Date of Completion

2024

Document Type

Thesis

Degree Name

Bachelor of Science in Nursing

Keywords

Breast cancer

Abstract

Purpose Statement This study aimed to describe the experiences of clients diagnosed with breast cancer as they undergo from diagnosis to the process of making treatment decisions to the decision itself. The participants were asked the grand tour question: “What were your decision-making experiences relevant to breast cancer management?” (“Anu-ano ang iyong mga karanasan sa pagdedesisyon kaugnay sa pamamahala ng kanser sa suso?”).

Scope and Limitations The study involved breast cancer patients over 18, at any stage, undergoing conventional or alternative treatment and willing to share their experiences. Exclusion criteria included those without a clinical diagnosis. Efforts were made for fair representation of male and female clients; however, limitations resulted in lacking male participants.

Methodology This study used descriptive-qualitative research to describe the experiences leading to treatment decisions in breast cancer patients. Maximum variation sampling was initially used to gather diverse perspectives, followed by snowball sampling to recruit more participants. Data saturation was reached after interviewing the 10th participant.

Findings The analysis revealed three key themes among breast cancer clients in the context of treatment decision-making. The first theme centers on the precursors concerning participants' experiences before the diagnosis, which varied based on family history and unexpected occurrences leading to either anticipation or shock. These contributed significantly to the beginning of their treatment decision-making process. Furthermore, in the second theme, it was revealed that decision-making was influenced by medical advice, personal motivation to learn more about breast cancer and its treatment modalities, external influences, and personal life circumstances. Participants' reflections on their treatment decisions and experiences emerged as the third theme, reflections on treatment choices, which showed diverse emotions, including regret and satisfaction. Ultimately, participants found contentment through proactive learning, adapting treatment options, and maintaining hope and trust for better health outcomes.

Conclusion The study concluded that the decision-making process for breast cancer patients is complex and influenced by various factors. The findings highlighted the participants' experiences, revealing key insights that include the impact of family history, genetic indicators, unexpected diagnoses, emotional distress, financial constraints, trust in physicians, personal motivation, satisfaction, regrets, and perceptions of health outcomes. These insights emphasize the need for comprehensive decision-making resources and support systems to improve patient experiences.

First Advisor

Monina G. Dimas, RN, MAN

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