Cargando…

Breaking Bad News in Cancer Care: Ethiopian Patients Want More Information Than What Family and the Public Want Them to Have

PURPOSE: This study explores the preferences of patients with cancer, family caregivers, and the general public regarding breaking bad news in an Ethiopian oncology setting. METHODS: The study was conducted at Tikur Anbessa (Black Lion) Specialized Hospital. The sample consists of patients with a co...

Descripción completa

Detalles Bibliográficos
Autores principales: Abraha Woldemariam, Aynalem, Andersson, Rune, Munthe, Christian, Linderholm, Barbro, Berbyuk Lindström, Nataliya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423395/
https://www.ncbi.nlm.nih.gov/pubmed/34491813
http://dx.doi.org/10.1200/GO.21.00190
_version_ 1783749456472047616
author Abraha Woldemariam, Aynalem
Andersson, Rune
Munthe, Christian
Linderholm, Barbro
Berbyuk Lindström, Nataliya
author_facet Abraha Woldemariam, Aynalem
Andersson, Rune
Munthe, Christian
Linderholm, Barbro
Berbyuk Lindström, Nataliya
author_sort Abraha Woldemariam, Aynalem
collection PubMed
description PURPOSE: This study explores the preferences of patients with cancer, family caregivers, and the general public regarding breaking bad news in an Ethiopian oncology setting. METHODS: The study was conducted at Tikur Anbessa (Black Lion) Specialized Hospital. The sample consists of patients with a confirmed cancer diagnosis, their family caregivers, and representatives from the general public with 150 subjects per cohort. The study used a comparative cross-sectional design and multivariable data analysis. RESULTS: The patients would like to be informed, which contradicts the preferences of family caregivers. This creates an ethical dilemma for staff in terms of how much they involve their patients in clinical decision making. The patients also indicate that information should not be withheld from them. By contrast, the general public prefers information about poor life expectancy to be communicated to family only, which may reflect a widespread public perception of cancer as a deadly disease. CONCLUSION: The findings indicate the complexity of communication-related preferences concerning breaking bad news in oncology care in Ethiopia. It requires oncologists to probe patient attitudes before information disclosure to find a balance between involving patients in communication at the same time as keeping a constructive alliance with family caregivers.
format Online
Article
Text
id pubmed-8423395
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Wolters Kluwer Health
record_format MEDLINE/PubMed
spelling pubmed-84233952021-09-08 Breaking Bad News in Cancer Care: Ethiopian Patients Want More Information Than What Family and the Public Want Them to Have Abraha Woldemariam, Aynalem Andersson, Rune Munthe, Christian Linderholm, Barbro Berbyuk Lindström, Nataliya JCO Glob Oncol ORIGINAL REPORTS PURPOSE: This study explores the preferences of patients with cancer, family caregivers, and the general public regarding breaking bad news in an Ethiopian oncology setting. METHODS: The study was conducted at Tikur Anbessa (Black Lion) Specialized Hospital. The sample consists of patients with a confirmed cancer diagnosis, their family caregivers, and representatives from the general public with 150 subjects per cohort. The study used a comparative cross-sectional design and multivariable data analysis. RESULTS: The patients would like to be informed, which contradicts the preferences of family caregivers. This creates an ethical dilemma for staff in terms of how much they involve their patients in clinical decision making. The patients also indicate that information should not be withheld from them. By contrast, the general public prefers information about poor life expectancy to be communicated to family only, which may reflect a widespread public perception of cancer as a deadly disease. CONCLUSION: The findings indicate the complexity of communication-related preferences concerning breaking bad news in oncology care in Ethiopia. It requires oncologists to probe patient attitudes before information disclosure to find a balance between involving patients in communication at the same time as keeping a constructive alliance with family caregivers. Wolters Kluwer Health 2021-09-07 /pmc/articles/PMC8423395/ /pubmed/34491813 http://dx.doi.org/10.1200/GO.21.00190 Text en © 2021 by American Society of Clinical Oncology https://creativecommons.org/licenses/by-nc-nd/4.0/Creative Commons Attribution Non-Commercial No Derivatives 4.0 License: http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle ORIGINAL REPORTS
Abraha Woldemariam, Aynalem
Andersson, Rune
Munthe, Christian
Linderholm, Barbro
Berbyuk Lindström, Nataliya
Breaking Bad News in Cancer Care: Ethiopian Patients Want More Information Than What Family and the Public Want Them to Have
title Breaking Bad News in Cancer Care: Ethiopian Patients Want More Information Than What Family and the Public Want Them to Have
title_full Breaking Bad News in Cancer Care: Ethiopian Patients Want More Information Than What Family and the Public Want Them to Have
title_fullStr Breaking Bad News in Cancer Care: Ethiopian Patients Want More Information Than What Family and the Public Want Them to Have
title_full_unstemmed Breaking Bad News in Cancer Care: Ethiopian Patients Want More Information Than What Family and the Public Want Them to Have
title_short Breaking Bad News in Cancer Care: Ethiopian Patients Want More Information Than What Family and the Public Want Them to Have
title_sort breaking bad news in cancer care: ethiopian patients want more information than what family and the public want them to have
topic ORIGINAL REPORTS
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423395/
https://www.ncbi.nlm.nih.gov/pubmed/34491813
http://dx.doi.org/10.1200/GO.21.00190
work_keys_str_mv AT abrahawoldemariamaynalem breakingbadnewsincancercareethiopianpatientswantmoreinformationthanwhatfamilyandthepublicwantthemtohave
AT anderssonrune breakingbadnewsincancercareethiopianpatientswantmoreinformationthanwhatfamilyandthepublicwantthemtohave
AT munthechristian breakingbadnewsincancercareethiopianpatientswantmoreinformationthanwhatfamilyandthepublicwantthemtohave
AT linderholmbarbro breakingbadnewsincancercareethiopianpatientswantmoreinformationthanwhatfamilyandthepublicwantthemtohave
AT berbyuklindstromnataliya breakingbadnewsincancercareethiopianpatientswantmoreinformationthanwhatfamilyandthepublicwantthemtohave