Research on the Attitudes of Breast Specialist Medical Staff Towards the Implementation of Breast Cancer Decision-Making Aids Attitudes of Breast Specialist Medical Staff

Jinping gao (1), Zhong-qin Huang (2), Xue-ya Chen (3), Dong-zhi Li (4), Wang-feng Wu (5), Rong-rong Liu (6)
(1) Xiamen Fifth Hospital, Xiangan District, Xiamen 361101, Fujian Province, China, China,
(2) Department of Nursing Department, Xiamen Fifth Hospital, Xiangan District, Xiamen 361101, China, China,
(3) Xiamen Fifth Hospital, Xiangan District, Xiamen 361101, Fujian Province, China. , China,
(4) Bethune International Peace Hospital of the Chinese People's Liberation Army, Shijiazhuang, China, China,
(5) Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jianghan District, Wuhan 430022, China. , China,
(6) Guang 'anmen Hospital, China Academy of Traditional Chinese Medicine, No.5, Beixian Pavilion, Xicheng District, Beijing100000, China, China

Abstract

Background: The participation of patients in treatment and nursing decision-making has been advocated by many medical staff. This is not only to attach importance to the wishes of patients, but also to the needs of social development. The purpose of this research was to investigate the attitudes of Chinese breast cancer medical staff towards the implementation of breast cancer decision-making aids.
Methods: A cross-sectional study was conducted among 420 doctors and nurses in the Department of Breast Surgery. We used a questionnaire designed by investigators. Data was collected from February 2021 to September 2021. IBM SPSS Version 22 was used to analyze the collected data.
Results: Overall, 420 valid questionnaires were returned from 220 doctors and 200 nurses. Response rate was 85.19%. The results showed that 77.14% of the medical staff supported the promotion of breast cancer decision-making aids, and 85.71%(360/420)agreed that patients should be the main participants in high-quality clinical decision-making. Also, 95.24%(400/420)believed that patients should know the reasons for making treatment decisions, and agreed that the positive effects of patient decision-making aids were positively correlated with high education (r education=0.317, P=0.001). There were statistically significant differences in the attitudes of medical staff with different working years (X2=9.432, P=0.024), educational background (X2=42.918, P<0.001) and shared decision education (X2=11.932, P=0.008) on whether to promote decision-making aids.
Conclusion: At this stage, breast medical staff have a positive attitude towards using breast cancer decision aids for joint decision-making.

Full text article

Generated from XML file

References

World Health Organization international Agency for Research on Cancer. Breast Cancer. Available from: https://www.who.int/news-room/fact-sheets/detail/breast-cancer.(2021-10-26).

World Health Organization international Agency for Research on Cancer. Breast cancer is now the most common form of cancer: WHO takes action. Available from: https://www.who.int/news/item/03-02-2021-breast-cancer-now-most-common-form-of-cancer-who-taking-action.(2020-10-26).

Hao J, Chen WQ, Li N, Shen HB, Li J, Wang Y, et al. China guideline for the screening and early detection of female breast cancer(2021, Beijing). Chinese Journal of Oncology. ANG;43(04):357-82. doi: 10.3760/cma.j.cn112152-20210119-00061.

Haterd J, Voogdt-Pruis HR, Raats I, Brink R, Veenendaal HV. Preference-sensitive decisions of patients with metastatic breast cancer: The need for decision support. Patient Experience Journal. 2016;3(1). doi: 10.1186/s12911-019-0873-1.

O'Brien MA, Whelan TJ, Villasis-K Ee Ver M, Gafni A, Cai W. Are Cancer-Related Decision Aids Effective? A Systematic Review and Meta-Analysis. Journal of Clinical Oncology. 2009;27(6):974-85. doi: 10.1200/JCO.2007.16.0101.

Yang LN, YANG Y, Hu JL, Zheng HY, Zhao D. Research progress on application of decision aids in breast cancer patients. J Nurs. 2020;35(02):110-3. doi: 10.3870/j.issn.1001-4152.2020.02.110.

Woodhouse, Demas K, Vachani, Anil, Tremont, Katie, et al. A Review of Shared Decision-Making and Patient Decision Aids in Radiation Oncology. Journal of cancer education: the official journal of the American Association for Cancer Education. 2017. doi: 10.1007/s13187-017-1169-8.

Wong J, Szumacher E. Patients' decision-making in radiation oncology. Expert Review of Pharmacoeconomics & Outcomes Research. 2012;12(1):95-104. doi: 10.1586/erp.11.82.

O"Connor AM, Stacey D, Barry MJ, Col NF, Eden KB, Entwistle V, et al. Do patient decision aids meet effectiveness criteria of the international patient decision aid standards collaboration? A systematic review and meta-analysis. Medical Decision Making. 2007;27(5):554-74. doi: 10.1177/0272989X07307319.

Herrmann A, Mansfield E, Hall AE, Sanson-Fisher R, Zdenkowski N. Wilfully out of sight? A literature review on the effectiveness of cancer-related decision aids and implementation strategies. BMC Medical Informatics and Decision Making.2016;16(10):1361-7. doi: 10.1186/s12911-016-0273-8.

Gao Jp, Jin Yh, Yu Sf, Wu Wf, Han Sf. Evaluate the effectiveness of breast cancer decision aids: A systematic review and meta‐analysis of randomize clinical trails. Nursing Open. 2020;8(5):2091-104. doi: 10.1002/nop2.741.

The National People's Congress. Tort Liability Law of the People's Republic of China.

Peng XY. Study on the status and influencing factors of breast cancer patients' participation in treatment and nursing decision making: Huazhong University of Science and Technology; 2016. doi: Not applicable

XU JG. Reasons and Strategies Affecting Doctor-patient Communication Result. Continuing medical education. 2007(29). doi: 10.3969/j.issn.1004-6763.2007.29.008.

Sainio C, Lauri S. Cancer patients' decision-making regarding treatment and nursing care. J Adv Nurs. 2003;41(3):250-60. doi: 10.1046/j.1365-2648.2003.02525.x.

National Health Commission. China Health Statistics Yearbook 2020. 2020. Available from: http://www.stats.gov.cn/tjsj/ndsj/2020/indexch.htm.(2021-10-27)

Sun ZQ, Xu YY. Medical statistics. BeiJing: People's Medical Publishing House; 2018. doi: Not applicable

Fang HP, Liu HJ, Cai C, Xia Y, Peng XY, Zhang YL. The attitude and actual participation of decision making regarding nursing care among patients with breast cancer. Chinese Journal of Practical Nursing 2019; 35(07):525-529. doi: 10.3760/cma.j.issn.1672-7088.2019.07.010.

Skulmoski GJ, Hartman FT, Krahn J. The Delphi Method for Graduate Research. Journal of Information Technology Education 2007; 6(1):1-21. doi: 10.28945/199.

Powell C. The Delphi technique: myths and realities 2003;41(4):376-382. doi: 10.1046/j.1365-2648.2003.02537.x.

Wu L, Sun YJ. Delphi method introduction and its application status quo in "nursing science". Nursing Research:2015; 29(29):3599-3601. doi: 10.3969/j.issn.1009-6493.2015.29.006.

Dong JY, Sun HB, Liu XM, Fu YR, Song XM. Legal issues and solutions in the protection of both sides' rights in doctor-patient disputes in China. Law and society. 2021(22):28-9. doi: 10.3969/j.issn.1004-5856.2021.09.015.

Wang XF. Analysis on legal mechanism of doctor-patient dispute settlement. Legal expo. 2021(24):141-2. doi: 10.3969/j.issn.2095-4379.2021.24.064.

Wen J, Hao TY, Hu X, Y. Doctors' Workload in China: A Status-quo Study. Chinese Journal of Evidence-based Medicine. 2015;15(02):133-6. doi: 10.7507/1672-2531.20150024.

Silvia KA, Ozanne EM, Sepucha KR. Implementing breast cancer decision aids in community sites: barriers and resources. Health Expect. 2008;11(1):46-53. doi: 10.1111/j.1369-7625.2007.00477.x.

China Internet Network Information Center. The 48th Statistical Report on Internet Development in China. 2021. Available from: http://n2.sinaimg.cn/finance/a2d36afe/20210827/FuJian1.pdf. (2021-10-27)

Baumel A, Schueller SM. Adjusting an Available Online Peer Support Platform in a Program to Supplement the Treatment of Perinatal Depression and Anxiety. JMIR Ment Health. 2016;3(1):e11. doi: 10.2196/mental.5335.

Bai WH, Tang SY, Chen JR, Li Y, Qin CX, Sun M. Application of mobile health technology in the research field of postpartum depression. People's Liberation Army Nursing Journal. 2018;35(4):22-6. doi: 10.3969/j.issn.1008-9993.2018.04.004.

Authors

Jinping gao
13023825704@163.com (Primary Contact)
Zhong-qin Huang
Xue-ya Chen
Dong-zhi Li
Wang-feng Wu
Rong-rong Liu
1.
gao J, Huang Z- qin, Chen X- ya, Li D- zhi, Wu W- feng, Liu R- rong. Research on the Attitudes of Breast Specialist Medical Staff Towards the Implementation of Breast Cancer Decision-Making Aids: Attitudes of Breast Specialist Medical Staff. Arch Breast Cancer [Internet]. 2022 Mar. 4 [cited 2024 Apr. 21];9(2):186-94. Available from: https://www.archbreastcancer.com/index.php/abc/article/view/481

Article Details