'Conditional candour' and 'knowing me': an interpretive description study on patient preferences for physician behaviours during end-of-life communication
Data(s) |
08/10/2014
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Resumo |
<p>OBJECTIVE: To understand patients' preferences for physician behaviours during end-of-life communication.</p><p>METHODS: We used interpretive description methods to analyse data from semistructured, one-on-one interviews with patients admitted to general medical wards at three Canadian tertiary care hospitals. Study recruitment took place from October 2012 to August 2013. We used a purposive, maximum variation sampling approach to recruit hospitalised patients aged ≥55 years with a high risk of mortality within 6-12 months, and with different combinations of the following demographic variables: race (Caucasian vs non-Caucasian), gender and diagnosis (cancer vs non-cancer).</p><p>RESULTS: A total of 16 participants were recruited, most of whom (69%) were women and 70% had a non-cancer diagnosis. Two major concepts regarding helpful physician behaviour during end-of-life conversations emerged: (1) 'knowing me', which reflects the importance of acknowledging the influence of family roles and life history on values and priorities expressed during end-of-life communication, and (2) 'conditional candour', which describes a process of information exchange that includes an assessment of patients' readiness, being invited to the conversation, and sensitive delivery of information.</p><p>CONCLUSIONS: Our findings suggest that patients prefer a nuanced approach to truth telling when having end-of-life discussions with their physician. This may have important implications for clinical practice and end-of-life communication training initiatives.</p> |
Formato |
application/pdf |
Identificador |
http://dx.doi.org/10.1136/bmjopen-2014-005653 http://pure.qub.ac.uk/ws/files/12745999/_Conditional_Candour_and_knowing_me_.pdf |
Idioma(s) |
eng |
Direitos |
info:eu-repo/semantics/openAccess |
Fonte |
Abdul-Razzak , A , You , J , Sherifali , D , Simon , J & Brazil , K 2014 , ' 'Conditional candour' and 'knowing me': an interpretive description study on patient preferences for physician behaviours during end-of-life communication ' BMJ Open , vol 4 , no. 10 , e005653 . DOI: 10.1136/bmjopen-2014-005653 |
Tipo |
article |