Shared decision-making related to nutritional counseling is important for patients in treatment for lung cancer who are at risk of developing malnutrition. This study explored how, and to what extent, shared decision-making is used for the nutritional support of patients with lung cancer and how it is, or is not, developed through conversations between nurses and patients. A multi-method study was used. Participant observations and ethnographic interviews were conducted while the patients were having their first chemotherapy and nutrition counseling. OPTION 5 was used to rate the degree of shared decision-making. The use of shared decision-making was limited, and the conversations were marked by nurses’ agendas rather than that of the patients.

Keywords: conversations, nutritional counseling, Option 5, participant observations, shared decision-making