Exploring perceptions and preferences of patients, families, physicians, and nurses regarding cancer disclosure: a descriptive qualitative study

• DOI: 10.1007/s00520-016-3308-x
• Publication Date: 2016-06-14T02:14:21Z
• Authors: Parvaneh Abazari; Fariba Taleghani; Simin Hematti; Maryam Ehsani
• Keywords: Adult; Male; Physician-Patient Relations; Patients; Social Stigma; Nurses; Middle Aged; Truth Disclosure; 16. Peace & justice; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Neoplasms; Physicians; Humans; Family; Female; Perception; Qualitative Research

The aim of this study was to explore perceptions and preferences of cancer patients, their families, physicians, and nurses in disclosing cancer diagnosis.We selected 35 participants (15 patients, 6 family members, 9 physicians, and 5 nurses) by purposive sampling. We collected data by in-depth interviews and used qualitative content analysis for analysis.Data analysis resulted in three categories: (1) establishing a basis for breaking bad news; (2) adjusting to the tragedy of bad news; and (3) helping the patient cope with the shattering news. The first category comprised the following subcategories: provision of proper background; adhering to a patient-centered approach; and being unhurried. The second category comprised the following subcategories: cancer as a cultural taboo; death as a frightening vision of unattainable dreams and punishment; hope as an opening in the utter darkness of disease; and empathy as liniment for the injuries of disease. The third category comprised the following subcategories: the family as the most powerful healing source for the patient; the force of spirituality in achieving peace; and a multiprofessional, harmonious physician-centered team.The findings of this study can help healthcare teams break the bad news of cancer diagnosis in a more effective, satisfactory, and culture-based manner for patients and their families.