Disclosing and responding to cancer “fears” during oncology interviews

Beach, Wayne A.; Easter, David W.; Good, Jeffrey S.; Pigeron, Elisa

doi:10.1016/j.socscimed.2004.06.031

Cited by 101 publications

(56 citation statements)

References 63 publications

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“…It is also previously shown how patients, besides seeking information, also talked about their fears and how the disease affected their lives [3]. In our data, however, physicians seem to respond more often to informational than emotional cues.…”

Section: Discussion Of Findingssupporting

confidence: 50%

Ways of talking about illness and prognosis in palliative cancer care consultations—two interactional frames

Lidén

Öhlén

Hydén

et al. 2009

Support Care Cancer

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When patients shared their personal interpretations of illness and prognosis, their narrative was more enhanced by the person-to-person frame than the patient-professional frame. Finding out if and how patients and SOs want to express their worries and finding a balance between the interactional patterns that occur are ethical challenges which health professionals must face. Since patients and SOs may restrain their emotional experiences, investigating grounded ways of overcoming these difficulties is imperative.

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Section: Discussion Of Findingssupporting

confidence: 50%

Ways of talking about illness and prognosis in palliative cancer care consultations—two interactional frames

Lidén

Öhlén

Hydén

et al. 2009

Support Care Cancer

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“…In response, the doctor tended to move away from rather than pursue patients' psychosocial or emotional concerns by offering a textbook-like listing of symptoms or restrict patients' further elaboration by shifting his or her focus away from patients. 45 Avoiding, failing to acknowledge, and constraining patients' disclosure of significant events and concerns, particularly their cancer symptoms, contribute significantly to patient dissatisfaction, increase the likelihood of malpractice, and decrease the likelihood for early detection. 46 Disclosing symptoms to a healthcare provider usually leads to clinical and diagnostic evaluations.…”

Section: Consequencesmentioning

confidence: 99%

Concept Analysis of Symptom Disclosure in the Context of Cancer

Sun

2008

Advances in Nursing Science

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Although symptoms suggestive of cancer are the most common reason that people seek healthcare, the process undertaken to disclose the symptoms is unclear. The purpose of this article is to critically analyze the concept of symptom disclosure in the context of cancer. Rodgers' evolutionary approach was applied to analyze the concept of symptom disclosure. Concept analysis indicates that symptom disclosure is a decision-making process in which a person chooses to tell significant others and a healthcare provider about self-identified symptoms. Characteristics of the concept include symptom interpretation, weighing the risks and benefits of disclosure, and taking action. Influencing factors are knowledge, cancer risk perception, personal or family history of cancer, socioeconomic and cultural factors, and access to care. The concept analysis of symptom disclosure provides guidance for developing strategies to promote healthcare-seeking behavior in practice and suggest areas for future research.

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“…Physicians, particularly when dealing with serious illnesses like cancer, often misread emotional cues and fail to initiate conversations about emotions [38,39]. Preferences about communication methods may differ among patients; some prefer to be asked about their emotions directly, while others prefer to express emotions when they are asked about their life and everyday activities [40].…”

Section: Discussionmentioning

confidence: 99%

Defining elements of patient-centered care for therapeutic relationships: a literature review of common themes

Clarke¹,

Ells²,

Thombs³

et al. 2017

EJPCH

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Rationale and aims: Patient-centered care is a recognized clinical method and ideal for patient -health professional relationships. Many definitions have influenced its evolution. For this research, our aim was: (1) to assess definitions and descriptions of patient-centered care to draw out elements of patient-centered care that are considered to be important markers of successful patient-centered care in the patient -health professional relationship and (2) to propose a set of elements that collectively reflect the diversity of 'patient-centered' definitions that describe the patient-professional relationship in this literature. A secondary aim was (3) to provide elements that could be used for development of a quality assessment tool. Methods: We conducted a critical interpretive review of patient-centered care and patient-centered communication literature, beginning with a critical synthesis that yielded 12 articles that introduced new theoretical and definitional work on patient-centered care and patient-centered communication. We used an inductive and iterative analysis process to identify and group common themes. We used operational language to describe these themes. Results: We identified 6 elements (each with 2 or more sub-elements) of the patient -health professional relationship that are considered important markers of successful patient-centered care (as found in this literature). The 6 elements are: (1) Engaging the Patient as a Whole Person, (2) Recognizing and Responding to Emotions, (3) Fostering a Therapeutic Alliance, (4) Promoting an Exchange of Information, (5) Sharing Decision-Making and (6) Enabling Continuity of Care, Self-Management and Patient Navigation. Conclusions: Comparable fundamental elements were common among most authors within this literature: we found that variation in theory was typically a matter of degree and language. This work contributes analyses towards greater theoretical consistency for conceptions of patient-centered care. It also provides avenues for future development of quality assurance benchmarks.

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Disclosing and responding to cancer “fears” during oncology interviews

Cited by 101 publications

References 63 publications

Ways of talking about illness and prognosis in palliative cancer care consultations—two interactional frames

Ways of talking about illness and prognosis in palliative cancer care consultations—two interactional frames

Concept Analysis of Symptom Disclosure in the Context of Cancer

Defining elements of patient-centered care for therapeutic relationships: a literature review of common themes

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