Can we improve the professional and personal fulfilment of doctors in cancer medicine?

Fallowfield, Lesley

doi:10.1038/bjc.1995.220

Cited by 61 publications

(30 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The majority of the literature on positive aspects of physician well-being is based on expert opinion [1, 16, 20, 59] rather than empirically derived [14, 28, 29]. To our knowledge, this is the largest published study focusing on positive rather than negative aspects of oncologist well-being and the only study to explore the relationship between high well-being and the personal wellness promotion strategies used by oncologists.…”

Section: Discussionmentioning

confidence: 91%

The Well-Being and Personal Wellness Promotion Strategies of Medical Oncologists in the North Central Cancer Treatment Group

Shanafelt¹,

Novotny²,

Johnson³

et al. 2005

Oncology

133

110

View full text Add to dashboard Cite

Purpose: The well-being of oncologists is important to the well-being of their patients. While much is known about oncologist distress, little is known about oncologist well-being. We set out to evaluate oncologist well-being and the personal wellness promotion strategies used by oncologists. Patients and Methods: We performed a cross-sectional survey of medical oncologists in the North Central Cancer Treatment Group using a validated instrument to measure quality of life. Study-specific questions explored stressors, wellness promotion strategies and career satisfaction. Results: Of 241 responding oncologists (response rate 61%), 121 (50%) reported high overall well-being. Being age 50 or younger (57 vs. 41%; p = 0.01), male (53 vs. 31%; p = 0.01) and working 60 h or less per week (50 vs. 33%; p = 0.005) were associated with increased overall well-being on bivariate analysis. Ratings of the importance of a number of personal wellness promotion strategies differed for oncologists with high well-being compared with those without high well-being. Developing an approach/philosophy to dealing with death and end-of-life care, using recreation/hobbies/exercise, taking a positive outlook and incorporating a philosophy of balance between personal and professional life were all rated as substantially more important wellness strategies by oncologists with high well-being (p values <0.001). Oncologists with high overall well-being also reported greater career satisfaction. Conclusion: Half of medical oncologists experience high overall well-being. Use of specific personal wellness promotion strategies appears to be associated with oncologist well-being. Further investigations of the prevalence, promotion, causes, inequities and clinical impact of physician well-being are needed.

show abstract

Section: Discussionmentioning

confidence: 91%

The Well-Being and Personal Wellness Promotion Strategies of Medical Oncologists in the North Central Cancer Treatment Group

Shanafelt¹,

Novotny²,

Johnson³

et al. 2005

Oncology

133

110

View full text Add to dashboard Cite

show abstract

“…Valuable forms of communication depend on good timing, and on the nurse's personality, for a successful outcome [10]. Unfortunately, few nurses have received adequate training in communication skills, and thus are unfamiliar with methods likely to promote change, confidence and competence [21]. In the UK, Wilkinson, suggested that the way in which nurses communicate may be affected by the environment created by the ward sister, the nurse's religious belief and society's attitudes towards death, rather than by their education in communication skills [88].…”

Section: The Nursementioning

confidence: 99%

Cancer information disclosure in different cultural contexts

Mystakidou

Parpa

Tsilika

et al. 2004

Supportive Care in Cancer

189

150

View full text Add to dashboard Cite

The relationship between truth telling and culture has been the subject of increasing attention in the literature. The issue of whether, how and how much to tell cancer patients concerning diagnosis is still approached differently depending on country and culture. The majority of physicians tell the truth more often today than in the past, in both developed and developing countries, but most of them prefer to disclose the truth to the next of kin. Nurses in Anglo-Saxon countries are considered to be the most suitable health-care professionals for the patients to share their thoughts and feelings with. Nevertheless, in most other cultures the final decision on information disclosure lies with the treating physician. Regardless of cultural origin, the diagnosis of cancer affects both family structure and family dynamics. In most cases patients' families, in an effort to protect them from despair and a feeling of hopelessness, exclude the patient from the process of information exchange. The health-care team-patient relationship is a triangle consisting of the health-care professional, the patient and the family. Each part supports the other two and is affected by the cultural background of each of the others as well as the changes that occur within the triangle.

show abstract

“…1 However, many doctors identify clinical trials as one of the most difficult areas of discussion in a consultation, [2][3][4] so it is not surprising that trials may be offered only to patients they deem ideal candidates. [5][6][7] Patients require their own time, first to confront a new cancer diagnosis or recurrence, and then to process it sufficiently so they can make decisions about treatment.…”

Section: Introductionmentioning

confidence: 99%

Power of an Effective Clinical Conversation: Improving Accrual Onto Clinical Trials

Parreco

DeJoice

Massett

et al. 2012

JOP

View full text Add to dashboard Cite

The National Cancer Institute (NCI) is actively transforming clinical trials to revitalize the clinical trials system and improve patient accrual. For more than 30 years, NCI has provided information and communication resources about cancer clinical trials. The Institute supports a clinical trials Web site (www.cancer.gov/clinicaltrials) that receives nearly a half million page views a month. In addition, NCI's Cancer Information Service (800-4-CANCER, chat and e-mail) responds to 1,750 clinical trial inquiries every month. Although these numbers suggest that a high volume of clinical trial information is being exchanged between NCI, the public, and providers, most patients decide whether to participate in clinical trials during the patient-provider interaction.

show abstract

Can we improve the professional and personal fulfilment of doctors in cancer medicine?

Cited by 61 publications

References 7 publications

The Well-Being and Personal Wellness Promotion Strategies of Medical Oncologists in the North Central Cancer Treatment Group

The Well-Being and Personal Wellness Promotion Strategies of Medical Oncologists in the North Central Cancer Treatment Group

Cancer information disclosure in different cultural contexts

Power of an Effective Clinical Conversation: Improving Accrual Onto Clinical Trials

Contact Info

Product

Resources

About