Patient perceptions of helpful communication in the context of advanced cancer.

Abstract:

AIMS AND OBJECTIVES:Based on a secondary analysis of data from a large qualitative study on cancer care communication, we address the question: what do patients with advanced cancer identify as helpful in their communication encounters with health care providers? BACKGROUND:Communication is of critical importance to the care of patients with advanced cancer. A better understanding of what such patients identify as helpful in their communication encounters with nurses and other health care providers seems critical to creating evidence-informed recommendations for best practices. DESIGN:Secondary analysis of qualitative interview data. METHODS:Data from 18 participants interviewed individually and 16 focus group participants, with advanced cancer in the palliative phase of care. Interpretive description methodology informed data collection and analysis. RESULTS:Findings suggest four key elements are critically important to consider in communications with patients in an advanced or palliative phase - respecting the importance of time, demonstrating caring, acknowledging fear and balancing hope and honesty in the provision of information. CONCLUSIONS:Communication is an important element in the provision of advanced cancer care. RELEVANCE TO CLINICAL PRACTICE:Findings emphasise the complex meanings inherent in cancer care communication and identify central themes that are fundamental to effective cancer care communication.

journal_name

J Clin Nurs

authors

Stajduhar KI,Thorne SE,McGuinness L,Kim-Sing C

doi

10.1111/j.1365-2702.2009.03158.x

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

2039-47

issue

13-14

eissn

0962-1067

issn

1365-2702

journal_volume

19

pub_type

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