The experience of decision-making regarding placement of long-term central venous catheters:a qualitative study of caregivers of children with cancer
Objective To explore the experience of decision-making regarding placement of central venous catheter among caregivers of children with cancer,and to provide evidence for decision-making support.Methods Using phenomenological qualitative design,purposive sampling was utilized to select 17 caregivers of children with cancer for semi-structured interviews.Data were analyzed using conventional content analysis method.Results Three themes and six sub-themes emerged:coexistence of active preparation and passive coping before decision-making(confusion and helplessness,positive coping),coexistence of doctor-led and shared deci-sion-making(doctor-led decision-making,shared decision-making),coexistence of benefits and regrets after decision-making(be-nefits and gratitude,regrets and concerns).Conclusion Caregivers of children with cancer have complex decision-making experience and low participation in decision-making regarding placement of central venous catheter.Medical staff should pay attention to their willingness to and factors associated with participation in shared decision-making,and provide targeted interventions,aiming to en-hance caregivers'willingness to participate in shared decision-making.
children with cancercentral venous cathetercaregiversfathermotherdecision-makingshared decision-makingqualitative research