Table 4 |
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|
Opinions expressed in focus groups and interviews |
|||
|
Patients focus groups |
Patients interviews |
Professionals focus groups |
|
|
|
|||
|
Differences between older and younger patients |
|||
|
Individual variance, apart from age differences |
- |
x |
x |
|
Older patients have more difficulty processing information |
x |
- |
x |
|
Older patients have more life experience and different expectations about the future |
x |
- |
x |
|
The difference in life expectations has its impact on the decision to undergo a treatment or not |
- |
- |
x |
|
Older patients are more vulnerable (co morbidity) and have more resistance to ask for assistance: they need guidance in asking for and receiving help |
x |
- |
x |
|
Needs of older cancer patients |
|||
|
Concrete information about their disease and treatment |
x |
x |
x |
|
Exploring the patient's personal situation |
x |
x |
x |
|
Exploring information needs of patient and relative |
x |
x |
- |
|
Tailor information to the patient's specific needs and situation |
x |
x |
x |
|
Preferences of timing of providing the information differs among patients |
x |
- |
- |
|
Empathy, support and reassurance, for both patient and relative |
x |
x |
- |
|
Exploring patient's expectations or ideas about chemotherapy treatment |
- |
- |
x |
|
Exploring patient's goals of undergoing treatment |
x |
x |
x |
|
Engage both patient and relative actively in patient education |
x |
- |
- |
|
Encourage patient and relative to ask questions |
x |
- |
x |
|
Communication training for nurses to tailor to patients' needs |
x |
x |
x |
|
Follow-up training, in which learning in practice is the key ingredient. |
- |
- |
x |
|
Enhancing recall of information |
|||
|
Bring a (younger) person |
x |
x |
x |
|
Check: does patient understand the information? |
x |
x |
x |
|
Set priorities and offer information in a structured manner |
x |
- |
x |
|
Spread information over time (piece by piece) |
x |
- |
x |
|
Speak in clear language/avoid jargon |
x |
- |
- |
|
Summarize most important information |
x |
- |
x |
|
Combine different methods of offering information |
- |
x |
x |
|
Use question prompt list |
x |
- |
x |
|
|
|||
|
Note. x = opinion is expressed by participants |
|||
|
Posma et al. BMC Nursing 2009 8:1 doi:10.1186/1472-6955-8-1 |
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