Nurse-led coaching of shared decision-making for women with ductal carcinoma in situ in breast care centers: A cluster randomized controlled trial

Berger-Höger, Birte; Liethmann, Katrin; Mühlhauser, Ingrid; Haastert, Burkhard; Steckelberg, Anke

doi:10.1016/j.ijnurstu.2019.01.013

Cited by 51 publications

(84 citation statements)

References 35 publications

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“…In addition, two studies examined patient survival rates (Moore et al., 2002) and the time taken to recurrence (Beaver et al., 2009) respectively. Only one study investigated patients' treatment decision‐making (Berger‐Hoger et al., 2019).…”

Section: Resultsmentioning

confidence: 99%

Impact of advanced nursing practice through nurse‐led clinics in the care of cancer patients: A scoping review

2020

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Objective This scoping review aims at exploring the effectiveness of nurse‐led advanced practice for patients with cancer. Methods This review followed the PRISMA extension for scoping reviews. Randomised controlled trials on cancer nurse‐led clinics for patient outcomes, costs, service utilisation and other outcomes were included. Databases such as MEDLINE, CENTRAL, CINAHL, EMBASE and PsychINFO were searched based on MeSH terms. Thematic analysis was used to synthesise results of the included studies. Results Seventeen articles were included, published between 2001 and 2019. There were methodological shortcomings with a number of the studies reviewed. Five themes were identified including (1) rationale for developing nurse‐led clinics, (2) mode of delivery of nurse‐led clinics, (3) the content of nurse‐led clinics, (4) exploring patient outcomes and (5) satisfaction with nurse‐led clinics. Conclusions The results support the effectiveness of nurse‐led clinics in improving self‐reported responses such as distress levels, satisfaction, quality of life, depressive symptoms, concerns and vomiting among cancer patients. Following a sound protocol for both the study and the reporting is recommended, and future studies should focus more on costs and effectiveness of different models of care administered by advanced practice nurses. Effectiveness of nurse‐led clinics needs further evaluation with stronger trials and wider focus on nursing‐sensitive clinical outcomes and costs.

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Section: Resultsmentioning

confidence: 99%

Impact of advanced nursing practice through nurse‐led clinics in the care of cancer patients: A scoping review

2020

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“…However, a recent German study has shown that the extent of patient participation in treatment decision making was significantly higher in women with ductal carcinoma in situ who received nurse-led decision coaching combined with an evidence-based decision aid compared to standard care. In addition, only women in the IG made informed choices [35]. Despite these promising findings, decision support programs have not been systematically implemented in Germany.…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

“…Prior to providing the decision coaching, nurses will be trained in decision support with an adapted curriculum that has already been evaluated in German breast care centers [35,39]. The training consists of two modules (module 1, 2.5 days; module 2, 1.5 days).…”

Section: Strategies For Implementation Nurse Trainingmentioning

confidence: 99%

Implementation and evaluation of a nurse-led decision-coaching program for healthy breast cancer susceptibility gene (BRCA1/2) mutation carriers: a study protocol for the randomized controlled EDCP-BRCA study

Isselhard

Töpper

Berger-Höger

et al. 2020

Trials

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Background: Female BRCA mutation carriers have an increased lifetime risk for breast and ovarian cancer compared to the general population. Women who carry this mutation have several options to deal with their cancer risk, such as risk-reducing surgeries or intensified breast cancer screening. Previous research has shown that preferences in this scenario are highly dependent on affected women's personalities and value systems. To support these women in the decision-making process, a structured decision support consisting of decision coaching combined with a decision aid might be helpful. Methods/design: A randomized controlled trial will be conducted in order to compare usual care with structured decision support alongside usual care. The decision support program entails nurse-led decision coaching as well as an evidence-based patient decision aid. Nurses are qualified by a 4-day training program in informed decisionmaking and decision coaching. Six centers for Familial Breast and Ovarian Cancer in Germany will be included in the study, with a planned sample size of 398 women. The primary outcome is the congruence between the preferred and the actual played role in the decision-making process as measured by the Control Preferences Scale. It is hypothesized that the structured decision support will enable women to play the preferred role in the decision-making process. Secondary outcomes include the knowledge and attitudes about preventive options, decisional conflict, depression and anxiety, coping self-efficacy, impact of event, and self-concept. A process evaluation will accompany the study. Discussion: The EDCP-BRCA study is the first study to implement and evaluate decision coaching combined with a decision aid for healthy BRCA mutation carriers worldwide. Trial registration {2a}: DRKS-ID: DRKS00015527. Registered 30 October 2019.

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“…I et tysk forskningsprosjekt som inkluderte 16 serti serte brystkreftsentre, ble kvinner som hadde fått diagnosen DCIS, veiledet av en kreftsykepleier som hadde kompetanse i samvalgsveiledning (17). I veiledningen ble kvinnene forberedt på valget mellom re ulike behandlingsalternativer: mastektomi, brystbevarende kirurgi med eller uten etterfulgt stråling eller observasjon.…”

Section: Samvalgsveilederen Har Ulike Oppgaverunclassified

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Kienlin¹,

Smedsrød²,

Eide³

et al. 2020

Sykepleien

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Nurse-led coaching of shared decision-making for women with ductal carcinoma in situ in breast care centers: A cluster randomized controlled trial

Cited by 51 publications

References 35 publications

Impact of advanced nursing practice through nurse‐led clinics in the care of cancer patients: A scoping review

Impact of advanced nursing practice through nurse‐led clinics in the care of cancer patients: A scoping review

Implementation and evaluation of a nurse-led decision-coaching program for healthy breast cancer susceptibility gene (BRCA1/2) mutation carriers: a study protocol for the randomized controlled EDCP-BRCA study

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