Research Article
Volume 9 Issue 6 - 2020
Announcement of a Cancer Diagnosis
Hanène Ben Salah1*, Jihen Aloulou2 and Jamel Daoud1
1Radiotherapy Department, Habib Bourguiba’s Hospital, Sfax University, Tunisia
2Psychiatry Department, Hedi Chaker’s Hospital, Sfax University, Tunisia
*Corresponding Author: Hanène Ben Salah, Professor, Radiotherapy Department, Habib Bourguiba’s Hospital, Sfax University, Tunisia.
Received: April 06, 2020; Published: May 28, 2020




Abstract

Objective: To explore the knowledge and experiences of senior physicians and study the impact of their training on practice in the area of cancer diagnosis reporting.

Methods: A questionnaire was sent by email to the doctors who are faced with the announcement of the diagnosis of cancer in our 2 teaching hospitals in Sfax, Tunisia.

Results: 79 doctors participated in the study. One or more training courses were attended by 53 physicians. Of the 79 physicians, 46.2% were unaware of the steps in announcing the diagnosis of cancer. The different steps of the announcement were better practiced by doctors who had training in communication, health simulation and or role playing.

Conclusion: There are shortcomings in both knowledge and practice in announcing the diagnosis of cancer.

Keywords: Cancer Diagnosis; Knowledge; Experiences; Senior Physicians

References

  1. Buckman R. “Breaking bad news: why is it still so difficult?” British Medical Journal 288 (1984): 1597-1599. 
  2. Ptcek J and Eberhardt TL. “Breaking bad news. A Review of the Literature”. The Journal of the American Medical Association 276 (1996): 496-502.
  3. Ong LM., et al. “Patient communication: a review of the literature”. Social Science and Medicine 40 (1995): 903-918.
  4. Baile WF., et al. “SPIKES a six steps protocol for delivring bad news: Application to the patient with cancer”. The Oncologist 5 (2000): 302-311. 
  5. Libert Y and Reynaert C. “L’annonce de mauvaises nouvelles en cancérologie: observations et formations”. Tempo Médical 334 (2011): 23.
  6. Albrecht TL., et al. “Influence of clinical communication on patients’ decision-making on participation in clinical trials”. Journal of Clinical Oncology 26 (2008): 2666-2673.
  7. Lienard A., et al. “Factors that influencecancer patients’ anxiety following a medical consultation: impact of a communication skills training programme for physicians”. Annals of Oncology 17 (2006): 1450-1458.
  8. Cartier-Chatron I., et al. “Formation à l’annonce en oncologie par la simulation: implications psychologiques et place du psychologue”. Psycho-Oncology 8 (2014): 200-204.
  9. Hélène Brocq. “Éthique et annonce de diagnostic: Informer ou l’art de mettre les forms”. Le Journal Des Psychologues 259 (2008): 65-69.
  10. Leone D., et al. “Breaking bad news in assisted reproductive technology: a proposal for guidelines”. Reproductive Health 20 (2017): 148.
  11. Fallow field L and Jenkins V. “Communicating sad, bad, and difficult news in medicine”. Lancet 363 (2004): 312-319.
  12. Girgis A and Sanson-Fisher RW. “Breaking bad news: consensus guidelines for medical practitioners”. Journal of Clinical Oncology 13 (1995): 244-256.
  13. Back AL., et al. “What patients value when oncologists give news of cancer recurrence: commentary on specific moments in audio-recorded conversations”. Oncologist 16 (2011): 342-350.
  14. Clayton JM., et al. “Clinical practice guidelines for communicating prognosis and end-of-life issues with adults in the advanced stages of a life-limiting illness, and their care givers”. Medical Journal of Australia 186 (2007): S77.
  15. Delevallez F., et al. “L’annonce de mauvaises nouvelles en oncologie: l’expérience belge”. Revue des Maladies Respiratoires 31 (2014): 721-728.
  16. Buckman R. “Communication skills in palliative care”. Neurologic Clinics 19 (2001): 989-1003.
  17. Cooley CM. “Communication Skills in Palliative Care”. Handbook of Palliative Care, Second Edition (2005).
  18. Tan CE., et al. “Preferences of Malaysian Cancer Patients in Communication of Bad News”. Asian Pacific Journal of Cancer Prevention 13 (2012): 2749-2752.
  19. Ahmed Salem and Abdel-Fattah Salem. “Breaking Bad News: Current Prospective and Practical Guideline for Muslim Countries”. The Journal of Cancer Education 3 (2013): 523-528.
  20. Abha R., et al. “Breaking Bad News: Patient Preferences and the Role of Family Members when Delivering a Cancer Diagnosis”. Asian Pacific Journal of Cancer Prevention 17 (2016): 1779-1784.
  21. Bumb M., et al. “Breaking Bad News: An evidence-based review of communication models for oncology nurses”. Clinical Journal of Oncology Nursing 21 (2017): 573-580.
  22. Chittem M and Butow P. “Responding to family requests for non disclosure: The impact of oncologists’cultural background”. Journal of Cancer Research and Therapeutics 11 (2015): 174-181.
  23. Bettevy C Dufranc and G Hofmann. “Critères de qualité de l’annonce du diagnostic: point de vue des malades et de la ligue nationale contre le cancer”. Risques et Qualité 3 (2006): 67-72.
  24. Vannotti M. “L'empathie dans la relation médecin – patient”. Cahiers critiques de thérapie familiale et de pratiques de réseaux 2 (2002): 213-237.
  25. Holland JC., et al. “Psycho-oncology”. 2nd edition. New York: Oxford University Press (2010).
  26. Orjubin D and Cheneau AFIC C. “Annonce du diagnostic et accompagnement psychologique”. Bulletin Infirmier du Cancer 7 (2007): 19-20. 
  27. Coutinho F., et al. “An Overview of Teaching Communication of Bad News in Medical School: Should a Lecture be Adequate to Address the Topic?” Acta Medica Portuguesa 29 (2016): 826-831.
  28. Millette B., et al. “L’apprentissage de la communication par les médecins: aspects conceptuels et méthodologiques d’une mission académique prioritaire”. Pédagogie Médicale 5 (2004): 110-126.
  29. Fujimori M., et al. “Effect of Communication Skills Training Program for Oncologists Based on Patient Preferences for Communication When Receiving Bad News: A Randomized Controlled Trial”. Journal of Clinical Oncology 32 (2014): 1-8. 
  30. Gorniewicz J., et al. “Breaking Bad News to Patients with Cancer: A Randomized Control Trial of a Brief Communication Skills Training Module Incorporating the Stories and Preferences of Actual Patients”. Patient Education and Counseling 4 (2017): 655-666.
  31. Bousquet G., et al. “Breaking Bad News in -Oncology: A Metasynthesis”. Journal of Clinical Oncology 33 (2015): 2437-2443. 
  32. Moore PM., et al. “Communication skills training for healthcare professionals working with people who have cancer”. Cochrane Database of Systematic Reviews 3 (2013): CD003751.
Citation: Hanène Ben Salah., et al. “Announcement of a Cancer Diagnosis”. EC Psychology and Psychiatry 9.6 (2020): 119-131.

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