PhD candidate, Department of Nursing, University of Otago Christchurch, NZ
Esther Ajiteru is a PhD student in the Department of Nursing at the University of Otago and a Nursing Tutor at Whitireia Polytechnic, where she teaches undergraduate nursing courses. Esther is a registered nurse with additional postgraduate qualifications in nursing and public health nursing. Esther has extensive clinical nursing practice experience across various settings, including acute and chronic nursing care. Esther has focused her career to date on clinical nursing, research and education and is passionate about symptom management in cancer care. With a strong focus on improving pain management outcomes in cancer care nursing, she seeks to share insights and engage in scholarly discourse in the upcoming conference.
Shared Decision Making in Cancer Pain Management: What do Clinicians Need to Know
Pain management in cancer is complex, and clinicians have often sought pain relief that is patient centred. Shared decision-making (SDM) is central to patient-centred pain relief, but there is limited information about how clinicians experience SDM in cancer pain management. We interviewed 15 hospice and adult oncology nurses in New Zealand about SDM in cancer pain management. We found that decision-making in cancer pain management is a collective process shaped by intersecting values between the nurse, the patient, and the whanau. This shared decision-making is often accompanied by the ‘comforting’ aspect of ensuring and reviewing emotional and cognitive labour, which is often invisible. The findings suggest that clinicians need to be aware of the intricacies of SDM in cancer pain management, such as emotional labour and competing values, and the roles these can play in patient-centred pain relief and clinicians’ satisfaction.