Sharing news of a lung cancer diagnosis with adult family members and friends: a qualitative study to inform a supportive intervention

Ewing, Gail, Ngwenya, Nothando, Benson, John, Gilligan, David, Bailey, Susan, Seymour, Jane and Farquhar, Morag (2016) Sharing news of a lung cancer diagnosis with adult family members and friends: a qualitative study to inform a supportive intervention. Patient Education and Counseling, 99 (3). pp. 378-385. ISSN 0738-3991

[img]
Preview
PDF (Accepted manuscript) - Submitted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (384kB) | Preview

Abstract

Objective: Extensive research exists on breaking bad news by clinicians. This study examines perspectives of patients and those accompanying them at diagnosis-giving of subsequently sharing news of lung cancer with adult family/friends, and views of healthcare professionals, to inform development of a supportive intervention. Methods: Qualitative interviews with 20 patients, 17 accompanying persons; focus groups and interviews with 27 healthcare professionals from four Thoracic Oncology Units. Intervention development workshops with 24 healthcare professionals and six service users with experience of sharing a cancer diagnosis. Framework thematic analysis. Results: Patients and accompanying persons shared news of lung cancer whilst coming to terms with the diagnosis. They recalled general support from healthcare professionals but not support with sharing bad news. Six elements were identified providing a framework for a potential intervention: 1-people to be told, 2-information to be shared, 3-timing of sharing, 4-responsibility for sharing, 5-methods of telling others and 6-reactions of those told. Conclusion: This study identifies the challenge of sharing bad news and a potential framework to guide delivery of a supportive intervention tailored to individual needs of patients. Practice Implications: The identified framework could extend the portfolio of guidance on communication in cancer and potentially in other life-limiting conditions.

Item Type: Article
Uncontrolled Keywords: communication,cancer,qualitative research,diagnosis,intervention
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: Pure Connector
Date Deposited: 08 Dec 2016 00:06
Last Modified: 22 Apr 2020 01:52
URI: https://ueaeprints.uea.ac.uk/id/eprint/61641
DOI: 10.1016/j.pec.2015.09.013

Actions (login required)

View Item View Item