ArticlePatient education and counseling2016
Relationships between personal attitudes about death and communication with terminally ill patients: How oncology clinicians grapple with mortality.
Article in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
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- Approach to death and dying patients and its relation with death anxiety among medical interns: a multicenter cross-sectional study.BMC psychology · 2024Article
- How to talk about dying? The development of an evidence-based model for communication with patients in their last days of life and their family caregivers.PEC innovation · 2024Article
- Communication Strategies of Transplant Hematologists in High-Risk Decision-Making Conversations.JCO oncology practice · 2024Article
- Integrated dual training in palliative care and oncology.Current problems in cancer · 2023Review
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- Investigating the Relationship between Fear of Failure and the Delivery of End-of-Life Care: A Questionnaire Study.Nursing reports (Pavia, Italy) · 2023Article
- The TRIBE model: How socioemotional processes fuel end-of-life treatment in the United States.Social science & medicine (1982) · 2023Review
- Chinese physicians' perceptions of palliative care integration for advanced cancer patients: a qualitative analysis at a tertiary hospital in Changsha, China.BMC medical ethics · 2022Article
- Personal fear of their own death and determination of philosophy of life affects the breaking of bad news by internal medicine and palliative care clinicians.Archives of medical science : AMS · 2022Article
- Assessing Medical Students' Confidence towards Provision of Palliative Care: A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Dialysis Regret: Prevalence and Correlates.Clinical journal of the American Society of Nephrology : CJASN · 2020Article
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- Physician and Patient Characteristics Associated With More Intensive End-of-Life Care.Journal of pain and symptom management · 2019Article
- When chemotherapy fails: Emotionally charged experiences faced by family caregivers of patients with advanced cancer.Patient education and counseling · 2019Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveClinician discomfort with death may affect care of patients but has not been well-studied. This study explores oncology clinicians' attitudes surrounding their own death and how these attitudes both affect and are affected by their care of dying patients and their communication with them.
methodsQualitative interviews with physicians (n=25), nurse practitioners (n=7), and physician assistants (n=1) in medical or hematologic oncology clinical practices about communication styles, care of terminally ill patients, and personal perspectives about mortality.
resultsClinicians described three communication styles used with patients about death and dying: direct, indirect, or selectively direct. Most reported an acceptance of their mortality that was "conditional," meaning that that they could not fully know how they would respond if actually terminally ill. For many clinicians, caring for dying patients affected their outlook on life and death, and their own perspectives on life and death affected their approach to caring for dying patients.
conclusionAn awareness of personal mortality may help clinicians to discuss death more openly with patients and to provide better care. PRACTICE IMPLICATIONS: Efforts to promote self-awareness and communication training are key to facilitating clear communication with and compassionate care of terminally ill patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.