Trust and shared decision‐making among individuals with multiple myeloma: A qualitative study
| Autor: | Aaron Rosenberg, Richard Kravitz, Katherine Kim, Aaron Clark, Anne Elizabeth White, Robin Whitney |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Cancer Research media_common.quotation_subject Decision Making Applied psychology Empathy Interpersonal communication Competence (law) shared decision‐making Honesty Humans Radiology Nuclear Medicine and imaging Active listening Research Articles Qualitative Research professional–patient relations RC254-282 health care economics and organizations Aged media_common Distrust Clinical Cancer Research Neoplasms. Tumors. Oncology. Including cancer and carcinogens trust Middle Aged multiple myeloma Oncology Feeling Female Psychology Research Article Qualitative research |
| Zdroj: | Cancer Medicine, Vol 10, Iss 22, Pp 8040-8057 (2021) Cancer Medicine |
| ISSN: | 2045-7634 |
| DOI: | 10.1002/cam4.4322 |
| Popis: | Background Multiple myeloma (MM) is an incurable cancer with complex treatment options. Trusting patient–clinician relationships are essential to promote effective shared decision‐making that aligns best clinical practices with patient values and preferences. This study sought to shed light on the development of trust between MM patients and clinicians. Methods Nineteen individual semi‐structured interviews were conducted with MM patients within 2 years of initial diagnosis or relapse for this qualitative study. Interviews were recorded and transcripts were coded thematically. Results We identified three main themes: (1) externally validated trust describes patients’ predisposition to trust or distrust clinicians based on factors outside of patient–clinician interactions; (2) internally validated trust describes how patients develop trust based on interactions with specific clinicians. Internally validated trust is driven primarily by clinician communication practices that demonstrate competence, responsiveness, listening, honesty, and empathy; and (3) trust in relation to shared decision‐making describes how patients relate the feeling of trust, or lack thereof, to the process of shared decision‐making. Conclusion Many factors contribute to the development of trust between MM patients and clinicians. While some are outside of clinicians’ control, others derive from clinician behaviors and interpersonal communication skills. These findings suggest the possibility that trust can be enhanced through communication training or shared decision‐making tools that emphasize relational communication. Given the important role trust plays in shared decision‐making, clinicians working with MM patients should prioritize establishing positive, trusting relationships. Patient–clinician trust is influenced by both external factors and clinician behaviors in the context of multiple myeloma. Trust between patients with myeloma and their clinicians is an important aspect of shared decision‐making. |
| Databáze: | OpenAIRE |
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