DOJONR - DePaul Online Journal of Nursing Research
 

Document Type

Article

Publication Date

Fall 12-10-2015

Embargo Date

7-1-2022

Abstract

This study aimed to identify the barriers and promoters for nurses and nurse practitioners’ participation in cancer treatment decision in the era of shared decision-making (SDM). A descriptive, qualitative design was utilized. Participants consisted of 19 oncology nurses and 11 oncology nurse practitioners from inpatient and outpatient settings. The study was conducted from September through December 2014. Semi-structured interviews were performed and the data were analyzed using directed content analysis. The findings include the following barriers: practice barrier, patient barrier, institutional policy barrier, professional barrier, scope of practice barrier, insurance coverage barrier, and administrative barrier. Multidisciplinary team approach, having a nursing voice during SDM, high level of knowledge of the disease and treatment, and personal valuation of SDM participation were perceived as promoters. Oncology nurses and nurse practitioners face many barriers to their participation during SDM. Organizational support and system-wide culture of SDM are essential to achieve better cancer treatment decision outcomes. Additional studies are needed to determine the factors that can promote more participation among nurses and nurse practitioners in this new era of SDM.

WJNR_Tables 1_2&3.docx (18 kB)
Tables 1, 2 and 3

WJNR_Figure1.docx (26 kB)
Figure 1

Available for download on Friday, July 01, 2022

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