In the moment: women speak about surgical treatment decision making days after a breast cancer diagnosis.
OBJECTIVE
To explore the pretreatment thoughts and behaviors of women newly diagnosed with breast cancer regarding their surgical treatment decision-making experience.


METHODS
Qualitative, descriptive.


METHODS
A multispecialty breast center in the midwestern region of the United States.


METHODS
18 English-speaking women, aged 37-87 years, mean of 12 days postdiagnosis of clinical stage 0-11 breast cancer.


METHODS
Open to semistructured interviews were conducted during the period following surgical consultation but prior to surgical treatment. Transcribed interviews, originally analyzed to identify the psychological processes of women in response to breast cancer diagnosis, were additionally analyzed using directed content analysis focusing on women's thoughts and behaviors related to their surgical treatment decision-making process.


METHODS
Breast cancer surgery and decision making pretreatment.


RESULTS
Women's pretreatment thoughts and behaviors related to surgical treatment decision making were characterized by information processing, contemplating options, and interacting with others. Breast cancer information was used by women before the surgical consultation and after treatment decisions had been made. Treatment options were contemplated and preferences formed often before the initial surgical consultation. Women associated having options with a better prognosis. Age was a factor primarily in the type of information women desired.


CONCLUSIONS
Most women made their own surgical treatment decisions with ease, supported by the confidence instilled by their surgeons and oncology nurses.


CONCLUSIONS
The findings provide oncology nurses with insight regarding women's desire for and use of information and their contemplation of surgical options, therefore suggesting areas on which to focus clinical assessment and to test tailored interventions.
Lally
Robin M
RM
School of Nursing, University of Buffalo, New York, USA. rmlally@buffalo.edu
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000175:diagnosis / Q000451:nursing / Q000523:psychology* / Q000601:surgery*; D003657:Decision Making; D004644:Emotions; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007398:Interpersonal Relations; D008408:Mastectomy / Q000451:nursing / Q000523:psychology; D008875:Middle Aged; D009042:Motivation; D009859:Oncology Nursing / Q000379:methods; D010353:Patient Education as Topic / Q000379:methods; D010358:Patient Participation / Q000523:psychology*; D036301:Qualitative Research