A thematic analysis of shared decision-making in consultations with patients with a presumed brain tumor and neurosurgeons
Bras,I.J.M. Joosen,M.C.W. Rutten,G.M. van Vugt,I.J.M. Sitskoorn,M.M. Boele,F.W. Hoogendoorn,P. Gehring,K.
Bras,I.J.M.
Joosen,M.C.W.
Rutten,G.M.
van Vugt,I.J.M.
Sitskoorn,M.M.
Boele,F.W.
Hoogendoorn,P.
Gehring,K.
Abstract
Background: Patients with brain tumors, family members, and healthcare professionals face complex healthcare decisions that can significantly impact everyday life. Engaging in shared decision-making (SDM) can help ensure treatment decisions align with patients' preferences and goals. Little is known about the decision-making process in neurosurgical consultations. This study aims to qualitatively explore and describe the SDM process during neurosurgical consultations for patients with a presumed brain tumor. Methods: The first consultation between patients with presumed glioma or meningioma and their neurosurgeons was audio-recorded and transcribed. Decision-making models were used as sensitization concepts, with coding carried out inductively. We employed a reflexive thematic analysis to develop themes and subthemes until saturation was beginning to emerge. Results: Analyzing eleven consultations, we developed three main themes and twelve subthemes. The results depict decision-making guided by neurosurgeons (theme 1), with varying degrees of engagement from patients and family members (theme 2) and personalization of the decision-making process based on the medical situation and everyday life priorities (theme 3). The consultations lacked specific attention to the everyday life priorities of the patients. Conclusions: The decision-making processes seemed to focus primarily on medically informing patients with a presumed brain tumor, in line with informed decision-making. However, less emphasis was placed on learning more about the patient's everyday life and preferences to integrate into the decision-making process, which is key to SDM. Incorporating patient goals may lead to greater personalization and decisions that align with both the patient's medical situation and their goals.
Description
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Research Projects
Organizational Units
Journal Issue
Keywords
Neurosurgery, Patients with a brain tumor, Reflexive thematic analysis, Shared decision-making
Citation
Bras, I J M, Joosen, M C W, Rutten, G M, van Vugt, I J M, Sitskoorn, M M, Boele, F W, Hoogendoorn, P & Gehring, K 2024, 'A thematic analysis of shared decision-making in consultations with patients with a presumed brain tumor and neurosurgeons', Neuro-Oncology Practice. https://doi.org/10.1093/nop/npae110
License
info:eu-repo/semantics/openAccess