title: [Decision Making Experience on Breast Reconstruction for Women with Breast Cancer].
abstract: OBJECTIVE
  The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy.
  
  
  METHODS
  Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction.
  
  
  RESULTS
  Five theme clusters emerged. First, "expected loss of sexuality and discovery of autonomy" illustrates various aims of breast reconstruction. Second, "holding tight to the reputation of doctors amid uncertainty" specifies the importance of a trust relationship with their physician despite a lack of information. Third, "family members to step back in position" describes support or opposition from family members in the decision making process. Fourth, "bewilderment due to the paradox of appearance-oriented views" illustrates paradoxical environment, resulting in confusion and anger. Lastly, "decision to be made quickly with limited time to oneself" describes the crazy whirling process of decision making.
  
  
  CONCLUSIONS
  Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.
authors.affiliation: College of Nursing·Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
authors.forename: Myungsun
authors.initials: M
authors.lastname: Yi
authors.affiliation: Research Institute of Nursing Science, Seoul National University, Seoul, Korea. kimsoft1@snu.ac.kr.
authors.forename: Woo Joung
authors.initials: WJ
authors.lastname: Joung
authors.affiliation: College of Nursing, Gachon University, Inchon, Korea.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Park
authors.affiliation: Department of Nursing, Bucheon University, Bucheon, Korea.
authors.forename: Eun Jin
authors.initials: EJ
authors.lastname: Kwon
authors.affiliation: College of Nursing, Dankook University, Cheonan, Korea.
authors.forename: Haejin
authors.initials: H
authors.lastname: Kim
authors.affiliation: College of Nursing·Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Seo
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology* / Q000601:surgery; D003657:Decision Making; D005260:Female; D006801:Humans; D016462:Mammaplasty; D008875:Middle Aged; D017060:Patient Satisfaction; D036301:Qualitative Research; D020377:Self Efficacy; D019529:Sexuality; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D035501:Uncertainty
keywords: Breast Neoplasms; Decision Making; Mammoplasty; Qualitative Research; Women