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Concerns about losing control when breaking bad news to terminally ill patients with cancer: Physicians' perspective
Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies. Östergötlands Läns Landsting, Local Health Care Services in East Östergötland, Department of Geriatrics and Hospital based homecare VHN.ORCID iD: 0000-0002-9606-3238
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Advanced Home Care in Linköping.
2006 (English)In: Journal of Palliative Medicine, ISSN 1096-6218, E-ISSN 1557-7740, Vol. 9, no 3, 673-682 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Mary Ann Liebert, 2006. Vol. 9, no 3, 673-682 p.
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Social Sciences
Identifiers
URN: urn:nbn:se:liu:diva-34811DOI: 10.1089/jpm.2006.9.673Local ID: 23331OAI: oai:DiVA.org:liu-34811DiVA: diva2:255659
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2017-12-13

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Friedrichsen, MariaMilberg, Anna

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Faculty of Health SciencesDepartment of Social and Welfare StudiesDepartment of Geriatrics and Hospital based homecare VHNDivision of Health, Activity and CareDepartment of Advanced Home Care in Linköping
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Journal of Palliative Medicine
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