Women's perceptions of decision-making about hysterectomy

Zoe Christina Skea, V. Harry, Siladitya Bhattacharya, Vikki Ann Entwistle, Benjamin Scott Williams, Graeme Stewart MacLennan, Alexander Allan Templeton

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Objective To explore women's views of decision-making relating to hysterectomy.

Design Structured questionnaire and in-depth interview surveys.

Setting A teaching hospital and a district general hospital in northeast Scotland.

Sample Women scheduled for hysterectomy for benign menstrual problems.

Methods Pre-operative questionnaires were sent to a consecutive sample of women booked for hysterectomy. A purposive sample was interviewed post-operatively.

Main outcome measures Women's experiences of, and satisfaction with, information provision, communication and decision-making processes; the relationship between views of decision-making processes and decisions made.

Results One hundred and four women (66%) returned questionnaires. Most responded positively to structured questions about the process by which the decision to have a hysterectomy was reached. Almost all (97%) reported satisfaction with the decision made. Twenty women were interviewed post-operatively. A number, including some who had responded positively on the questionnaire, described aspects of the decision-making process that were suboptimal. Women's perceptions of the decision-making process, including the way their doctors communicated with them, did impinge on their views of the course of action selected. Some women had residual doubts about the appropriateness of hysterectomy.

Conclusions In a significant minority of women, there are important shortcomings in current patterns of information provision and communication relating to decision-making. These are unlikely to be picked up by conventional structured patient feedback surveys. Further efforts are required to ensure that women are adequately informed and involved in decisions about gynaecological treatments.

Original languageEnglish
Pages (from-to)133-142
Number of pages10
JournalBJOG-An International Journal of Obstetrics and Gynaecology
Volume111
Issue number2
DOIs
Publication statusPublished - 2004

Keywords

  • patient satisfaction
  • endometrial ablation
  • intrauterine system
  • randomized-trial
  • experiences
  • Menorrhagia
  • resection
  • therapy
  • surgery
  • scale

Cite this

Women's perceptions of decision-making about hysterectomy. / Skea, Zoe Christina; Harry, V.; Bhattacharya, Siladitya; Entwistle, Vikki Ann; Williams, Benjamin Scott; MacLennan, Graeme Stewart; Templeton, Alexander Allan.

In: BJOG-An International Journal of Obstetrics and Gynaecology, Vol. 111, No. 2, 2004, p. 133-142.

Research output: Contribution to journalArticle

@article{794820f05a9c4f32a257822b18835dc3,
title = "Women's perceptions of decision-making about hysterectomy",
abstract = "Objective To explore women's views of decision-making relating to hysterectomy.Design Structured questionnaire and in-depth interview surveys.Setting A teaching hospital and a district general hospital in northeast Scotland.Sample Women scheduled for hysterectomy for benign menstrual problems.Methods Pre-operative questionnaires were sent to a consecutive sample of women booked for hysterectomy. A purposive sample was interviewed post-operatively.Main outcome measures Women's experiences of, and satisfaction with, information provision, communication and decision-making processes; the relationship between views of decision-making processes and decisions made.Results One hundred and four women (66{\%}) returned questionnaires. Most responded positively to structured questions about the process by which the decision to have a hysterectomy was reached. Almost all (97{\%}) reported satisfaction with the decision made. Twenty women were interviewed post-operatively. A number, including some who had responded positively on the questionnaire, described aspects of the decision-making process that were suboptimal. Women's perceptions of the decision-making process, including the way their doctors communicated with them, did impinge on their views of the course of action selected. Some women had residual doubts about the appropriateness of hysterectomy.Conclusions In a significant minority of women, there are important shortcomings in current patterns of information provision and communication relating to decision-making. These are unlikely to be picked up by conventional structured patient feedback surveys. Further efforts are required to ensure that women are adequately informed and involved in decisions about gynaecological treatments.",
keywords = "patient satisfaction, endometrial ablation, intrauterine system, randomized-trial, experiences, Menorrhagia, resection, therapy, surgery, scale",
author = "Skea, {Zoe Christina} and V. Harry and Siladitya Bhattacharya and Entwistle, {Vikki Ann} and Williams, {Benjamin Scott} and MacLennan, {Graeme Stewart} and Templeton, {Alexander Allan}",
year = "2004",
doi = "10.1046/j.1471-0528.2003.00027.x",
language = "English",
volume = "111",
pages = "133--142",
journal = "BJOG-An International Journal of Obstetrics and Gynaecology",
issn = "1470-0328",
publisher = "John Wiley & Sons, Ltd (10.1111)",
number = "2",

}

TY - JOUR

T1 - Women's perceptions of decision-making about hysterectomy

AU - Skea, Zoe Christina

AU - Harry, V.

AU - Bhattacharya, Siladitya

AU - Entwistle, Vikki Ann

AU - Williams, Benjamin Scott

AU - MacLennan, Graeme Stewart

AU - Templeton, Alexander Allan

PY - 2004

Y1 - 2004

N2 - Objective To explore women's views of decision-making relating to hysterectomy.Design Structured questionnaire and in-depth interview surveys.Setting A teaching hospital and a district general hospital in northeast Scotland.Sample Women scheduled for hysterectomy for benign menstrual problems.Methods Pre-operative questionnaires were sent to a consecutive sample of women booked for hysterectomy. A purposive sample was interviewed post-operatively.Main outcome measures Women's experiences of, and satisfaction with, information provision, communication and decision-making processes; the relationship between views of decision-making processes and decisions made.Results One hundred and four women (66%) returned questionnaires. Most responded positively to structured questions about the process by which the decision to have a hysterectomy was reached. Almost all (97%) reported satisfaction with the decision made. Twenty women were interviewed post-operatively. A number, including some who had responded positively on the questionnaire, described aspects of the decision-making process that were suboptimal. Women's perceptions of the decision-making process, including the way their doctors communicated with them, did impinge on their views of the course of action selected. Some women had residual doubts about the appropriateness of hysterectomy.Conclusions In a significant minority of women, there are important shortcomings in current patterns of information provision and communication relating to decision-making. These are unlikely to be picked up by conventional structured patient feedback surveys. Further efforts are required to ensure that women are adequately informed and involved in decisions about gynaecological treatments.

AB - Objective To explore women's views of decision-making relating to hysterectomy.Design Structured questionnaire and in-depth interview surveys.Setting A teaching hospital and a district general hospital in northeast Scotland.Sample Women scheduled for hysterectomy for benign menstrual problems.Methods Pre-operative questionnaires were sent to a consecutive sample of women booked for hysterectomy. A purposive sample was interviewed post-operatively.Main outcome measures Women's experiences of, and satisfaction with, information provision, communication and decision-making processes; the relationship between views of decision-making processes and decisions made.Results One hundred and four women (66%) returned questionnaires. Most responded positively to structured questions about the process by which the decision to have a hysterectomy was reached. Almost all (97%) reported satisfaction with the decision made. Twenty women were interviewed post-operatively. A number, including some who had responded positively on the questionnaire, described aspects of the decision-making process that were suboptimal. Women's perceptions of the decision-making process, including the way their doctors communicated with them, did impinge on their views of the course of action selected. Some women had residual doubts about the appropriateness of hysterectomy.Conclusions In a significant minority of women, there are important shortcomings in current patterns of information provision and communication relating to decision-making. These are unlikely to be picked up by conventional structured patient feedback surveys. Further efforts are required to ensure that women are adequately informed and involved in decisions about gynaecological treatments.

KW - patient satisfaction

KW - endometrial ablation

KW - intrauterine system

KW - randomized-trial

KW - experiences

KW - Menorrhagia

KW - resection

KW - therapy

KW - surgery

KW - scale

U2 - 10.1046/j.1471-0528.2003.00027.x

DO - 10.1046/j.1471-0528.2003.00027.x

M3 - Article

VL - 111

SP - 133

EP - 142

JO - BJOG-An International Journal of Obstetrics and Gynaecology

JF - BJOG-An International Journal of Obstetrics and Gynaecology

SN - 1470-0328

IS - 2

ER -