Chemotherapy patient perception regarding communication with the healthcare staff
Purpose: To qualitatively explore the communication between healthcare professionals and oncology patients based on the perception of patients undergoing chemotherapy.Method: Qualitative and exploratory design. Participants were 14 adult patients undergoing chemotherapy at different stages of the di...
Published in: | Psicooncología |
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Main Authors: | , , , |
Format: | Article in Journal/Newspaper |
Language: | Spanish |
Published: |
Asociación de Psicooncología de Madrid
2016
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Subjects: | |
Online Access: | https://revistas.ucm.es/index.php/PSIC/article/view/52493 https://doi.org/10.5209/rev_PSIC.2016.v13.n1.52493 |
id |
ftunicmadridrev:oai:ojs.pkp.sfu.ca:article/52493 |
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record_format |
openpolar |
institution |
Open Polar |
collection |
Universidad Complutense de Madrid (UCM): Revistas Científicas Complutenses |
op_collection_id |
ftunicmadridrev |
language |
Spanish |
topic |
Oncology; communication; health provider-patient relationship. Oncología; comunicación; relación profesional sanitario-paciente. |
spellingShingle |
Oncology; communication; health provider-patient relationship. Oncología; comunicación; relación profesional sanitario-paciente. Bittencourt Romeiro, Fernanda Peuker, Ana Carolina Bianchini, Daniela Kern de Castro, Elisa Chemotherapy patient perception regarding communication with the healthcare staff |
topic_facet |
Oncology; communication; health provider-patient relationship. Oncología; comunicación; relación profesional sanitario-paciente. |
description |
Purpose: To qualitatively explore the communication between healthcare professionals and oncology patients based on the perception of patients undergoing chemotherapy.Method: Qualitative and exploratory design. Participants were 14 adult patients undergoing chemotherapy at different stages of the disease. A socio-demographic and clinical data form was utilized along with semi-structured interviews. The interviews were audio-recorded, transcribed and content analysis was performed. Two independent judges evaluated the interview content in regards to emerging categories and obtained a Kappa index of 0.834.Results: Three categories emerged from the data: 1) Technical communication without emotional support, in which the information provided is composed of strictly technical information regarding the diagnosis, treatment and/or prognosis; 2) Technical communication, in which the information provided is oriented towards the technical aspects of the patient’s physical condition, while also providing psychological support for the patients’ subjective needs; and 3) Insufficient technical communication, win which there are gaps in the information provided causing confusion and suffering to the patient.Conclusions: Communication with emotional support contributes to greater satisfaction of chemotherapy patients. Practical implications: the results provide elements for the training of healthcare professionals regarding the importance of the emotional support that can be offered to cancer patients during their treatment. Objetivo: explorar cualitativamente la comunicación entre profesionales sanitarios y pacientes con cáncer a partir de la percepción de los pacientes en tratamiento de quimioterapia.Método: diseño cualitativo y exploratorio. Participantes fueron 14 pacientes adultos con cáncer en quimioterapia en diferentes fases de la enfermedad. Los instrumentos utilizados fueron un protocolo de dato sociodemográficos y clínicos y una entrevista semi-estructurada. Las entrevistas fueron grabadas, transcritas, y fue realizado análisis de contenido. Dos jueces independientes evaluaron el contenido de las entrevistas a partir de las categorías que aparecieron, y fue calculado el índice Kappa de 0,834.Resultados: Tres categorías fueron creadas a partir de los datos: 1) Comunicación técnica sin apoyo emocional, cuando la información dada es compuesta de forma estricta a las informaciones técnicas del diagnóstico, tratamiento y/o pronóstico; 2) Comunicación técnica, cuando la información está orientada a los aspectos técnicos de la condición física del paciente, mientras también es ofrecido apoyo emocional de acuerdo con las necesidades de los pacientes; y 3) Comunicación técnica insuficiente, cuando hay problemas en la información ofrecida y que causa confusión y sufrimiento al paciente.Conclusiones: comunicación con apoyo emocional contribuye para aumentar la satisfacción de pacientes en quimioterapia. Implicaciones practicas: los resultados fornecen elementos para la capacitación de profesionales sanitarios relacionados a la importancia del apoyo emocional que puede ser ofrecido a pacientes con cáncer durante su tratamiento. |
format |
Article in Journal/Newspaper |
author |
Bittencourt Romeiro, Fernanda Peuker, Ana Carolina Bianchini, Daniela Kern de Castro, Elisa |
author_facet |
Bittencourt Romeiro, Fernanda Peuker, Ana Carolina Bianchini, Daniela Kern de Castro, Elisa |
author_sort |
Bittencourt Romeiro, Fernanda |
title |
Chemotherapy patient perception regarding communication with the healthcare staff |
title_short |
Chemotherapy patient perception regarding communication with the healthcare staff |
title_full |
Chemotherapy patient perception regarding communication with the healthcare staff |
title_fullStr |
Chemotherapy patient perception regarding communication with the healthcare staff |
title_full_unstemmed |
Chemotherapy patient perception regarding communication with the healthcare staff |
title_sort |
chemotherapy patient perception regarding communication with the healthcare staff |
publisher |
Asociación de Psicooncología de Madrid |
publishDate |
2016 |
url |
https://revistas.ucm.es/index.php/PSIC/article/view/52493 https://doi.org/10.5209/rev_PSIC.2016.v13.n1.52493 |
genre |
Circumpolar Health |
genre_facet |
Circumpolar Health |
op_source |
Psicooncología; Vol. 13 Núm. 1 (2016); 139-150 1988-8287 1696-7240 |
op_relation |
https://revistas.ucm.es/index.php/PSIC/article/view/52493/48299 Arbabi M, Rozdar A, Taher M, Shirzad M, Arjmand M, Ansari S2, Mohammadi MR. Patients’ preference to hear cancer diagno¬sis. Iran J Psychiatry 2014;9:1:8-13. Brundage MD, Feldman-Stewart D, Tishelman C. How do interventions de signed to improve provider-patient com¬munication work? Illustrative applica¬tions of a framework for communication. Acta Oncologica 2010; 49:136-43. Doi:10.3109/02841860903483684. Caprara A, Rodrigues J. Asymmetric doc¬tor-patient relationship: rethinking the therapeutic Bond. Ciência & Saúde Cole¬tiva, 2004;9:139-46. Doi:10.1590/S1413-81232004000100014. Castro EK, Barreto SMM. Oncology medi¬cal criteria for psychologycal referral in palliative care. Psicologia: Ciência e Profis¬são 2015;35:69-82. DOI:10.1590/1982-3703000202013. Cavalcanti, D.R., 2005. Critical illness (cancer) diagnosis communication. Telling to the patient who, when, how and why? Pan-American Family Medicine Clinics. 1. Available from: http://www.inca.gov.br/rbc/n_55/v02/pdf/07_artigo4.pdf Coyle N, Sculco L. Communication and the patient/ohysician relationship: A phenomenological inquiry. J Support Oncol 2003;1:206-15. Doi:10.1093/jmp/12.3.219 Dean M, Street RL. A 3-stage model of patient-centered communication for ad¬dressing cancer patients’ emotional dis¬tress. Patient Educ Couns 2014;94:143-8. Doi:10.1016/j.pec.2013.09.025 Deledda G, Moretti F, Rimondini M, Zim¬mermann C. How patients want their doc¬tor to communicate. A literature review on primary care patients’ perspective. Pa¬tient Educ Couns 2013;90:297-306. Doi:10.1016/j.pec.2012.05.005 Ekwall E, Ternestedt BM, Sorbe B, Grane¬heim UH. Patients’ perceptions of com¬munication with the health care team during chemotherapy for the first recur¬rence of ovarian cancer. Eur J Oncol Nurs 2011;15:53-58. Doi:10.1016/j.ejon.2010.06.001 Emold C, Schneider N, Meller I, Yagil Y. Communication skills, working envi¬ronment and burnout among oncology nurses.Eur J Oncol Nurs 2011; 15:358-63. Doi:10.1016/j.ejon.2010.08.001 Epstein RM, Franks P, Fiscella K, Shields CG, Meldrum SC, Kravitz RL, Duberstein PR. Measuring patient-centered communi¬cation in Patient–Physician consultations: Theoretical and practical issues. Soc Sci Med 2005; 61:1516–28. Doi:10.1016/j.socscimed.2005.02.001 Epstein RM, Peters E. Beyond informa¬tion: exploring patients’ preferences. JAMA 2009; 302:2:195-7. Doi:10.1001/jama.2009.984. Fleissig A, Jenkins V, Catt S, Fallowfield L. Multidisciplinary teams in cancer care: Are they effective in the UK? Lancet On¬col 2006;7:935-43. Doi:10.1016/S1470-2045(06)70940-8 Fontanella BJB, Ricas J, Turato ER. Saturation sampling in qualitative health research: the¬oretical contributions. Cadernos de Saúde Pública 2008;24:17-27. Doi:10.1590/S0102-311X2008000100003. Geovanini, F., Braz, M., 2013. Ethical conflicts in communicating bad news in oncology. Rev. Bioét 21:455-62. [Acess: 5 sep 2014] Available from: http://www.redalyc.org/articulo.oa?id=361533263010 Gomes, C.H.R., Silva, P.V., Mota, F. F., 2009. Cancer diagnosis communication: analysis of the physician behavior. Revista Brasileira de Cancerologia. 55:139-143. Available from: http://www.inca.gov.br/rbc/n_55/v02/pdf/07_artigo4.pdf Acess: 3 june 2014 Goodwin PJ, Bruera E, Stockler M. Pain in patients with cancer. J Clin Oncol 2014;32: 1637-9. Doi:10.1200/JCO.2014.55.3818 Ha JF, Longnecker N. Doctor-patient com¬munication: A review. Ochsner J 2010; 10:1:38-43. HackTF,Degner LF, Parker PA. The com¬munication goals and needs of can¬cer patients: a review. Psychooncology 2005;14:831-45. Doi:10.1002/pon.968 Hagerty RG, Butow PN, Ellis PA, Lobb EA, Pendlebury S, Leighl N, et al. Can¬cer patient preferences for communica¬tion of prognosis in the metastatic setting. J Clin Oncol 2004;22:9. Doi:10.1200/JCO.2004.04.095 Hounsgaard L, Augustussen M, Møller H, Bradley SK, Møller S. Women’s perspec¬tives on illness when being screened for cervical cancer. Int J Circumpolar Health 2013;72. Doi:10.3402/ijch.v72i0.21089 Krupat E, Rosenkranz SL, Yeager CM, Bar¬nard K, Putnam SM, Inui TS. The practice orientations of physicians and patients: The effect of doctor–patientcongruence on sat¬isfaction. Patient Educ Couns 2000; 39:49-59. Doi:0.1016/S0738-3991(99)00090-7 Lamb B, Green JS, Vincent C, Sevdalis N. Decision making in surgical oncology. Sur Oncol 2011; 20:163-8. Doi:10.1016/j.su¬ronc.2010.07.007 Laville C, Dionne J. La construction des savoirs: manuel de methodologie en sciences. ARTMED. Brazil, RS, Porto Alegre,1999 Lino CA, Augusto KL, Oliveira RAS, Fei¬tosa LB, Caprara A. Using the spikes protocol to teach skills in breaking bad news. Revista Brasileira de Educação Mé¬dica 2011;35:52-7. Doi:10.1590/S0100-55022011000100008. Lopez, C.A.C., Ruiz, V.A.C., 2011. Emo¬tional impact of the diagnosis of digestive cancer. Psic Saúde Doenças 12, 298-303. Available from: http://www.redalyc.org/ar¬ticulo.oa?id=36222527010 Mccarthy B. Patients’ perceptions of how healthcare providers communicate with them and their families following a diag¬nosis of colorectal cancer and undergo¬ing chemotherapy treatment. Eur J Oncol Nurs 2014;18:5:452-8. Doi:10.1016/j.ejon.2014.05.004 Mello-Santos, C., Silva, G.M., 2008. Reac¬tion adjustment in oncology. In: Themes in Psicooncologia. Summus Editorial. Brazil, São Paulo. Moore P, Gómez G, Kurtz S, Vargas A. Doctor patient communication: Which skills are effective? Rev Med Chile, 2010;138:1047-54. DOI:10.4067/S0034-98872010000800016. Ong LM, Visser MR, Lammes FB, de Haes JC. Doctor–Patient communication and cancer patients’ quality of life and satisfac¬tion. Patient Educ Couns 2000;41:145-56. Doi:0.1016/S0738-3991(99)00108-1 Otani, M.A.P., 2013. Communication between health professional and patient: perceptions of women with breast can¬cer. Campinas, SP. 221, 2013. [Acess: 5 sep 2014] Available from: http://www.bibliotecadigital.unicamp.br/document/?code=000904000 Perroca MG, Gaidzinski RR. Assessing the interrater reliability of an instrument for classifying patients – kappa quotient. Rev. Esc. Enferm. USP 2003;37:1. DOI:10.1590/S0080-62342003000100009. Pinheiro UMS. Bad news in oncology: the communication pathway in the perspec¬tive of physicians and nurses. Brazil, RS, Santa Maria. 2012 [Acess: 5 sep 2014] Available from: http://coral.ufsm.br/pp-genf/Dissertacao%20Ursula%20Pinheiro.pdf Prouty CD, Mazor KM, Greene SM, Ro¬blin DW, Firneno CL, Lemay CA, et al. Providers’ perceptions of communication breakdowns in cancer care. J Gen Intern Med 2014; 29:8:1122-30. Doi:10.1007/s11606-014-2769-1. Ruhstaller T, Roe H, Thurlimann B, Nicoll JJ. The multidisciplinary meeting: An in¬dispensable aid to communication be¬tween different specialities. Eur J Can¬cer 2006; 42:2459-62. Doi:10.1016/j.ejca.2006.03.034 Schofield PEP, Butow PN, Thompson JF, Tattersall MH, Beeney LJ, Dunn SM. Psy¬chological responses of patients receiv¬ing a diagnosis of cancer. Ann Oncol 2003;14:48-56. Doi:10.1093/annonc/mdg010 Schramm, F.R. 2001. Bioethics and Com¬munication in Oncology. 47, 25-32. [Acess: 5 sep 2014]. Available from: http://www.inca.gov.br/rbc/n_47/v01/pdf/artigo1.pdf Shepherd HL, Tattersall MHN, Butow PN. The context influences doctors’ support of shared decision making in cancer care. Br J Cancer 2007; 97:6-13. Doi:10.1038/sj.bjc.6603841 Silva, V.C.E., 2005. The impact of the can¬cer diagnosis disclosure in the patients’ perception. Master’s Dissertation – Uni¬versity of São Paulo at Ribeirão Preto College of Nursing. Brazil. 218. Avail¬able from: http://www.teses.usp.br/teses/disponiveis/22/22132/tde-11052005-112949/pt-br.php Skea ZC, Maclennan SJ, Entwistle VA, N’dow J. Communicating good care: A qualitative study of what people with urological cancer value in interactions with health care providers. Eur J Oncol Nurs 2014; 18:1:35-40. Doi:10.1016/j.ejon.2013.09.009. Song L, Bensen JT, Zimmer C, Sleath B, Blackard B, Fontham E, et al. Patient-health care provider communication among pa¬tients with newly diagnosed prostate can¬cer: Findings from a population-based sur¬vey. Patient Educ Couns 2013;91:79-84. Doi:10.1016/j.pec.2012.12.002 Thorne S, Oliffe JL, Stajduhar KI. Com¬municating shared decision making: Cancer patient perspectives. Patient Educ Couns 2013; 90:3:291-6. Doi:10.1016/j.pec.2012.02.018 Tongue JR, Epps HR, Forese LL. Commu¬nication Skills for Patient-Centered Care. J Bone Joint Surg Am 2005; 87:652 -658 Venetis MK, Robinson JD, Turkiewicz KL, Allen M. An evidence base for patient-centered cancer care: A meta-analysis of studies of observed communication between cancer specialists and their pa¬tients. Patient Educ Couns 2009;77:379-83. Doi:10.1016/j.pec.2009.09.015. |
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https://doi.org/10.5209/rev_PSIC.2016.v13.n1.52493 https://doi.org/10.3109/02841860903483684 https://doi.org/10.1590/S1413-81232004000100014 https://doi.org/10.1590/1982-3703000202013 https://doi.org/10.1093/jmp/12.3.219 https://doi.org/10.1016/ |
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ftunicmadridrev:oai:ojs.pkp.sfu.ca:article/52493 2023-05-15T15:55:29+02:00 Chemotherapy patient perception regarding communication with the healthcare staff Percepción del paciente de quimioterapia respecto a la comunicación con el personal sanitario Bittencourt Romeiro, Fernanda Peuker, Ana Carolina Bianchini, Daniela Kern de Castro, Elisa 2016-06-13 application/pdf https://revistas.ucm.es/index.php/PSIC/article/view/52493 https://doi.org/10.5209/rev_PSIC.2016.v13.n1.52493 spa spa Asociación de Psicooncología de Madrid https://revistas.ucm.es/index.php/PSIC/article/view/52493/48299 Arbabi M, Rozdar A, Taher M, Shirzad M, Arjmand M, Ansari S2, Mohammadi MR. Patients’ preference to hear cancer diagno¬sis. Iran J Psychiatry 2014;9:1:8-13. Brundage MD, Feldman-Stewart D, Tishelman C. How do interventions de signed to improve provider-patient com¬munication work? Illustrative applica¬tions of a framework for communication. Acta Oncologica 2010; 49:136-43. Doi:10.3109/02841860903483684. Caprara A, Rodrigues J. Asymmetric doc¬tor-patient relationship: rethinking the therapeutic Bond. Ciência & Saúde Cole¬tiva, 2004;9:139-46. Doi:10.1590/S1413-81232004000100014. Castro EK, Barreto SMM. Oncology medi¬cal criteria for psychologycal referral in palliative care. Psicologia: Ciência e Profis¬são 2015;35:69-82. DOI:10.1590/1982-3703000202013. Cavalcanti, D.R., 2005. Critical illness (cancer) diagnosis communication. Telling to the patient who, when, how and why? Pan-American Family Medicine Clinics. 1. Available from: http://www.inca.gov.br/rbc/n_55/v02/pdf/07_artigo4.pdf Coyle N, Sculco L. Communication and the patient/ohysician relationship: A phenomenological inquiry. J Support Oncol 2003;1:206-15. Doi:10.1093/jmp/12.3.219 Dean M, Street RL. A 3-stage model of patient-centered communication for ad¬dressing cancer patients’ emotional dis¬tress. Patient Educ Couns 2014;94:143-8. Doi:10.1016/j.pec.2013.09.025 Deledda G, Moretti F, Rimondini M, Zim¬mermann C. How patients want their doc¬tor to communicate. A literature review on primary care patients’ perspective. Pa¬tient Educ Couns 2013;90:297-306. Doi:10.1016/j.pec.2012.05.005 Ekwall E, Ternestedt BM, Sorbe B, Grane¬heim UH. Patients’ perceptions of com¬munication with the health care team during chemotherapy for the first recur¬rence of ovarian cancer. Eur J Oncol Nurs 2011;15:53-58. Doi:10.1016/j.ejon.2010.06.001 Emold C, Schneider N, Meller I, Yagil Y. Communication skills, working envi¬ronment and burnout among oncology nurses.Eur J Oncol Nurs 2011; 15:358-63. Doi:10.1016/j.ejon.2010.08.001 Epstein RM, Franks P, Fiscella K, Shields CG, Meldrum SC, Kravitz RL, Duberstein PR. Measuring patient-centered communi¬cation in Patient–Physician consultations: Theoretical and practical issues. Soc Sci Med 2005; 61:1516–28. Doi:10.1016/j.socscimed.2005.02.001 Epstein RM, Peters E. Beyond informa¬tion: exploring patients’ preferences. JAMA 2009; 302:2:195-7. Doi:10.1001/jama.2009.984. Fleissig A, Jenkins V, Catt S, Fallowfield L. Multidisciplinary teams in cancer care: Are they effective in the UK? Lancet On¬col 2006;7:935-43. Doi:10.1016/S1470-2045(06)70940-8 Fontanella BJB, Ricas J, Turato ER. Saturation sampling in qualitative health research: the¬oretical contributions. Cadernos de Saúde Pública 2008;24:17-27. Doi:10.1590/S0102-311X2008000100003. Geovanini, F., Braz, M., 2013. Ethical conflicts in communicating bad news in oncology. Rev. Bioét 21:455-62. [Acess: 5 sep 2014] Available from: http://www.redalyc.org/articulo.oa?id=361533263010 Gomes, C.H.R., Silva, P.V., Mota, F. F., 2009. Cancer diagnosis communication: analysis of the physician behavior. Revista Brasileira de Cancerologia. 55:139-143. Available from: http://www.inca.gov.br/rbc/n_55/v02/pdf/07_artigo4.pdf Acess: 3 june 2014 Goodwin PJ, Bruera E, Stockler M. Pain in patients with cancer. J Clin Oncol 2014;32: 1637-9. Doi:10.1200/JCO.2014.55.3818 Ha JF, Longnecker N. Doctor-patient com¬munication: A review. Ochsner J 2010; 10:1:38-43. HackTF,Degner LF, Parker PA. The com¬munication goals and needs of can¬cer patients: a review. Psychooncology 2005;14:831-45. Doi:10.1002/pon.968 Hagerty RG, Butow PN, Ellis PA, Lobb EA, Pendlebury S, Leighl N, et al. Can¬cer patient preferences for communica¬tion of prognosis in the metastatic setting. J Clin Oncol 2004;22:9. Doi:10.1200/JCO.2004.04.095 Hounsgaard L, Augustussen M, Møller H, Bradley SK, Møller S. Women’s perspec¬tives on illness when being screened for cervical cancer. Int J Circumpolar Health 2013;72. Doi:10.3402/ijch.v72i0.21089 Krupat E, Rosenkranz SL, Yeager CM, Bar¬nard K, Putnam SM, Inui TS. The practice orientations of physicians and patients: The effect of doctor–patientcongruence on sat¬isfaction. Patient Educ Couns 2000; 39:49-59. Doi:0.1016/S0738-3991(99)00090-7 Lamb B, Green JS, Vincent C, Sevdalis N. Decision making in surgical oncology. Sur Oncol 2011; 20:163-8. Doi:10.1016/j.su¬ronc.2010.07.007 Laville C, Dionne J. La construction des savoirs: manuel de methodologie en sciences. ARTMED. Brazil, RS, Porto Alegre,1999 Lino CA, Augusto KL, Oliveira RAS, Fei¬tosa LB, Caprara A. Using the spikes protocol to teach skills in breaking bad news. Revista Brasileira de Educação Mé¬dica 2011;35:52-7. Doi:10.1590/S0100-55022011000100008. Lopez, C.A.C., Ruiz, V.A.C., 2011. Emo¬tional impact of the diagnosis of digestive cancer. Psic Saúde Doenças 12, 298-303. Available from: http://www.redalyc.org/ar¬ticulo.oa?id=36222527010 Mccarthy B. Patients’ perceptions of how healthcare providers communicate with them and their families following a diag¬nosis of colorectal cancer and undergo¬ing chemotherapy treatment. Eur J Oncol Nurs 2014;18:5:452-8. Doi:10.1016/j.ejon.2014.05.004 Mello-Santos, C., Silva, G.M., 2008. Reac¬tion adjustment in oncology. In: Themes in Psicooncologia. Summus Editorial. Brazil, São Paulo. Moore P, Gómez G, Kurtz S, Vargas A. Doctor patient communication: Which skills are effective? Rev Med Chile, 2010;138:1047-54. DOI:10.4067/S0034-98872010000800016. Ong LM, Visser MR, Lammes FB, de Haes JC. Doctor–Patient communication and cancer patients’ quality of life and satisfac¬tion. Patient Educ Couns 2000;41:145-56. Doi:0.1016/S0738-3991(99)00108-1 Otani, M.A.P., 2013. Communication between health professional and patient: perceptions of women with breast can¬cer. Campinas, SP. 221, 2013. [Acess: 5 sep 2014] Available from: http://www.bibliotecadigital.unicamp.br/document/?code=000904000 Perroca MG, Gaidzinski RR. Assessing the interrater reliability of an instrument for classifying patients – kappa quotient. Rev. Esc. Enferm. USP 2003;37:1. DOI:10.1590/S0080-62342003000100009. Pinheiro UMS. Bad news in oncology: the communication pathway in the perspec¬tive of physicians and nurses. Brazil, RS, Santa Maria. 2012 [Acess: 5 sep 2014] Available from: http://coral.ufsm.br/pp-genf/Dissertacao%20Ursula%20Pinheiro.pdf Prouty CD, Mazor KM, Greene SM, Ro¬blin DW, Firneno CL, Lemay CA, et al. Providers’ perceptions of communication breakdowns in cancer care. J Gen Intern Med 2014; 29:8:1122-30. Doi:10.1007/s11606-014-2769-1. Ruhstaller T, Roe H, Thurlimann B, Nicoll JJ. The multidisciplinary meeting: An in¬dispensable aid to communication be¬tween different specialities. Eur J Can¬cer 2006; 42:2459-62. Doi:10.1016/j.ejca.2006.03.034 Schofield PEP, Butow PN, Thompson JF, Tattersall MH, Beeney LJ, Dunn SM. Psy¬chological responses of patients receiv¬ing a diagnosis of cancer. Ann Oncol 2003;14:48-56. Doi:10.1093/annonc/mdg010 Schramm, F.R. 2001. Bioethics and Com¬munication in Oncology. 47, 25-32. [Acess: 5 sep 2014]. Available from: http://www.inca.gov.br/rbc/n_47/v01/pdf/artigo1.pdf Shepherd HL, Tattersall MHN, Butow PN. The context influences doctors’ support of shared decision making in cancer care. Br J Cancer 2007; 97:6-13. Doi:10.1038/sj.bjc.6603841 Silva, V.C.E., 2005. The impact of the can¬cer diagnosis disclosure in the patients’ perception. Master’s Dissertation – Uni¬versity of São Paulo at Ribeirão Preto College of Nursing. Brazil. 218. Avail¬able from: http://www.teses.usp.br/teses/disponiveis/22/22132/tde-11052005-112949/pt-br.php Skea ZC, Maclennan SJ, Entwistle VA, N’dow J. Communicating good care: A qualitative study of what people with urological cancer value in interactions with health care providers. Eur J Oncol Nurs 2014; 18:1:35-40. Doi:10.1016/j.ejon.2013.09.009. Song L, Bensen JT, Zimmer C, Sleath B, Blackard B, Fontham E, et al. Patient-health care provider communication among pa¬tients with newly diagnosed prostate can¬cer: Findings from a population-based sur¬vey. Patient Educ Couns 2013;91:79-84. Doi:10.1016/j.pec.2012.12.002 Thorne S, Oliffe JL, Stajduhar KI. Com¬municating shared decision making: Cancer patient perspectives. Patient Educ Couns 2013; 90:3:291-6. Doi:10.1016/j.pec.2012.02.018 Tongue JR, Epps HR, Forese LL. Commu¬nication Skills for Patient-Centered Care. J Bone Joint Surg Am 2005; 87:652 -658 Venetis MK, Robinson JD, Turkiewicz KL, Allen M. An evidence base for patient-centered cancer care: A meta-analysis of studies of observed communication between cancer specialists and their pa¬tients. Patient Educ Couns 2009;77:379-83. Doi:10.1016/j.pec.2009.09.015. Psicooncología; Vol. 13 Núm. 1 (2016); 139-150 1988-8287 1696-7240 Oncology; communication; health provider-patient relationship. Oncología; comunicación; relación profesional sanitario-paciente. info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artículo revisado por pares 2016 ftunicmadridrev https://doi.org/10.5209/rev_PSIC.2016.v13.n1.52493 https://doi.org/10.3109/02841860903483684 https://doi.org/10.1590/S1413-81232004000100014 https://doi.org/10.1590/1982-3703000202013 https://doi.org/10.1093/jmp/12.3.219 https://doi.org/10.1016/ 2019-06-15T08:00:47Z Purpose: To qualitatively explore the communication between healthcare professionals and oncology patients based on the perception of patients undergoing chemotherapy.Method: Qualitative and exploratory design. Participants were 14 adult patients undergoing chemotherapy at different stages of the disease. A socio-demographic and clinical data form was utilized along with semi-structured interviews. The interviews were audio-recorded, transcribed and content analysis was performed. Two independent judges evaluated the interview content in regards to emerging categories and obtained a Kappa index of 0.834.Results: Three categories emerged from the data: 1) Technical communication without emotional support, in which the information provided is composed of strictly technical information regarding the diagnosis, treatment and/or prognosis; 2) Technical communication, in which the information provided is oriented towards the technical aspects of the patient’s physical condition, while also providing psychological support for the patients’ subjective needs; and 3) Insufficient technical communication, win which there are gaps in the information provided causing confusion and suffering to the patient.Conclusions: Communication with emotional support contributes to greater satisfaction of chemotherapy patients. Practical implications: the results provide elements for the training of healthcare professionals regarding the importance of the emotional support that can be offered to cancer patients during their treatment. Objetivo: explorar cualitativamente la comunicación entre profesionales sanitarios y pacientes con cáncer a partir de la percepción de los pacientes en tratamiento de quimioterapia.Método: diseño cualitativo y exploratorio. Participantes fueron 14 pacientes adultos con cáncer en quimioterapia en diferentes fases de la enfermedad. Los instrumentos utilizados fueron un protocolo de dato sociodemográficos y clínicos y una entrevista semi-estructurada. Las entrevistas fueron grabadas, transcritas, y fue realizado análisis de contenido. Dos jueces independientes evaluaron el contenido de las entrevistas a partir de las categorías que aparecieron, y fue calculado el índice Kappa de 0,834.Resultados: Tres categorías fueron creadas a partir de los datos: 1) Comunicación técnica sin apoyo emocional, cuando la información dada es compuesta de forma estricta a las informaciones técnicas del diagnóstico, tratamiento y/o pronóstico; 2) Comunicación técnica, cuando la información está orientada a los aspectos técnicos de la condición física del paciente, mientras también es ofrecido apoyo emocional de acuerdo con las necesidades de los pacientes; y 3) Comunicación técnica insuficiente, cuando hay problemas en la información ofrecida y que causa confusión y sufrimiento al paciente.Conclusiones: comunicación con apoyo emocional contribuye para aumentar la satisfacción de pacientes en quimioterapia. Implicaciones practicas: los resultados fornecen elementos para la capacitación de profesionales sanitarios relacionados a la importancia del apoyo emocional que puede ser ofrecido a pacientes con cáncer durante su tratamiento. Article in Journal/Newspaper Circumpolar Health Universidad Complutense de Madrid (UCM): Revistas Científicas Complutenses Psicooncología 13 1 |