Patient real-time and 12-month retrospective perceptions of difficult communications in the cancer diagnostic period

Thorne, Sally, Armstrong, Elizabeth-Anne, Harris, Susan R., Hislop, T. Gregory, Kim-Sing, Charmaine, Oglov, Valerie, Oliffe, John L. and Stajduhar, Kelli I. (2009) Patient real-time and 12-month retrospective perceptions of difficult communications in the cancer diagnostic period. Qualitative Health Research, 19 10: 1383-1394. doi:10.1177/1049732309348382


Author Thorne, Sally
Armstrong, Elizabeth-Anne
Harris, Susan R.
Hislop, T. Gregory
Kim-Sing, Charmaine
Oglov, Valerie
Oliffe, John L.
Stajduhar, Kelli I.
Title Patient real-time and 12-month retrospective perceptions of difficult communications in the cancer diagnostic period
Journal name Qualitative Health Research   Check publisher's open access policy
ISSN 1049-7323
1552-7557
Publication date 2009-10
Sub-type Article (original research)
DOI 10.1177/1049732309348382
Open Access Status
Volume 19
Issue 10
Start page 1383
End page 1394
Total pages 12
Place of publication Thousand Oaks, CA, United States
Publisher Sage
Language eng
Abstract Communication is a notoriously complex challenge in the cancer care context. Our program of research involves exploration of patient-provider communications across the cancer trajectory from the patient perspective.Toward this end, we have been following a cohort of 60 cancer patients, representing a range of tumor sites, from immediately after diagnosis through to recovery, chronic, or advanced disease. Drawing on interpretive description analytic techniques, we documented patterns and themes related to various components of the cancer journey. In this article, we report on findings pertaining to poor communication during the initial diagnostic period, as described by patients at the time of diagnosis and 1 year later.These findings illuminate the dynamics of communication problems during that complex period, and depict the mechanisms by which patients sought to confront these challenges to optimize their cancer care experience. On the basis of these findings, considered in the context of the body of available evidence, suggestions are proposed as to appropriate directions for system-level solutions to the complex communication challenges within cancer care.
Keyword Cancer
Communication
Health care
Psychosocial issues
Quality of life
Relationships
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Wed, 06 Aug 2014, 14:05:49 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work