Gail Ewing1, Nothando Ngwenya2, John Benson3, David Gilligan4, Susan Bailey5, Jane Seymour6, Morag Farquhar3. 1. Centre for Family Research, University of Cambridge, Free School Lane, Cambridge CB2 3RQ, UK. Electronic address: ge200@cam.ac.uk. 2. Centre for Family Research, University of Cambridge, Free School Lane, Cambridge CB2 3RQ, UK. 3. Primary Care Unit, Department of Public Health & Primary Care, University of Cambridge, Cambridge CB2 0SR, UK. 4. Department of Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK. 5. Formerly Department of Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK. 6. School of Health Sciences, The University of Nottingham, Nottingham NG7 2UH, UK.
Abstract
OBJECTIVE: Extensive research exists on breaking bad news by clinicians. This study examines perspectives of patients and those accompanying them at diagnosis-giving of subsequently sharing news of lung cancer with adult family/friends, and views of healthcare professionals, to inform development of a supportive intervention. METHODS: Qualitative interviews with 20 patients, 17 accompanying persons; focus groups and interviews with 27 healthcare professionals from four Thoracic Oncology Units. Intervention development workshops with 24 healthcare professionals and six service users with experience of sharing a cancer diagnosis. Framework thematic analysis. RESULTS: Patients and accompanying persons shared news of lung cancer whilst coming to terms with the diagnosis. They recalled general support from healthcare professionals but not support with sharing bad news. Six elements were identified providing a framework for a potential intervention: 1-people to be told, 2-information to be shared, 3-timing of sharing, 4-responsibility for sharing, 5-methods of telling others and 6-reactions of those told. CONCLUSION: This study identifies the challenge of sharing bad news and a potential framework to guide delivery of a supportive intervention tailored to individual needs of patients. PRACTICE IMPLICATIONS: The identified framework could extend the portfolio of guidance on communication in cancer and potentially in other life-limiting conditions.
OBJECTIVE: Extensive research exists on breaking bad news by clinicians. This study examines perspectives of patients and those accompanying them at diagnosis-giving of subsequently sharing news of lung cancer with adult family/friends, and views of healthcare professionals, to inform development of a supportive intervention. METHODS: Qualitative interviews with 20 patients, 17 accompanying persons; focus groups and interviews with 27 healthcare professionals from four Thoracic Oncology Units. Intervention development workshops with 24 healthcare professionals and six service users with experience of sharing a cancer diagnosis. Framework thematic analysis. RESULTS:Patients and accompanying persons shared news of lung cancer whilst coming to terms with the diagnosis. They recalled general support from healthcare professionals but not support with sharing bad news. Six elements were identified providing a framework for a potential intervention: 1-people to be told, 2-information to be shared, 3-timing of sharing, 4-responsibility for sharing, 5-methods of telling others and 6-reactions of those told. CONCLUSION: This study identifies the challenge of sharing bad news and a potential framework to guide delivery of a supportive intervention tailored to individual needs of patients. PRACTICE IMPLICATIONS: The identified framework could extend the portfolio of guidance on communication in cancer and potentially in other life-limiting conditions.
Authors: Caress Dean; Amanda J Fogleman; Whitney E Zahnd; Alexander E Lipka; Ripan Singh Malhi; Kristin R Delfino; Wiley D Jenkins Journal: J Community Genet Date: 2017-05-05
Authors: Janneke van Roij; Linda Brom; Maggy Youssef-El Soud; Lonneke van de Poll-Franse; Natasja J H Raijmakers Journal: Support Care Cancer Date: 2018-09-13 Impact factor: 3.603