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Virginia Braun, Victoria Clarke
Please Scroll down for Article Qualitative Research in Psychology Using Thematic Analysis in Psychology
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INTRODUCTIONConveying bad news such as the poor prognosis of an oncological disease is generally regarded as one of the most challenging aspects of the medical profession (Vandekieft, 2001). However, physicians' recognition of the importance of these discussions is steadily growing (Quill, 2000).Several studies have focused on physicians' experiences and struggles with end of life communication (EOLC) (Friedrichsen & Milberg, 2006; Periyakoil et al., 2015; Rodenbach et al., 2015), and individual as well as cultural differences were consistently found (Koenig et al., 1992; Mystakidou et al., 1996; Thomsen et al., 1993). This struggle is often observed, resulting in vague, misleading and ambiguous communication styles where physicians attempt to find a balance between providing realistic information as well as not to destroy hope of their patients (Fallowfield et al., 2002). Importantly, such ambivalent efforts might collude in not discussing a palliative situation at all (Helft, 2005).The positive effect of the physicians' knowledge, awareness and self‐confidence on successful EOLC is well known (Bradley et al., 2002; Vandekieft, 2001). Physicians, who feel confident in EOLC, refer patients more often to hospice care (Bradley et al., 2002), whereas patients, who receive the information they want, are more satisfied and less emotionally burdened (Zachariae et al., 2003). Additionally, physicians state to better cope with the mortality of their patients
European Journal of Cancer Care – Wiley
Published: Nov 1, 2022
Keywords: attitude; cancer; end of life communication; oncology; physician patient communication
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