedicinePhysicians’ interviewing styles and medical information obtained from patients
142 Citations1987Debra Roter, Judith A. Hall
This paper investigates the association between physicians’ interviewing styles and medical information obtained during simulated patient encounters and finds that clinical expertise was only weakly associated with patient disclosure of medical information to the physician.
PubMedInformation-seeking behaviors of women with breast cancer.
138 Citations2001Charlotte E. Rees, Peter A. Bath
The focus group discussions suggested that the information-seeking behaviors of women with breast cancer were highly individualistic and are not related to demographic or disease-related characteristics.
Journal of Clinical OncologyMastectomy or Lumpectomy? Helping Women Make Informed Choices
132 Citations1999Timothy J. Whelan, Mark N. Levine +9 more
The Decision Board is a simple method to improve communication and facilitate shared decision making and was well accepted by patients and surgeons and easily applied in the community.
The Medical Journal of AustraliaCommunicating prognosis in early breast cancer: do women understand the language used?
132 Citations1999Elizabeth Lobb, Phyllis Butow +2 more
To determine the degree to which women with early breast cancer understand the prognostic information communicated by clinicians after breast cancer diagnosis, and their preferences for how this information is presented, a large sample of women were surveyed.
Journal of Clinical OncologyConsultation Planning to Help Breast Cancer Patients Prepare for Medical Consultations: Effect on Communication and Satisfaction for Patients and Physicians
115 Citations2002Karen Sepucha, Jeffrey Belkora +2 more
Visit preparation sessions help patients prepare for medical consultations and reduce barriers to communication between breast cancer patients and physicians.
Frontiers of primary careThe Medical Interview
102 Citations1995Mack Lipkin, Samuel M. Putnam +1 more
Nursing ResearchAttention and Symptom Distress in Women With and Without Breast Cancer
94 Citations2001Bernadine Cimprich, David L. Ronis
Reduced performance in a cognitive function was observed before treatment and found to persist over an extended interval in older women newly diagnosed with breast cancer.
Journal of Clinical OncologyBuilding Bridges Between Physicians and Patients: Results of a Pilot Study Examining New Tools for Collaborative Decision Making in Breast Cancer
85 Citations2000Karen Sepucha, Jeffrey Belkora +2 more
Consultation recording methods provide a promising innovation for medical consultations and are warranted to broaden the findings, assess impacts on the quality of decisions, cost, and health, and develop practical ways to integrate consultation recording methods into clinics.
Cancer NursingPatient Participation in Decision Making About Care
80 Citations2001Carita Sainio, Elina Eriksson +1 more
The results showed that patients, nurses and physicians all play a part in terms of how patients participate in decision‐making.
UrologyAssessment of the Feasibility and Impact of Shared Decision Making in Prostate Cancer
78 Citations1998Erol Onel, Cristina Hamond +6 more
Standardized video presentations of treatment alternatives for prostate cancer can be incorporated into busy office practices and patients and physicians benefit from the increased level of understanding that allows physician/patient discussions to focus on the critical risk/benefit tradeoffs.
PubMedDomains of distress: the experience of breast cancer in Australia.
42 Citations1998Suzanne K. Steginga, Stefano Occhipinti +2 more
Nurses who assist women in adjusting to breast cancer should consider the effect of fear of recurrence and perceptions of body image on the recovery process, and supportive psychological care should target both emotional and cognitive responses to Breast cancer.
Medical Decision MakingEffects of Patient Education on Decisions about Breast Cancer Treatments
40 Citations1995Gretchen B. Chapman, Arthur S. Elstein +1 more
The authors examined the effects of materials for educating patients about treatment options for breast cancer on knowledge about the disease, preferences for alternative treatments, and how changes in knowledge and preferences were related.
PubMedUsing an interactive video disk in breast cancer patient support.
34 Citations1999Maslin Am, M Baum +3 more
Outcomes for women recently diagnosed with breast cancer who either received support and information from a multidisciplinary team or used a shared decision-making programme on an interactive video disk (IVD) system suggest that the role of clinical staff is more significant than the form of information provided.
PubMedBacking and forthing: the process of decision making by women considering participation in a breast cancer prevention trial.
22 Citations2001Karen Moore Schaefer, Elisabeth Crago Ladd +2 more
The core variable of backing and forthing is a nonlinear complex process of decision making that includes reviewing life, wanting to be sure, chancing and deciding within the contexts of fear, view of self in the world, transgenerational issues, and social support.
Methods of Information in MedicineInteractive Video Assists in Clinical Decision Making
18 Citations1998Beth E. Waitzfelder, E. P. Gramlich
Evaluation data from 103 patients overwhelmingly indicate that patients find the Shared Decision-making Programs for breast cancer clear, balanced and very good or excellent in terms of the amount of information presented and overall rating.
PubMedEstablishing an integrated framework for documentation: use of a self-reporting health history and outpatient oncology record.
2 Citations1994Barbara Skinn, Dawn Stacey
The Nursing Documentation Committee at the Ottawa Regional Cancer Centre designed and implemented a self-reporting health history that provides baseline data for care planning and an outpatient oncology recore that provides ongoing documentation of all patient assessment findings and subsequent care.
