Development of the Prostate Cancer Treatment Decision Framework: A Context-Specific Expansion of the Risk-as-Feelings Hypothesis.
Otis L Owens, Robin M Dawson, Tracey Thomas
PMID 33332918WHAT IT FOUND
Nurse navigators are uniquely positioned to use this framework to assess how age, spirituality, and provider communication influence a man's prostate cancer treatment decisions.
The framework separates clinical outcomes from patient perceptions to guide interventions.
Key findings
01The framework identifies age, family support, spirituality, and healthcare provider communication as key factors influencing emotions and cognitive evaluation in prostate cancer treatment decisions.
02Clinical outcomes and a patient's perception of those outcomes are distinct concepts; good provider communication can lead to satisfactory perceived outcomes even when clinical results are suboptimal.
03Nurse navigators are recommended to use this framework to assess the importance of each factor for individual patients and implement interventions to improve clinical and perceived outcomes.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a theoretical paper and has not been tested in a clinical study. The framework is currently limited to localized prostate cancer and may not apply to advanced stages or other cancers without further research. The proposed variables and their relationships are based on prior qualitative work and literature appraisal, not new empirical data.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not treat this framework as a validated clinical tool or a set of proven interventions. It is a theoretical model that requires future empirical testing to determine if using it actually improves patient outcomes or decision satisfaction.