Factors influencing family involvement in treatment decision-making for older patients with cancer: A scoping review

Dijkman, Bea; Luttik, Marie Louise; Wal-Huisman, Hanneke van der; Paans, Wolter; Leeuwen, Barbara L. van

doi:10.1016/j.jgo.2021.11.003

Cited by 18 publications

(19 citation statements)

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“…This study investigated how surgeons and nurses in clinical practice perceive the distinct nature of adult children's involvement in decision-making about the treatment of older patients with cancer. In line with other studies, both surgeons and nurses confirmed that the role of adult children in decision-making about treatment increases when patients and their partners become frail and when, for example, their cognitive abilities decline [10,11,21].…”

Section: Discussionsupporting

confidence: 87%

Involvement of adult children in treatment decision-making for older patients with cancer — a qualitative study of perceptions and experiences of oncology surgeons and nurses

Dijkman

Paans

Wal-Huisman

et al. 2022

Support Care Cancer

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Background Many older patients with cancer have their family members, often their adult children, involved in a process of treatment decision-making. Despite the growing awareness that family members can facilitate a process of shared decision-making, strategies for involving family members are scarce. Furthermore, literature about shared decision-making pays little attention to family involvement or to the impact that family relations have on the decision process. The purpose of this study was to explore how surgeons and nurses perceive the involvement of adult children of older patients with cancer in treatment decision-making. Subsequently, it identified strategies to ensure family involvement in the decision-making process, used in clinical practice. Methods Qualitative open in-depth interviews were conducted with 13 surgeons and 13 nurses working in a university or general hospital. Qualitative content analysis was conducted according to the steps of thematic analysis. Results Both nurses and surgeons indicated that adult children’s involvement in decision-making about treatment increases when patients become frail. They mentioned several characteristics of adult children’s behaviour during the decision-making process. Most of these characteristics are beneficial, but they also can be challenging. The distinct nature of adult children’s involvement can help older patients with cancer reach better-informed treatment decisions. Health professionals reported six strategies to support positive family involvement in decision-making about treatment. Conclusion Adult children may facilitate a process of shared decision-making and help patients reach well-informed treatment decisions. Health professionals’ strategies deliberately support positive family involvement.

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Section: Discussionsupporting

confidence: 87%

Involvement of adult children in treatment decision-making for older patients with cancer — a qualitative study of perceptions and experiences of oncology surgeons and nurses

Dijkman

Paans

Wal-Huisman

et al. 2022

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“…Attitudes can be either conscious or unconscious and therefore cannot be measured directly and may be illuminated in our behaviour (Bakanauskas et al, 2020 ). Attitudes towards family involvement in care have been known to vary between care contexts and groups of health care professionals (Al Mutair et al, 2013 ; Barreto et al, 2022 ; Benzein, Johansson, Årestedt, Berg, et al, 2008 ; Davis et al, 2014 ; Dijkman et al, 2021 ; Jordan et al, 2014 ; R. Laidsaar-Powell et al, 2017 ; Rosland et al, 2011 ; Shin et al, 2017 ). Nurses’ attitudes towards family involvement have been explored to some extent in the context of cardiology (Gusdal et al, 2017 ; Luttik et al, 2017 ), surgical care (Blöndal et al, 2014 ) and a general nursing context (Benzein, Johansson, Årestedt, Berg, et al, 2008 ; Østergaard et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…At times, nurses’ negative attitudes may hinder family involvement, such as holding the belief that the patient comes first and family members take time away from patient care (Mackie et al, 2018 ). Research on medical doctors’ (MDs) attitudes towards family involvement in care has mostly focused on primary, geriatric and oncology care settings (Dijkman et al, 2021 ; R. C. Laidsaar-Powell et al, 2013 ; Rosland et al, 2011 ; Shin et al, 2017 ). Aspects of family involvement in care from the perspective of MDs in previous studies are shared decision making, communication and family presence (Dijkman et al, 2021 ; Jordan et al, 2014 ; R. C. Laidsaar-Powell et al, 2013 ; Shin et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

“…Research on medical doctors’ (MDs) attitudes towards family involvement in care has mostly focused on primary, geriatric and oncology care settings (Dijkman et al, 2021 ; R. C. Laidsaar-Powell et al, 2013 ; Rosland et al, 2011 ; Shin et al, 2017 ). Aspects of family involvement in care from the perspective of MDs in previous studies are shared decision making, communication and family presence (Dijkman et al, 2021 ; Jordan et al, 2014 ; R. C. Laidsaar-Powell et al, 2013 ; Shin et al, 2017 ). Surgeons’ interactions with families have been reported to vary (Jordan et al, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

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The symphony of open-heart surgical care: A mixed-methods study about interprofessional attitudes towards family involvement

Drakenberg

Arvidsson-Lindvall

Ericsson

et al. 2023

International Journal of Qualitative Studies on Health and Well

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Purpose The overall aim of this study was to describe the attitudes towards family involvement in care held by nurses and medical doctors working in open-heart surgical care and the factors influencing these attitudes. Methods Mixed-methods convergent parallel design. A web-based survey was completed by nurses ( n = 267) using the Families’ Importance in Nursing Care-Nurses Attitudes (FINC-NA) instrument and two open-ended questions, generating one quantitative and one qualitative dataset. Qualitative interviews with medical doctors ( n = 20) were conducted in parallel, generating another qualitative dataset. Data were analysed separately according to each paradigm and then merged into mixed-methods concepts. Meta-inferences of these concepts were discussed. Results The nurses reported positive attitudes in general. The two qualitative datasets from nurses and medical doctors resulted in the identification of seven generic categories. The main mixed-methods finding was the attitude that the importance of family involvement in care depends on the situation. Conclusions The dependence of family involvement on the situation may be due to the patient’s and family’s unique needs. If professionals’ attitudes rather than the family’s needs and preferences determine how the family is involved, care runs the risk of being unequal.

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“…Family caregivers often face negative psychological impacts of providing such caregiving (Papadakos et al, 2022), alongside the challenges of playing multiple roles in caregiving (Krok-Schoen et al, 2021;Martin et al, 2022). Family caregivers are crucial to patient caregiving (Dijkman et al, 2022) by providing necessary emotional support that is imperative to the healing process of older women with breast cancer (Krietemeyer et al, 2022). All these challenges are experienced simultaneously by family caregivers at the same time as facing the possible declining health of older cancer patients (Ren et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

A Scoping Review of the Physical Health Needs of Family Caregivers of Older Women With Breast Cancer

Felix¹,

Kitcharoen²,

Le³

et al. 2022

JPSS

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This scoping review conducted mapping of relevant literature on the physical health needs of family caregivers of older women with breast cancer, gaps analysis, and suggests directions for future academic research. The PRISMA-ScR checklist by Tricco et al. (2018) guided the scoping review. Ten international databases were searched for academic articles published in English between January 2002 and January 2022. The 12,795 discovered articles were reduced to two sources of evidence. Extracted data were mapped out using a charting table. The analysis revealed a dearth of research on the subject of physical health of family caregivers of older women with breast cancer, a lack of detailed description of the physical health needs of family caregivers of older women with breast cancer, a lack of cultural, geographic, and ethnic diversity, a lack of studies on the physical needs/strains experienced by family caregivers aside from physical activity needs, underutilized research methodologies, gender differences that influence physical health needs of family caregivers, development of research tools, and lack of intervention/educational programs on physical health for family caregivers. Future research directions were suggested, and limitations were presented.

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Factors influencing family involvement in treatment decision-making for older patients with cancer: A scoping review

Cited by 18 publications

References 50 publications

Involvement of adult children in treatment decision-making for older patients with cancer — a qualitative study of perceptions and experiences of oncology surgeons and nurses

Involvement of adult children in treatment decision-making for older patients with cancer — a qualitative study of perceptions and experiences of oncology surgeons and nurses

The symphony of open-heart surgical care: A mixed-methods study about interprofessional attitudes towards family involvement

A Scoping Review of the Physical Health Needs of Family Caregivers of Older Women With Breast Cancer

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