Delivering Physical Activity Recommendations in Daily Clinical Cancer Care: An Observational Interview Study in Prostate Cancer Out-Patient Clinics Using an Empirical Ethics of Care Approach.
Mette L K SchmidtPeter ØstergrenPrue CormieJens SønksenJulie Midtgaard KlausenPublished in: Qualitative health research (2022)
Physical activity (PA) has shown to mitigate many of the common side effects of cancer treatments. The promotion of PA by health care professionals (HCPs) can facilitate the adoption of PA by patients with cancer. Drawing on an empirical ethics of care approach, this article explores how the delivery of PA recommendations is done within clinical cancer care. Based on 175 observations of consultations between doctors, nurses and patients and interviews with 27 doctors and nurses, we show how delivering PA recommendations was related to four care practices: "adjusting information to match the patient's needs and situation," "managing current and anticipated treatment-induced side effects," "using visual aids and quantifiable data," and "maintaining a good relationship between the patient and the HCP." Drawing on these findings, we discuss strategies to strengthen the delivery of PA recommendations in clinical cancer care.
Keyphrases
- healthcare
- physical activity
- prostate cancer
- palliative care
- case report
- clinical practice
- primary care
- public health
- big data
- quality improvement
- end stage renal disease
- mental health
- chronic kidney disease
- ejection fraction
- electronic health record
- affordable care act
- radical prostatectomy
- papillary thyroid
- drug induced
- machine learning
- prognostic factors
- squamous cell carcinoma
- oxidative stress
- young adults
- medical students
- chronic pain
- smoking cessation
- peritoneal dialysis
- replacement therapy
- childhood cancer
- health insurance