Parvaneh Abazari1, Fariba Taleghani1, Simin Hematti2, Maryam Ehsani3. 1. Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. 2. Radiotherapy and Oncology Department, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. 3. Students Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. maryam_ehsani@nm.mui.ac.ir.
Abstract
PURPOSE: The aim of this study was to explore perceptions and preferences of cancer patients, their families, physicians, and nurses in disclosing cancer diagnosis. METHODS: We selected 35 participants (15 patients, 6 family members, 9 physicians, and 5 nurses) by purposive sampling. We collected data by in-depth interviews and used qualitative content analysis for analysis. RESULTS: Data analysis resulted in three categories: (1) establishing a basis for breaking bad news; (2) adjusting to the tragedy of bad news; and (3) helping the patient cope with the shattering news. The first category comprised the following subcategories: provision of proper background; adhering to a patient-centered approach; and being unhurried. The second category comprised the following subcategories: cancer as a cultural taboo; death as a frightening vision of unattainable dreams and punishment; hope as an opening in the utter darkness of disease; and empathy as liniment for the injuries of disease. The third category comprised the following subcategories: the family as the most powerful healing source for the patient; the force of spirituality in achieving peace; and a multiprofessional, harmonious physician-centered team. CONCLUSIONS: The findings of this study can help healthcare teams break the bad news of cancer diagnosis in a more effective, satisfactory, and culture-based manner for patients and their families.
PURPOSE: The aim of this study was to explore perceptions and preferences of cancerpatients, their families, physicians, and nurses in disclosing cancer diagnosis. METHODS: We selected 35 participants (15 patients, 6 family members, 9 physicians, and 5 nurses) by purposive sampling. We collected data by in-depth interviews and used qualitative content analysis for analysis. RESULTS: Data analysis resulted in three categories: (1) establishing a basis for breaking bad news; (2) adjusting to the tragedy of bad news; and (3) helping the patient cope with the shattering news. The first category comprised the following subcategories: provision of proper background; adhering to a patient-centered approach; and being unhurried. The second category comprised the following subcategories: cancer as a cultural taboo; death as a frightening vision of unattainable dreams and punishment; hope as an opening in the utter darkness of disease; and empathy as liniment for the injuries of disease. The third category comprised the following subcategories: the family as the most powerful healing source for the patient; the force of spirituality in achieving peace; and a multiprofessional, harmonious physician-centered team. CONCLUSIONS: The findings of this study can help healthcare teams break the bad news of cancer diagnosis in a more effective, satisfactory, and culture-based manner for patients and their families.
Entities:
Keywords:
Bad news; Cancer disclosure; Descriptive qualitative method; Preference
Authors: Josephine M Clayton; Karen M Hancock; Phyllis N Butow; Martin H N Tattersall; David C Currow; Jonathan Adler; Sanchia Aranda; Kirsten Auret; Fran Boyle; Annette Britton; Richard Chye; Katy Clark; Patricia Davidson; Jan Maree Davis; Afaf Girgis; Sara Graham; Janet Hardy; Kate Introna; John Kearsley; Ian Kerridge; Linda Kristjanson; Peter Martin; Amanda McBride; Anne Meller; Geoffrey Mitchell; Alison Moore; Beverley Noble; Ian Olver; Sharon Parker; Matthew Peters; Peter Saul; Cameron Stewart; Lyn Swinburne; Bernadette Tobin; Kathryn Tuckwell; Patsy Yates Journal: Med J Aust Date: 2007-06-18 Impact factor: 7.738
Authors: S Tsoussis; M Papadogiorgaki; E Markodimitraki; G Delibaltadakis; A Strevinas; M Psyllakis; K Tabakaki; I Drossitis; A Kabourakis; E Papadimitraki; S Krypotos; K Daskalakis; G Fragiadaki; E Zoumadaki; S Apostolakis Journal: J BUON Date: 2013 Apr-Jun Impact factor: 2.533
Authors: Mohammed O Alrukban; Badr O Albadr; Mohammed Almansour; Waqas Sami; Mussab Alshuil; Abulrahman Aldebaib; Tamim Algannam; Faisal Alhafaf; Abdulaziz Almohanna; Tariq Alfifi; Abdullah Alshehri; Muhannad Alshahrani Journal: J Family Community Med Date: 2014-05
Authors: Ines Testoni; Michael Alexander Wieser; Dafni Kapelis; Sara Pompele; Marino Bonaventura; Robert Crupi Journal: Behav Sci (Basel) Date: 2020-05-11