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dc.contributor.authorEwing, Gailen
dc.contributor.authorNgwenya, Nothandoen
dc.contributor.authorBenson, Johnen
dc.contributor.authorGilligan, Daviden
dc.contributor.authorBailey, Susanen
dc.contributor.authorSeymour, Janeen
dc.contributor.authorFarquhar, Moragen
dc.date.accessioned2015-10-13T15:39:28Z
dc.date.available2015-10-13T15:39:28Z
dc.date.issued2015-10-09en
dc.identifier.citationPatient Education and Counseling 2016 99(3): 378-385. doi: 10.1016/j.pec.2015.09.013en
dc.identifier.issn0738-3991
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/251440
dc.description.abstractObjective: Extensive research exists on breaking bad news by clinicians. This study examines perspectives of patients and those accompanying them at diagnosis-giving of subsequently sharing news of lung cancer with adult family/friends, and views of healthcare professionals, to inform development of a supportive intervention. Methods: Qualitative interviews with 20 patients, 17 accompanying persons; focus groups and interviews with 27 healthcare professionals from four Thoracic Oncology Units. Intervention development workshops with 24 healthcare professionals and six service users with experience of sharing a cancer diagnosis. Framework thematic analysis. Results: Patients and accompanying persons shared news of lung cancer whilst coming to terms with the diagnosis. They recalled general support from healthcare professionals but not support with sharing bad news. Six elements were identified providing a framework for a potential intervention: 1-people to be told, 2-information to be shared, 3-timing of sharing, 4-responsibility for sharing, 5-methods of telling others and 6-reactions of those told. Conclusion: This study identifies the challenge of sharing bad news and a potential framework to guide delivery of a supportive intervention tailored to individual needs of patients. Practice Implications: The identified framework could extend the portfolio of guidance on communication in cancer and potentially in other life-limiting conditions.
dc.description.sponsorshipThe study was funded by a research grant from Dimbleby Cancer Care. GE and MF also received Flexibility & Sustainability Funding from West Anglia CLRN to accomplish essential preparatory work and secure ethics and governance approvals before the study start.
dc.languageEnglishen
dc.language.isoenen
dc.publisherElsevier
dc.rightsAttribution-NonCommercial-NoDerivs 2.0 UK: England & Wales*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.0/uk/*
dc.subjectCommunicationen
dc.subjectcanceren
dc.subjectqualitative researchen
dc.subjectdiagnosisen
dc.subjectinterventionen
dc.titleSharing news of a lung cancer diagnosis with adult family members and friends: a qualitative study to inform a supportive interventionen
dc.typeArticle
dc.description.versionThis is the author accepted manuscript. The final version is available from Elsevier via http://dx.doi.org/10.1016/j.pec.2015.09.013en
prism.endingPage385
prism.publicationDate2015en
prism.publicationNamePatient Education and Counselingen
prism.startingPage378
prism.volume99en
dcterms.dateAccepted2015-09-29en
rioxxterms.versionofrecord10.1016/j.pec.2015.09.013en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2015-10-09en
dc.contributor.orcidEwing, Gail [0000-0001-9547-7247]
dc.contributor.orcidFarquhar, Morag [0000-0001-7991-7679]
dc.identifier.eissn1873-5134
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idDimbleby Cancer Care (NO REF GIVEN)
rioxxterms.freetoread.startdate2016-10-09


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