Health Disparities: Impact of health disparities and treatment decision-making biases on cancer adverse effects among Black cancer survivors.
BACKGROUND: Health disparities affect cancer incidence, treatment decisions, and adverse effects. Oncology providers may hold biases in the decision-making process, which can perpetuate health disparities. OBJECTIVES: The purpose of this article is to describe health disparities across treatment dec...
| Publicado en: | Clinical Journal of Oncology Nursing Vol. 25; no. 5; pp. 17 - 25 |
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| Autores principales: | , , , |
| Formato: | case study CEU glossary research systematic review tables/charts Journal Article |
| Publicado: |
Oncology Nursing Society
Oct2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152530945&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152530945 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10921095 GNN jtl: Clinical Journal of Oncology Nursing issn: 10921095 maglogo: N pubinfo: dt: Oct2021 vid: 25 iid: 5 pid: 12496 pub: Oncology Nursing Society place: Pittsburgh, Pennsylvania artinfo: ui: 152530945 152530945 152530945 10.1188/21.CJON.S1.17-24 152530945 ppf: 17 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Health Disparities: Impact of health disparities and treatment decision-making biases on cancer adverse effects among Black cancer survivors. aug: au: Vo, Jacqueline B. Gillman, Arielle Mitchell, Kelsey Nolan, Timiya S. affil: Cancer prevention fellow in the Cancer Prevention Fellowship Program and the Radiation Epidemiology Branch in the Division of Cancer Epidemiology and Genetics, both at the National Cancer Institute in Bethesda, MD sug: subj: Healthcare Disparities Decision Making, Clinical Adverse Health Care Event Prevention and Control Oncology Nursing Nursing Role Neoplasms Therapy African Americans Cancer Survivors Human Scoping Review Education, Continuing (Credit) Racism Health Services Accessibility Cultural Competence Nursing Care Health Care Delivery Health Literacy Evaluation Patient Advocacy Patient Education Empowerment Health Knowledge Evaluation Monitoring, Physiologic Survivorship Male Middle Age Esophageal Neoplasms Therapy Pain Drug Therapy Oncologists Prescriptions, Drug Pain Management Middle Aged: 45-64 years Male ab: BACKGROUND: Health disparities affect cancer incidence, treatment decisions, and adverse effects. Oncology providers may hold biases in the decision-making process, which can perpetuate health disparities. OBJECTIVES: The purpose of this article is to describe health disparities across treatment decisions and adverse effects, describe decisionmaking biases, and provide suggestions for nurses to mitigate adverse outcomes. METHODS: A scoping review of the literature was conducted. FINDINGS: Factors affecting health disparities stem, in part, from structural racism and decision-making biases, such as implicit bias, which occurs when individuals have unconscious negative thoughts or feelings toward a particular group. Other decision-making biases, seemingly unrelated to race, include default bias, delay discounting bias, and availability bias. Nurses and nurse navigators can mitigate health disparities by providing culturally appropriate care, assessing health literacy, providing education regarding adverse effects, serving as patient advocates, empowering patients, evaluating personal level of disease knowledge, and monitoring and managing cancer treatment adverse effects. pubtype: Academic Journal doctype: case study CEU glossary research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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