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A longitudinal communication approach in advanced lung cancer: A qualitative study of patients', relatives' and staff's perspectives.
Eur J Cancer Care (Engl). 2018 Mar; 27(2):e12794.EJ

Abstract

Communication and the care of patients with advanced cancer are a dynamic, interactive and challenging process, often characterised in every day practice by discontinuity and lack of coordination. The objective of this study was to explore the patients' and family-caregivers' needs and preferences regarding communication, quality of life and care over the trajectory of disease. The second aim was to assess health professionals' views on a longitudinally structured, forward-thinking communication approach based on defined milestones. A qualitative approach was chosen incorporating semi-structured interviews with nine patients with metastatic lung cancer and nine relatives, and focus groups with 15 healthcare providers from different professions involved in the care of these patients. Patients and relatives described a situation of shock and coping deficits with moments of insufficient communication and lack of continuity in care. Healthcare providers reported the strong need for improvement in communication within the team and between patients and professionals and welcomed the implementation of a longitudinal communication approach. Requirements for the implementation of a longitudinal communication approach include specific communication training with focus on the process that patients and relatives are involved in. Team-building measures and the necessary flexibility to respect individuality in life should be incorporated.

Authors+Show Affiliations

Department of Thoracic Oncology, Member of the German Center for Lung Research (DZL), University Hospital Heidelberg and Translational Lung Research Center Heidelberg (TLRC-H), Heidelberg, Germany.Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.Department of Thoracic Oncology, Member of the German Center for Lung Research (DZL), University Hospital Heidelberg and Translational Lung Research Center Heidelberg (TLRC-H), Heidelberg, Germany.Department of Thoracic Oncology, Member of the German Center for Lung Research (DZL), University Hospital Heidelberg and Translational Lung Research Center Heidelberg (TLRC-H), Heidelberg, Germany.Department of Thoracic Oncology, Member of the German Center for Lung Research (DZL), University Hospital Heidelberg and Translational Lung Research Center Heidelberg (TLRC-H), Heidelberg, Germany.Evangelische Lungenklinik Berlin, Berlin, Germany.National Center for Tumor Diseases, University Heidelberg, Heidelberg, Germany.Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.Population Health Sciences, University of Utah, Salt Lake City, UT, USA.Department of Thoracic Oncology, Member of the German Center for Lung Research (DZL), University Hospital Heidelberg and Translational Lung Research Center Heidelberg (TLRC-H), Heidelberg, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29168594

Citation

Villalobos, M, et al. "A Longitudinal Communication Approach in Advanced Lung Cancer: a Qualitative Study of Patients', Relatives' and Staff's Perspectives." European Journal of Cancer Care, vol. 27, no. 2, 2018, pp. e12794.
Villalobos M, Coulibaly K, Krug K, et al. A longitudinal communication approach in advanced lung cancer: A qualitative study of patients', relatives' and staff's perspectives. Eur J Cancer Care (Engl). 2018;27(2):e12794.
Villalobos, M., Coulibaly, K., Krug, K., Kamradt, M., Wensing, M., Siegle, A., Kuon, J., Eschbach, C., Tessmer, G., Winkler, E., Szecsenyi, J., Ose, D., & Thomas, M. (2018). A longitudinal communication approach in advanced lung cancer: A qualitative study of patients', relatives' and staff's perspectives. European Journal of Cancer Care, 27(2), e12794. https://doi.org/10.1111/ecc.12794
Villalobos M, et al. A Longitudinal Communication Approach in Advanced Lung Cancer: a Qualitative Study of Patients', Relatives' and Staff's Perspectives. Eur J Cancer Care (Engl). 2018;27(2):e12794. PubMed PMID: 29168594.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A longitudinal communication approach in advanced lung cancer: A qualitative study of patients', relatives' and staff's perspectives. AU - Villalobos,M, AU - Coulibaly,K, AU - Krug,K, AU - Kamradt,M, AU - Wensing,M, AU - Siegle,A, AU - Kuon,J, AU - Eschbach,C, AU - Tessmer,G, AU - Winkler,E, AU - Szecsenyi,J, AU - Ose,D, AU - Thomas,M, Y1 - 2017/11/23/ PY - 2017/10/19/accepted PY - 2017/11/24/pubmed PY - 2018/9/22/medline PY - 2017/11/24/entrez KW - advance care planning KW - advanced lung cancer KW - communication KW - end-of-life planning KW - palliative care SP - e12794 EP - e12794 JF - European journal of cancer care JO - Eur J Cancer Care (Engl) VL - 27 IS - 2 N2 - Communication and the care of patients with advanced cancer are a dynamic, interactive and challenging process, often characterised in every day practice by discontinuity and lack of coordination. The objective of this study was to explore the patients' and family-caregivers' needs and preferences regarding communication, quality of life and care over the trajectory of disease. The second aim was to assess health professionals' views on a longitudinally structured, forward-thinking communication approach based on defined milestones. A qualitative approach was chosen incorporating semi-structured interviews with nine patients with metastatic lung cancer and nine relatives, and focus groups with 15 healthcare providers from different professions involved in the care of these patients. Patients and relatives described a situation of shock and coping deficits with moments of insufficient communication and lack of continuity in care. Healthcare providers reported the strong need for improvement in communication within the team and between patients and professionals and welcomed the implementation of a longitudinal communication approach. Requirements for the implementation of a longitudinal communication approach include specific communication training with focus on the process that patients and relatives are involved in. Team-building measures and the necessary flexibility to respect individuality in life should be incorporated. SN - 1365-2354 UR - https://www.unboundmedicine.com/medline/citation/29168594/A_longitudinal_communication_approach_in_advanced_lung_cancer:_A_qualitative_study_of_patients'_relatives'_and_staff's_perspectives_ L2 - https://doi.org/10.1111/ecc.12794 DB - PRIME DP - Unbound Medicine ER -