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Barriers and Promoters to Participation in the Era of Shared Treatment Decision-Making
Western Journal of Nursing Research (2016)
  • Sarah P McCarter, MSN
  • Joseph D Tariman, PhD
  • Enisa Mehmeti, MSN, DePaul University
  • Nadia Spawn, MSN, DePaul University
  • Jessica Bishop-Royse, PhD, DePaul University
  • Ima Garcia, MSN, NP
  • Lisa Hartle, MS, CNS, RN
  • Katharine Szubski, BSN, RN
This study aimed to identify the barriers and promoters for participation
in cancer treatment decision in the era of shared decision-making (SDM)
process. A qualitative design was utilized. Nineteen nurses and 11 nurse
practitioners from oncology inpatient and outpatient settings participated
in semi-structured interviews. Data were analyzed using directed content
analysis. The findings include practice barrier, patient barrier, institutional
policy barrier, professional barrier, scope of practice barrier, insurance
coverage barrier, and administrative barrier. Multidisciplinary team approach,
having a nursing voice during SDM, high level of knowledge of the disease
and treatment, and personal valuation of SDM participation were perceived
as promoters. Oncology nurses and nurse practitioners face many barriers
to their participation during SDM. Organizational support and system-wide
culture of SDM are essential to achieve better cancer treatment decisions
outcome. Additional studies are needed to determine the factors that can
promote more participation among nurses and nurse practitioners.

  • Shared decision making,
  • nursing role,
  • professional issues
Publication Date
Fall October 1, 2016
doi: 10.1177/0193945916650648.
Citation Information
Sarah P McCarter, Joseph D Tariman, Enisa Mehmeti, Nadia Spawn, et al.. "Barriers and Promoters to Participation in the Era of Shared Treatment Decision-Making" Western Journal of Nursing Research Vol. 38 Iss. 10 (2016) p. 1282 - 1297
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Creative Commons license
Creative Commons License
This work is licensed under a Creative Commons CC_BY-NC-ND International License.