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Concerns about losing control when breaking bad news to terminally ill patients with cancer: Physicians' perspective
Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Östergötlands Läns Landsting, Närsjukvården i östra Östergötland, LAH-kliniken Linnéa ViN.ORCID-id: 0000-0002-9606-3238
Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, LAH Linköping.
2006 (engelsk)Inngår i: Journal of Palliative Medicine, ISSN 1096-6218, E-ISSN 1557-7740, Vol. 9, nr 3, s. 673-682Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: To study and explore problems perceived by physicians when breaking bad news to advanced cancer patients about discontinuing or not offering tumor-specific treatment due to incurable cancer. Design: A qualitative phenomenographic interview study. Setting: The county of Östergötland in Sweden. Participants: Thirty physicians with different demographic characteristics. Results: According to the physicians' answers breaking bad news was perceived as involving a risk of losing control in different ways, regarding emotions, oneself, confidence, professionalism and patient trust. Four different main categories described as problems were identified, perceptions focusing on existential thoughts, relationships, knowledge, and perceptions related to time and environmental disturbances. Conclusion: Physicians perceived that breaking bad news to dying patients with cancer involved a risk of losing control. Existential thoughts and a lack of knowledge contribute to this risk. Theoretical education in existentiality/spirituality and clinical practice in a palliative context may help maintaining control. © Mary Ann Liebert, Inc.

sted, utgiver, år, opplag, sider
Mary Ann Liebert, 2006. Vol. 9, nr 3, s. 673-682
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URN: urn:nbn:se:liu:diva-34811DOI: 10.1089/jpm.2006.9.673Lokal ID: 23331OAI: oai:DiVA.org:liu-34811DiVA, id: diva2:255659
Tilgjengelig fra: 2009-10-10 Laget: 2009-10-10 Sist oppdatert: 2017-12-13

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