Change search
ReferencesLink to record
Permanent link

Direct link
Experiences of truth disclosure in terminally ill cancer patients in palliative home care
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in East Östergötland, Department of LAH/Linnéa.ORCID iD: 0000-0002-9606-3238
Stockholms sjukhem.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Advanced Home Care in Linköping. Östergötlands Läns Landsting, Local Health Care Services in East Östergötland, Center of Palliative Care.
2011 (English)In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 9, no 2, 173-180 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to explore the experiences and preferences of terminally ill cancer patients regarding truth telling in the communication of poor prognoses.

Method: We recorded and transcribed interviews with 45 patients who knew their cancer was terminal, and analyzed their responses hermeneutically.

Results: Patients identified three different modes of truth: (1) the absolute objective truth that they are dying; (2) the partial truth about their condition including some facts but not all of the details; and (3) the desired truth, originating in the patient's own beliefs about a healthy or better life. Coping strategies were related to patients’ preferred mode of truth: (1) facing the truth in order to take action; (2) facing some parts of the truth in order to maintain hope; and (3) hovering between facing and avoiding the truth. In their struggle for existential survival, patients used different coping strategies, changing from one to another depending upon the circumstances.

Significance of results: Varying use of different coping strategies impacts on patient preferences concerning communication about bad news with their doctors. Truth-telling entails more than merely providing information related to the forthcoming death. It also concerns how physicians or other healthcare staff can support the patient's existential survival by fine-tuning the communication of “truth” according to the individuals’ preferences.

Place, publisher, year, edition, pages
New York: Cambridge university press , 2011. Vol. 9, no 2, 173-180 p.
Keyword [en]
communication, truth disclosure, patient experiences, palliative care
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-68366DOI: 10.1017/S1478951511000046OAI: oai:DiVA.org:liu-68366DiVA: diva2:418297
Available from: 2011-05-23 Created: 2011-05-20 Last updated: 2015-06-10Bibliographically approved

Open Access in DiVA

Truth disclosure(81 kB)886 downloads
File information
File name FULLTEXT01.pdfFile size 81 kBChecksum SHA-512
270030a8f22f5c55e14958458da1b3582304538635e9cfa2181c7b92790fb22737d9ebd55488f1999ac65812994e15abd452c2acb7c4ce62c2ca1a5c65c194e5
Type fulltextMimetype application/pdf
fulltext(167 kB)528 downloads
File information
File name FULLTEXT02.pdfFile size 167 kBChecksum SHA-512
1226513f5800b6d6465a24e02a1ac690f2b3058027a10bafec6c38c046c268deb35447080494ffc273edcab48bf0ede5a749a7475893d25caa5bd52fe8c72bf0
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Friedrichsen, MariaMilberg, Anna
By organisation
Division of Health, Activity and CareFaculty of Health SciencesDepartment of LAH/LinnéaDepartment of Advanced Home Care in LinköpingCenter of Palliative Care
In the same journal
Palliative & Supportive Care
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 1414 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 202 hits
ReferencesLink to record
Permanent link

Direct link