Improving the Quality of Decision Making in Breast Cancer: Consultation Planning Template and Consultation Recording Template

Karen R. Sepucha

Jeffrey K. Belkora

Caryn Aviv

Stephanie Mutchnick

Laura J. Esserman

ONF 2003, 30(1), 99-106. DOI: 10.1188/03.ONF.99-106

Purpose/Objectives: To describe two templates that can be used to improve the quality of breast cancer treatment decisions.

Data Sources: Case study, survey of current users, three clinical trials.

Findings: Clinical applications of the Consultation Planning Template and Consultation Recording Template vary across organizations. Clinical trials have demonstrated that the templates can improve the quality of decisions, the quality of communication between patients and providers, and satisfaction.

Conclusions: The templates can be adapted to different clinical settings and can improve the quality of treatment decisions.

Implications for Nursing: Nurses often provide the majority of education and coaching for patients making decisions. As patients' demands for involvement in decision making increase, nurses need practical tools to help patients participate. The templates are practical tools that nurses can use to help patients make better decisions.

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