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Situational awareness in the outpatient encounter between patients with breast cancer or malignant melanoma and healthcare professionals: Patients’ perceptions

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  • Lone Jørgensen
  • Susanne Kastrup Jensen
  • Bettina Brogaard

Abstract

Aims and objectives To explore patients’ experiences of situational awareness in the outpatient encounter when they are informed about the diagnosis of breast cancer or malignant melanoma. Background Patients enter a stressful situation when receiving a diagnosis of breast cancer or malignant melanoma, and research indicates that needs are most prominent at this time. However, healthcare professionals often fail to address these needs adequately. It is unclear how patients experience situational awareness practised to meet their fundamental needs in the encounter when they are informed about the diagnosis of cancer. Design This study used a phenomenological hermeneutical approach. Methods Nine semi‐structured interviews with patients being diagnosed with breast cancer or malignant melanoma were performed. The interpretation theory of Paul Ricoeur guided the analysis. The study is presented in line with the COREQ checklist. Results The analysis resulted in three themes: 1) “Being accompanied” refers to how patients need information to be targeted to them as individuals. 2) “Being seen” points to HCPs’ exploration of the patients’ perspectives to get an understanding of their preferences. 3) “Being taken care of” indicates that patients feel supported if situational awareness is practised by the healthcare professionals. Conclusion Practicing situational awareness in the outpatient encounter is essential to patients’ experience of feeling accommodated or rejected. Patients feel rejected when their fundamental needs are not met while experiencing situational awareness seems to accommodate fundamental needs and pre‐empt an inappropriate patient outcome. Relevance to clinical practice HCPs need to acknowledge the importance of using a structured approach to meeting patients’ fundamental needs in a stressful situation. Each patient is different and may experience different needs in encounters where they are receiving the diagnosis of breast cancer or malignant melanoma. Therefore, treatment and care must be tailored to the individual patient based on a caring relationship.

Suggested Citation

  • Lone Jørgensen & Susanne Kastrup Jensen & Bettina Brogaard, 2020. "Situational awareness in the outpatient encounter between patients with breast cancer or malignant melanoma and healthcare professionals: Patients’ perceptions," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(11-12), pages 1981-1990, June.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:11-12:p:1981-1990
    DOI: 10.1111/jocn.15122
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    References listed on IDEAS

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    1. Tiffany Conroy, 2018. "Factors influencing the delivery of the fundamentals of care: Perceptions of nurses, nursing leaders and healthcare consumers," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(11-12), pages 2373-2386, June.
    2. Cecilia Hultstrand Ahlin & Åsa Hörnsten & Anna‐Britt Coe & Mikael Lilja & Senada Hajdarevic, 2019. "Wishing to be perceived as a capable and resourceful person—A qualitative study of melanoma patients’ experiences of the contact and interaction with healthcare professionals," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(7-8), pages 1223-1232, April.
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