Abstract:
To establish patient-centred guidelines to assist multidisciplinary members in providing quality care for cervical
cancer patients receiving brachytherapy.
Design: A qualitative research design.
Main measures: This prospective research study was conducted from July 2012 to March 2014 and constituted five stages. Stage
1: 28 one-to-one semi-structured patient interviews were conducted, stage 2: development of the proposed guidelines, stage
3: two focus group reviews of the proposed guidelines, stage 4: refinement of these guidelines by review by national heads of
brachytherapy units and stage 5: presentation of the final guidelines.
Results: Four main themes with sub-themes were identified from the patient interviews. Patients’ perspectives of care were
integrated into the development process of the proposed guidelines. Guidelines were developed to address the practice setting
and define the collective and exclusive roles and responsibilities of the radiation oncologists, radiation therapists and oncology
nurses. Content validity, clarity and applicability of the guidelines were confirmed.
Conclusion: Guidelines were established integrating the patient experience into the development process. They provide
a framework that clearly defines the roles and responsibilities of each member of the multidisciplinary team. Members are
encouraged to implement the guidelines to ensure that quality patient-centred care is delivered, rendering patient satisfaction.
