TY - JOUR
T1 - Coaching to support men in making informed choices about prostate cancer screening
T2 - A qualitative study
AU - Ilic, Dragan
AU - Murphy, Kerry
AU - Collins, Veronica
AU - Holden, Carol
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Objective: The objective of this study was to examine the perceptions of men, practice nurses (PNs) and general practitioners (GPs) on patient decision coaching for prostate cancer screening. Methods: Seven focus groups were conducted with 47 participants, representing three stakeholder groups − men, GPs and PNs. All focus group discussions were conducted by the same facilitator and guided by a semi-structured interview schedule. Transcriptions were analysed by thematic analysis. Results: Knowledge about the merits of prostate cancer screening was high amongst GPs, but limited with PNs and men. All groups saw the value in PN-led decision coaching for men considering screening for prostate cancer, but had reservations about its implementation in practice. Barriers to implementing a decision coaching system with PNs included staffing and cost of implementation. Conclusion: GPs, PNs and men identified benefits for the use of a PN-led decision coaching support intervention to assist men with making an informed choice about screening for prostate cancer. Stakeholders had reservations about how a PN-led intervention would effectively work in clinical practice. Practice implications: A feasibility study is required to examine barriers and enablers to implementing a PN-led decision coaching process for prostate cancer screening in the Australian primary healthcare setting.
AB - Objective: The objective of this study was to examine the perceptions of men, practice nurses (PNs) and general practitioners (GPs) on patient decision coaching for prostate cancer screening. Methods: Seven focus groups were conducted with 47 participants, representing three stakeholder groups − men, GPs and PNs. All focus group discussions were conducted by the same facilitator and guided by a semi-structured interview schedule. Transcriptions were analysed by thematic analysis. Results: Knowledge about the merits of prostate cancer screening was high amongst GPs, but limited with PNs and men. All groups saw the value in PN-led decision coaching for men considering screening for prostate cancer, but had reservations about its implementation in practice. Barriers to implementing a decision coaching system with PNs included staffing and cost of implementation. Conclusion: GPs, PNs and men identified benefits for the use of a PN-led decision coaching support intervention to assist men with making an informed choice about screening for prostate cancer. Stakeholders had reservations about how a PN-led intervention would effectively work in clinical practice. Practice implications: A feasibility study is required to examine barriers and enablers to implementing a PN-led decision coaching process for prostate cancer screening in the Australian primary healthcare setting.
KW - Decision making
KW - Decision support model
KW - Primary care
KW - Prostate cancer
UR - http://www.scopus.com/inward/record.url?scp=85042709264&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2018.01.003
DO - 10.1016/j.pec.2018.01.003
M3 - Article
AN - SCOPUS:85042709264
VL - 101
SP - 872
EP - 877
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 5
ER -