{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:34:19Z","timestamp":1747186459687,"version":"3.40.5"},"reference-count":38,"publisher":"Wiley","issue":"11-12","license":[{"start":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T00:00:00Z","timestamp":1575936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore patients\u2019 experiences of situational awareness in the outpatient encounter when they are informed about the diagnosis of breast cancer or malignant melanoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients enter a stressful situation when receiving a diagnosis of breast cancer or malignant melanoma, and research indicates that needs are most prominent at this time. However, healthcare professionals often fail to address these needs adequately. It is unclear how patients experience situational awareness practised to meet their fundamental needs in the encounter when they are informed about the diagnosis of cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This study used a phenomenological hermeneutical approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nine semi\u2010structured interviews with patients being diagnosed with breast cancer or malignant melanoma were performed. The interpretation theory of Paul Ricoeur guided the analysis. The study is presented in line with the COREQ checklist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The analysis resulted in three themes: 1) \u201cBeing accompanied\u201d refers to how patients need information to be targeted to them as individuals. 2) \u201cBeing seen\u201d points to HCPs\u2019 exploration of the patients\u2019 perspectives to get an understanding of their preferences. 3) \u201cBeing taken care of\u201d indicates that patients feel supported if situational awareness is practised by the healthcare professionals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Practicing situational awareness in the outpatient encounter is essential to patients\u2019 experience of feeling accommodated or rejected. Patients feel rejected when their fundamental needs are not met while experiencing situational awareness seems to accommodate fundamental needs and pre\u2010empt an inappropriate patient outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>HCPs need to acknowledge the importance of using a structured approach to meeting patients\u2019 fundamental needs in a stressful situation. Each patient is different and may experience different needs in encounters where they are receiving the diagnosis of breast cancer or malignant melanoma. Therefore, treatment and care must be tailored to the individual patient based on a caring relationship.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15122","type":"journal-article","created":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T13:20:25Z","timestamp":1574774425000},"page":"1981-1990","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Situational awareness in the outpatient encounter between patients with breast cancer or malignant melanoma and healthcare professionals: Patients\u2019 perceptions"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4197-3066","authenticated-orcid":false,"given":"Lone","family":"J\u00f8rgensen","sequence":"first","affiliation":[{"name":"Clinic for Surgery and Cancer Treatment Aalborg University Hospital Aalborg Denmark"},{"name":"Clinical Nursing Research Unit Aalborg University Hospital Aalborg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne","family":"Kastrup Jensen","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Clinic for Surgery and Cancer Treatment Aalborg University Hospital Aalborg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bettina","family":"Brogaard","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery Clinic for Surgery and Cancer Treatment Aalborg University Hospital Aalborg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,10]]},"reference":[{"issue":"1","key":"e_1_2_11_2_1","first-page":"e019189","article-title":"Patient satisfaction with hospital care and nurses in England: An observational study","volume":"8","author":"Aiken L.H.","year":"2018","journal-title":"British Medical Journal Open"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.08.004"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12050"},{"volume-title":"Interviews: Learning the Craft of Qualitative Research","year":"2014","author":"Brinkmann S.","key":"e_1_2_11_5_1"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14183"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcnurse.2011.06.008"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2012.06.035"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.2017.e10765"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2016.01.006"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.2017.e10735"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12130"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1800.2000.00062.x"},{"issue":"11","key":"e_1_2_11_14_1","first-page":"1772","article-title":"Sampling in qualitative research: Insights from an overview of the methods literature","volume":"20","author":"Gentles S.J.","year":"2015","journal-title":"The Qualitative Report"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12547"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2016.06.028"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-14-3"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14730"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.12927\/hcq.2009.20971"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2015.03.009"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2011.11.005"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0000000000000271"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12081"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2019.01.002"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/HMR.0000000000000172"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987109353689"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4394-8"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2011.04.004"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14251"},{"key":"e_1_2_11_30_1","unstructured":"Nordic Nurse Federation. 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