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

Author:

Ladefoged Kopp Schmidt Mette12ORCID,Østergren Peter12,Cormie Prue34,Sønksen Jens12,Midtgaard Julie25ORCID

Affiliation:

1. Department of Urology, Copenhagen University Hospital - Herlev and Gentofte Hospital, Copenhagen, Denmark

2. Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark

3. Peter MacCallum Cancer Centre, Melbourne, VIC, Australia

4. Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, VIC, Australia

5. Mental Health Centre Glostrup, University of Copenhagen, Glostrup, Denmark

Abstract

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.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

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