关键词: 乳腺肿瘤, 决策辅助, 医护人员, 质性研究, 护理

Abstract:

Objective To explore the facilitating factors and obstacles of medical care in the implementation of breast cancer patient-centered decision-making assistance,and to provide references for further clinical decision-making assistance on a large scale. Methods The semi-structured interview method, convenience sampling and purpose sampling were adopted. 13 nurses and 7 doctors who worked in a breast oncology department of a tertiary A hospital in Tianjin from May to November 2020 were selected to conduct semi-structured interviews. The analysis method was used to organize and analyze the data and to describe the theme. Results The facilitating factors and obstacles to assisting decision-making nurses to implement assistant decision-making experience are extracted. The 3 sub-themes of the facilitating factor theme include awareness of the importance of decision-making assistance,the patient’s decision-making assistance needs,the trust between patients and medical staff. The 5 sub-themes of the obstacles theme include environmental constraints,lack of confidence in medical staff,information asymmetry,insufficient patient participation in decision-making,and imperfect decision-making assistance systems. Conclusion There are certain obstacles and facilitating factors in the implementation of breast cancer patient-centered decision-making assistance for medical staff. They should actively face the challenges in the implementation of decision-making assistance,get aware of the importance of doctors,nurses,and patients in the decision-making process,and improve auxiliary tools and work processes of the decision-making,so as to build a decision-making assistance model that conforms to China’s national conditions.

Key words: Breast Neoplasms, Decision-Making Assistance, Medical Personnel, Qualitative Study, Nursing Care