The meaning of trust along the treatment pathway of women with breast cancer: a mixed-methods study among cancer survivors
Abstract Purpose Women with breast cancer face a high degree of uncertainty. Trust between health providers and patients has been shown to improve patient quality of life and may enhance clinical outcomes. This study aimed to explore the meaning of trust along the treatment pathway. Methods The stud...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Women's Health |
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| Online Access: | https://doi.org/10.1186/s12905-024-03540-y |
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| author | Eleonore Baum Daniela Bernhardsgrütter Ramona Engst Carola Maurer Jessica Ebneter Adrienne Zenklusen Barbara Wartlsteiner Lotti Barandun Andrea Neher Antje Koller Andrea Kobleder |
| author_facet | Eleonore Baum Daniela Bernhardsgrütter Ramona Engst Carola Maurer Jessica Ebneter Adrienne Zenklusen Barbara Wartlsteiner Lotti Barandun Andrea Neher Antje Koller Andrea Kobleder |
| author_sort | Eleonore Baum |
| collection | DOAJ |
| description | Abstract Purpose Women with breast cancer face a high degree of uncertainty. Trust between health providers and patients has been shown to improve patient quality of life and may enhance clinical outcomes. This study aimed to explore the meaning of trust along the treatment pathway. Methods The study followed a convergent mixed-methods design. We collected qualitative data longitudinally from diagnosis to follow-up using unstructured digital diaries and 45 semi-structured interviews with twelve women with breast cancer. To measure symptom burden and trust, we collected quantitative data by means of 57 questionnaires. Data analysis was based on phenomenology according to van Manen and on descriptive statistics. Data synthesis resulted in a conceptual model of trust. Results The women experienced trust as a dynamic phenomenon within the biomedical cancer care “machinery”. Their trust was strongly influenced by contextual factors, professionals’ expertise, and person-centeredness. The relevance of trust differed according to treatment phases. Conclusions Due to a high degree of uncertainty, trust was particularly important. Professionals positively influenced the women’s trust to a certain extent through a patient-centered approach and by demonstrating expertise within the biomedical cancer care “machinery”. The conceptual model of trust should receive attention to bring care closer to the women’s lived experience so that their care experience can be improved. |
| format | Article |
| id | doaj-art-40b469f95f9b45eb833377693177e1d7 |
| institution | Kabale University |
| issn | 1472-6874 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj-art-40b469f95f9b45eb833377693177e1d72025-01-19T12:37:39ZengBMCBMC Women's Health1472-68742025-01-0125111610.1186/s12905-024-03540-yThe meaning of trust along the treatment pathway of women with breast cancer: a mixed-methods study among cancer survivorsEleonore Baum0Daniela Bernhardsgrütter1Ramona Engst2Carola Maurer3Jessica Ebneter4Adrienne Zenklusen5Barbara Wartlsteiner6Lotti Barandun7Andrea Neher8Antje Koller9Andrea Kobleder10Institute of Applied Nursing Science, School of Health, Eastern Switzerland University of Applied SciencesInstitute of Applied Nursing Science, School of Health, Eastern Switzerland University of Applied SciencesInstitute of Applied Nursing Science, School of Health, Eastern Switzerland University of Applied SciencesInstitute of Applied Nursing Science, School of Health, Eastern Switzerland University of Applied SciencesSchool of Health, Eastern Switzerland University of Applied SciencesSpital Wallis - Spitalzentrum OberwallisHôpital du Valais – Centre du sein Valais romandeLuzerner KantonsspitalDepartment of Emergency Medicine, InselspitalInstitute of Applied Nursing Science, School of Health, Eastern Switzerland University of Applied SciencesInstitute of Applied Nursing Science, School of Health, Eastern Switzerland University of Applied SciencesAbstract Purpose Women with breast cancer face a high degree of uncertainty. Trust between health providers and patients has been shown to improve patient quality of life and may enhance clinical outcomes. This study aimed to explore the meaning of trust along the treatment pathway. Methods The study followed a convergent mixed-methods design. We collected qualitative data longitudinally from diagnosis to follow-up using unstructured digital diaries and 45 semi-structured interviews with twelve women with breast cancer. To measure symptom burden and trust, we collected quantitative data by means of 57 questionnaires. Data analysis was based on phenomenology according to van Manen and on descriptive statistics. Data synthesis resulted in a conceptual model of trust. Results The women experienced trust as a dynamic phenomenon within the biomedical cancer care “machinery”. Their trust was strongly influenced by contextual factors, professionals’ expertise, and person-centeredness. The relevance of trust differed according to treatment phases. Conclusions Due to a high degree of uncertainty, trust was particularly important. Professionals positively influenced the women’s trust to a certain extent through a patient-centered approach and by demonstrating expertise within the biomedical cancer care “machinery”. The conceptual model of trust should receive attention to bring care closer to the women’s lived experience so that their care experience can be improved.https://doi.org/10.1186/s12905-024-03540-yBreast neoplasmsTrustAdvanced practice nursing |
| spellingShingle | Eleonore Baum Daniela Bernhardsgrütter Ramona Engst Carola Maurer Jessica Ebneter Adrienne Zenklusen Barbara Wartlsteiner Lotti Barandun Andrea Neher Antje Koller Andrea Kobleder The meaning of trust along the treatment pathway of women with breast cancer: a mixed-methods study among cancer survivors BMC Women's Health Breast neoplasms Trust Advanced practice nursing |
| title | The meaning of trust along the treatment pathway of women with breast cancer: a mixed-methods study among cancer survivors |
| title_full | The meaning of trust along the treatment pathway of women with breast cancer: a mixed-methods study among cancer survivors |
| title_fullStr | The meaning of trust along the treatment pathway of women with breast cancer: a mixed-methods study among cancer survivors |
| title_full_unstemmed | The meaning of trust along the treatment pathway of women with breast cancer: a mixed-methods study among cancer survivors |
| title_short | The meaning of trust along the treatment pathway of women with breast cancer: a mixed-methods study among cancer survivors |
| title_sort | meaning of trust along the treatment pathway of women with breast cancer a mixed methods study among cancer survivors |
| topic | Breast neoplasms Trust Advanced practice nursing |
| url | https://doi.org/10.1186/s12905-024-03540-y |
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