Investigating communication in cancer consultations: what can be learned from doctor and patient accounts of their experience?
Version of Record online: 23 MAY 2013
© 2013 John Wiley & Sons Ltd
European Journal of Cancer Care
Volume 22, Issue 5, pages 653–662, September 2013
How to Cite
Furber, L., Cox, K., Murphy, R. and Steward, W. (2013), Investigating communication in cancer consultations: what can be learned from doctor and patient accounts of their experience?. European Journal of Cancer Care, 22: 653–662. doi: 10.1111/ecc.12074
- Issue online: 15 AUG 2013
- Version of Record online: 23 MAY 2013
- Manuscript Accepted: 8 APR 2013
- Centre for Social Health and Health Care at the University of Nottingham
- Research and Development Department of the University Hospitals of Leicester NHS Trust
- patient–doctor communication;
- bad news;
This study investigated how doctors and patients diagnosed with advanced incurable cancer experienced the disclosure of bad news. The intention was to gain contrasting perspectives of the processes involved in oncology consultations. Sixteen doctors and 16 patients from a cancer centre in the UK participated in the study. A series of consultations were observed and audio recorded, and the perspectives of doctors, patients and relatives were investigated through semi-structured interviews. Participants were invited to describe how they experienced and felt about the disclosure of information over a period of time following a specific consultation. Analysis was based on a constant comparative method. This research suggests that patients control what they do or do not do with information to meet their own needs and objectives, but doctors do not necessarily appreciate this. Doctors do not always prepare patients for what is happening to them in an active open awareness context, and this can be stressful for some patients. The results indicate that communication is not just about one person making decisions. They also indicate that in many cases more success could be gained from finding out how patients prefer to manage and control the exchange of bad news, at different points, through their care pathway.