Clinicians’ Practice and Perception of Disclosure Model for Breaking Bad News to Breast Cancer Patients
Background: Physicians’ beliefs about disclosure manner and their ethical attitude for telling the truth is an important issue in patient-physician interaction. The aim of this study was to examine clinicians’ practice and perception of disclosure models for giving bad news to breast cancer patients...
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Kaviani Breast Disease Institute
2018-03-01
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Online Access: | https://archbreastcancer.com/index.php/abc/article/view/158 |
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doaj-dc9bb911908341cc91331babd58c8f552020-11-25T03:37:48ZengKaviani Breast Disease InstituteArchives of Breast Cancer2383-04332018-03-015110.19187/abc.20185115-25Clinicians’ Practice and Perception of Disclosure Model for Breaking Bad News to Breast Cancer PatientsSomayyeh Borjalilu0Mojgan Karbakhsh1Mostafa Hosseini2Sanambar Sadighi3Ahmad Kaviani4Virtual School, Tehran University of Medical Sciences, Tehran, Iran AND Psychology and Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Community and Preventive Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, IranMedical Oncology Department, Cancer Institute, Tehran University of Medical Sciences, Tehran, IranDepartment of Surgery, Tehran University of Medical Sciences, Tehran, Iran AND Kaviani breast disease institute (KBDI), Tehran, IranBackground: Physicians’ beliefs about disclosure manner and their ethical attitude for telling the truth is an important issue in patient-physician interaction. The aim of this study was to examine clinicians’ practice and perception of disclosure models for giving bad news to breast cancer patients. Methods: Participants (n = 207, age 21–61 years, mean work experience = 4.03 ± 6 years) working in different medical centers in Tehran, Iran, were recruited by purposive sampling method. They completed clinicians’ attitude and practice of Breaking Bad News (BBN) scales. Psychometric properties (reliability and validity) of these scales were approved. Results: Clinicians’ practice differed significantly by their perception of disclosure model for giving bad news. Furthermore, difference in clinicians’ practice and perception of disclosure model for BBN was observed for age, gender, medical work experience in oncology setting, and receiving special training. Finally, clinicians’ perception of disclosure model for BBN (Adj. R2 = 0.32), age (Adj. R2 = 0.17), gender (Adj. R2 = 0.11), and receiving special training for giving bad news (Adj. R2 = 0.09) positively predicted their practice of BBN. Conclusion: Findings of the study point to the importance of the clinicians’ perception of disclosure model for giving bad news and transcultural variables as factors affecting their practice. Therefore, it seems necessary to incorporate special BBN trainings and protocols culturally adapted to the Iranian society in educational curricula of medical specialties in breast cancer setting.https://archbreastcancer.com/index.php/abc/article/view/158Breaking bad newsClinicians' practicePerception of disclosure modelBreast cancer |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Somayyeh Borjalilu Mojgan Karbakhsh Mostafa Hosseini Sanambar Sadighi Ahmad Kaviani |
spellingShingle |
Somayyeh Borjalilu Mojgan Karbakhsh Mostafa Hosseini Sanambar Sadighi Ahmad Kaviani Clinicians’ Practice and Perception of Disclosure Model for Breaking Bad News to Breast Cancer Patients Archives of Breast Cancer Breaking bad news Clinicians' practice Perception of disclosure model Breast cancer |
author_facet |
Somayyeh Borjalilu Mojgan Karbakhsh Mostafa Hosseini Sanambar Sadighi Ahmad Kaviani |
author_sort |
Somayyeh Borjalilu |
title |
Clinicians’ Practice and Perception of Disclosure Model for Breaking Bad News to Breast Cancer Patients |
title_short |
Clinicians’ Practice and Perception of Disclosure Model for Breaking Bad News to Breast Cancer Patients |
title_full |
Clinicians’ Practice and Perception of Disclosure Model for Breaking Bad News to Breast Cancer Patients |
title_fullStr |
Clinicians’ Practice and Perception of Disclosure Model for Breaking Bad News to Breast Cancer Patients |
title_full_unstemmed |
Clinicians’ Practice and Perception of Disclosure Model for Breaking Bad News to Breast Cancer Patients |
title_sort |
clinicians’ practice and perception of disclosure model for breaking bad news to breast cancer patients |
publisher |
Kaviani Breast Disease Institute |
series |
Archives of Breast Cancer |
issn |
2383-0433 |
publishDate |
2018-03-01 |
description |
Background: Physicians’ beliefs about disclosure manner and their ethical attitude for telling the truth is an important issue in patient-physician interaction. The aim of this study was to examine clinicians’ practice and perception of disclosure models for giving bad news to breast cancer patients.
Methods: Participants (n = 207, age 21–61 years, mean work experience = 4.03 ± 6 years) working in different medical centers in Tehran, Iran, were recruited by purposive sampling method. They completed clinicians’ attitude and practice of Breaking Bad News (BBN) scales. Psychometric properties (reliability and validity) of these scales were approved.
Results: Clinicians’ practice differed significantly by their perception of disclosure model for giving bad news. Furthermore, difference in clinicians’ practice and perception of disclosure model for BBN was observed for age, gender, medical work experience in oncology setting, and receiving special training. Finally, clinicians’ perception of disclosure model for BBN (Adj. R2 = 0.32), age (Adj. R2 = 0.17), gender (Adj. R2 = 0.11), and receiving special training for giving bad news (Adj. R2 = 0.09) positively predicted their practice of BBN.
Conclusion: Findings of the study point to the importance of the clinicians’ perception of disclosure model for giving bad news and transcultural variables as factors affecting their practice. Therefore, it seems necessary to incorporate special BBN trainings and protocols culturally adapted to the Iranian society in educational curricula of medical specialties in breast cancer setting. |
topic |
Breaking bad news Clinicians' practice Perception of disclosure model Breast cancer |
url |
https://archbreastcancer.com/index.php/abc/article/view/158 |
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