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 (2015) 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: 378-385. doi:10.1016/j.pec.2015.09.013

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Author Ewing, Gail
Ngwenya, Nothando
Benson, John
Gilligan, David
Bailey, Susan
Seymour, Jane
Farquhar, Morag
Title Sharing news of a lung cancer diagnosis with adult family members and friends: a qualitative study to inform a supportive intervention
Journal name Patient Education and Counseling   Check publisher's open access policy
ISSN 0738-3991
1873-5134
Publication date 2015-01-01
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.pec.2015.09.013
Open Access Status Not Open Access
Volume 99
Issue 3
Start page 378
End page 385
Total pages 8
Place of publication Shannon, Clare, Ireland
Publisher Elsevier
Collection year 2016
Language eng
Formatted 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.
Keyword Communication
Cancer
Qualitative research
Diagnosis
Intervention
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Thu, 08 Oct 2015, 23:54:09 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work