title: Decision-Making Styles and Levels of Involvement Concerning Breast Reconstructive Surgery: An Israeli Study.
abstract: OBJECTIVE
  To address decision-making styles among breast cancer survivors considering breast reconstruction. .
  
  
  METHODS
  A primary analysis of a cross-sectional sample among survivors who chose to have breast reconstruction to examine correlations among patient age, decision-making style, and the level of involvement of decision making. .
  
  
  METHODS
  Hadassah Medical Center in Jerusalem, Israel. .
  
  
  METHODS
  70 women who had undergone breast reconstruction surgery in the past five years. .
  
  
  METHODS
  Participants completed decision-making style and demographic questionnaires and an assessment of their level of involvement in the decision-making process.  .
  
  
  METHODS
  Level of involvement in decision making, decision-making model between provider and patient, and decision-making styles were examined. .
  
  
  RESULTS
  No correlation was found between four main decision-making styles and patient age or the extent of patient decision-making involvement and age. A statistically significant correlation was found between the level of involvement in decision making and the decision-making style of the patient. .
  
  
  CONCLUSIONS
  Nurses should assess patient decision-making styles to ensure maximum patient involvement in the decision-making process based on personal desires regardless of age. .
  
  
  CONCLUSIONS
  Nurses working in breast cancer care must address the decision-making process of patients diagnosed with breast cancer, including the choice to undergo breast reconstruction after mastectomy. Nurses should understand the complex factors that influence a woman's decision-making style to best help with the decision.
authors.affiliation: Hebrew University.
authors.forename: Ilana
authors.initials: I
authors.lastname: Kadmon
authors.affiliation: Hadassah Medical Center.
authors.forename: Sigal
authors.initials: S
authors.lastname: Noy
authors.affiliation: Hadassah Medical Center.
authors.forename: Allan
authors.initials: A
authors.lastname: Billig
authors.affiliation: Hadassah Medical Center.
authors.forename: Tomer
authors.initials: T
authors.lastname: Tzur
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D006801:Humans; D007557:Israel; D016462:Mammaplasty; D008875:Middle Aged; D010358:Patient Participation; D011795:Surveys and Questionnaires; D017741:Survivors
keywords: breast cancer; breast care nurse; decision making; mastectomy; reconstruction