Japanese cancer patients' communication style preferences when receiving bad news

2007 ◽  
Vol 16 (7) ◽  
pp. 617-625 ◽  
Author(s):  
Maiko Fujimori ◽  
Patricia A. Parker ◽  
Tatsuo Akechi ◽  
Yuji Sakano ◽  
Walter F. Baile ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Bad News ◽  
Communication Style ◽  
Style Preferences

Death attitudes and truth disclosure: A survey of family caregivers of elders with terminal cancer in China

2018 ◽  
Vol 26 (7-8) ◽  
pp. 1968-1975 ◽  
Author(s):  
Yong Tang
Keyword(s):  
End Of Life ◽  
Cancer Patients ◽  
Family Caregivers ◽  
Quantitative Method ◽  
Bad News ◽  
Background Information ◽  
Terminal Cancer ◽  
Death Attitudes ◽  
Truth Disclosure ◽  
Primary Family

Background: Although family caregivers play an important role in end-of-life care decisions, few studies have examined the communication between family caregivers and patients at the end of life. Objective: The objective was to describe family caregivers’ attitudes toward death, hospice, and truth disclosure. Research design: A quantitative method was used, and a closed-ended survey of 140 family caregivers was conducted in China. The subjects included 140 primary family caregivers of elders with terminal cancer enrolled at a hospice center from April to August 2017. Participants: 140 primary family caregivers of elders with terminal cancer participated the study. Research Context: A high proportion of cancer patients continue to receive inadequate information about their illness. Family caregivers’ inhibitions about disclosing information to cancer patients have not yet been the objects of research in China. Ethical considerations: This study was reported to and approved by the Regional Ethics Committee in Shenzhen, China. Findings: A questionnaire survey collected information on family caregivers’ background information, emotional state, personal needs, death attitudes, and truth-disclosure opinions. The results revealed that family caregivers’ death attitudes and truth-disclosure opinions played an important role in the process of caring for elders with terminal cancer. Discussion: By adopting a quantitative method, the author revealed not only the general patterns of family caregivers’ attitudes toward cancer diagnosis disclosure but also the reasons for their actions and the practices of family disclosure. Conclusion: The findings suggested that ineffective communication concerning end-of-life issues resulted from family caregivers’ lack of discussion and difficulty in hearing the news. Future studies should examine strategies for optimal communication between family caregivers and patients, especially with regard to breaking the bad news. Professional training in breaking bad news is important and is associated with self-reported truth-disclosure practices among family caregivers.

scholarly journals Communication Needs of Cancer Patients and/or Caregivers: A Critical Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Jieyu Li ◽  
Xingjuan Luo ◽  
Qian Cao ◽  
Yi Lin ◽  
Yinghua Xu ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Health Professionals ◽  
Information Needs ◽  
Ethnic Origin ◽  
Communication Style ◽  
Physical And Mental Health ◽  
Academic Journal ◽  
Communication Preferences ◽  
Communication Needs ◽  
Communication Interventions

Objective. Effective communication for cancer patients and/or caregivers can meet information needs, reduce caregiver burden, improve physical and mental health, and promote intimacy. The aim of this review was to identify the communication needs of cancer patients and/or caregivers and to explore their specific communication needs to guide the development of future communication interventions. Methods. Chinese and English databases were systematically searched from January 2010 to October 2019, including MEDLINE, CINAHL, PubMed, and the China Academic Journal Full-text Database. The key search terms used were “cancer” or “carcinoma” or “oncology” AND “patient” or “caregiver” or “carer” AND “communication” or “discussion” or “talk” AND “need” or “needs” or “desire.”. Results. A total of 26 articles was identified and included in this review. The findings revealed the needs of cancer patients and/or caregivers in terms of communication target, content, style, timing, and preferences. Communication targets included health professionals, peers, caregivers, and patients. Communication content included illness-related, emotional support, daily life, sexuality, death, and a way to communicate with health professionals. Communication style needed to be expressed through such things as language and communication atmosphere. Communication timing mainly referred to before treatment and approaching death. Communication preferences were related to factors such as demographics and ethnic origin. Conclusions. Cancer patients and/or caregivers have different communication needs in terms of target, content, style, and communication timing. A better understanding of the unique communication needs of patients and/or caregivers will offer health professionals detailed information on designing appropriate interventions to support cancer patients and caregivers.

Uncovering Russian communication style preferences: Monological sequencing versus dialogical engagement

2020 ◽  
Vol 11 (1) ◽  
pp. 43-59
Author(s):  
Elena Fell
Keyword(s):  
Cross Cultural ◽  
Communication Style ◽  
Cultural Communication ◽  
The West ◽  
Communication Failure ◽  
Cultural Setting ◽  
Cross Cultural Communication ◽  
Communication Problems ◽  
Communication Situations ◽  
Style Preferences

When we communicate with others, we usually know when we are expected to contribute to an evolving dialogue, such as during a debate, or when it is suitable to generate predictable responses, for example, at a marriage ceremony. However, in cross-cultural communication situations, communicating partners may have different assumptions in this respect. In particular, when a western communicator expects a dialogical development, a Russian participant may expect the same communication situation to progress as a sequence of predictable communication acts. This clash of implicit expectations often results in communication failure, without either party realizing that implementing incompatible approaches to information sharing is the reason for this failure. In this article, I introduce the terms ‘dialogical engagement’ and ‘monological sequencing’ whilst exploring cross-cultural communication problems between Russia and the West. I use these terms to describe mechanisms that characterize both cultures’ preferred communication patterns and which, when inadvertently deployed, cause collisions between Russian and western communicating partners. By uncovering these differences, I intend to progress beyond merely acknowledging cross-cultural communication problems between the two worlds. Besides, as in the Russian cultural setting, more communication situations are implicitly expected to develop as monological sequences than similar situations in the West, understanding this particular distinction may prevent practitioners in numerous fields from making the mistake of expecting cross-cultural communication situations to develop in line with their implicit assumptions.

Breaking bad news: Comparison of perspectives of Middle Eastern cancer patients and their relatives.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 9568-9568
Author(s):  
Jamal M Zekri ◽  
Syed Mustafa Karim ◽  
Sawsan Bassi ◽  
Bakr M Bin Sadiq ◽  
Ehab Esmat Fawzy ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Adverse Outcome ◽  
Middle Eastern ◽  
Bad News ◽  
Breaking Bad News ◽  
Chi Square ◽  
Breaking Bad ◽  
Health Related ◽  
Chi Square Test ◽  
Comparison Of Perspectives

9568 Background: It is believed in some Middle Eastern (ME) cultures that disclosure of bad news to cancer patients may cause loss of hope. On many occasions the relatives’ and patients’ wishes are opposed regarding this matter. This study investigates cancer patients’ and their relatives’ perspectives regarding communication of cancer-related bad news in a ME population. Methods: Nine close-ended questions were designed in a questionnaire format to obtain cancer patients’ (cohort I) and their relatives’ (cohort II) perspectives regarding communication of cancer related bad news from diagnosis to end-of-life. The questionnaire was answered by patients and relatives during out-patient visits. Chi-square test was used to test differences in responses between the two cohorts. Results: 203 participants (100 patients and 103 relatives) completed the questionnaire. In cohorts I and II, 28% and 58% of participants were males respectively (p<0.001). In contrast to relatives’ views, majority of patients preferred to be informed of diagnosis and possible adverse outcome of their illness, as detailed in the Table. Conclusions: Our study indicates that there is significant discordance between the preferences of ME cancer patients and their relatives regarding disclosure of cancer related bad news to the patient. As opposed to relatives’ beliefs, most patients would prefer to know bad news throughout the course of their illness. Unless a patient indicates otherwise, physicians should strive to keep cancer patients informed of their health related events. [Table: see text]

Telling bad news to the elderly cancer patients: The role of family caregivers in the choice of non-disclosure – The Gruppo Italiano di Oncologia Geriatrica (GIOGer) Study

2010 ◽  
Vol 1 (2) ◽  
pp. 73-80 ◽  
Author(s):  
Carola Locatelli ◽  
Pierluca Piselli ◽  
Marcella Cicerchia ◽  
Mimma Raffaele ◽  
Angela Marie Abbatecola ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Family Caregivers ◽  
The Elderly ◽  
Bad News ◽  
Elderly Cancer Patients

scholarly journals Breaking bad news of cancer diagnosis – Perception of the cancer patients in a rural community in Malaysia

2014 ◽  
Vol 03 (02) ◽  
pp. 116-121 ◽  
Author(s):  
Mathew Gabriel Bain ◽  
Cheah Whye Lian ◽  
Chang Ching Thon
Keyword(s):  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Current Method ◽  
Bad News ◽  
Breaking Bad News ◽  
Language Management ◽  
Cross Sectional ◽  
Breaking Bad ◽  
Information Giving ◽  
Significant Difference

Abstract Context: Breaking of bad news is an important component in the management of cancer patients. Aims: This study aimed to assess the perceptions of breaking bad news of cancer diagnosis. Settings and Design: It was a cross-sectional study using Breaking Bad News Assessment Schedule (BAS) questionnaire on cancer patients in Serian district. Materials and Methods: Using snowballing sampling method, a total of 134 patients were interviewed face-to-face after the consent was obtained from each of the respondents. Statistical Analysis Used: Data was entered and analyzed using SPSS version 19.0. Results: Majority were comfortable with the current method of breaking bad news. The main aspects found to be the areas of concern were the importance of the usage of body language, management of time and identifying patients′ key area of concerns. There were significant difference between sex and "information giving" (P = 0.028) and "general consideration" (P = 0.016) and also between "the age and setting the scene" (P = 0.042). Significant difference was also found between the types of cancer and "the setting of scene" (P = 0.018), "breaking bad news technique" (P = 0.010), "eliciting concerns" (P = 0.003) and "information giving" (P = 0.004). Conclusion: Good and effective communication skill of breaking bad news is vital in the management of cancer patients. As the incidence of new cases of cancer increase every year, breaking of bad news has become a pertinent to the medical professionals′ role. Specific aspects of communication skills based on local characteristics should be more emphasized in the formulation of training for doctors.

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