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Published in:

01-12-2012

Students Meeting with Caregivers of Cancer Patient: Results of an Experience-Based Learning Project

Authors: Beste M. Atasoy, Ozlem Sarikaya, M. Kemal Kuscu, Merve Yondem, Elif Buyukkara, E. Gokcen Eken, Figen Kahyaoglu

Published in: Journal of Cancer Education | Issue 4/2012

Abstract

The communication between medical students and cancer caregivers, and the problems they have experienced as well as the outcomes for their professional development before starting clinical practice was assessed in the context of a student research project. Data were collected by questionnaires or by 20 to 40-min long interviews with cancer caregivers. Their communications with physicians, hearing the bad news, and health service satisfaction were questioned. Therefore, the caregivers trusted the professional approach of their physician. However, they expected more empathic communication in the process of diagnosis and therapy. Development of empathy and trust-based communication between patients and physicians and enhancement of the quality of devoted time to cancer patients and caregivers may have an effect on the course of disease. Interviewer students mentioned that they developed communication skills about difficult clinical tasks and in delivering bad news face to face to cancer caregivers before starting their clinical education.

DiBlasi Z, Harkness E, Ernst E, Georgiou A, Kleijnen J (2001) Influence of context effects on health outcomes: a systematic review. Lancet 357:757–762CrossRef

Stewart MA (1995) Effective physician–patient communication and health outcomes: a review. CMAJ 152:1423–1433PubMed

Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW et al (2000) The impact of patient-centered care on outcomes. J Fam Pract 49:796–804PubMed

Griffin SJ, Kinmouth A, Veltman M, Grant J, Stewart M (2004) Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials. Ann Fam Med 2:595–608PubMedCrossRef

Squier RW (1990) A model of empathic understanding and adherence to treatment regimens in practitioner–patient relationships. Soc Sci Med 30:325–329PubMedCrossRef

Maguire P, Faulkner A, Booth K, Elliot C, Hiller V (1996) Helping cancer patients disclose their concerns. Eur J Cancer Care 32A:78–81

Coulehan J, Platt F, Egener B, Frankel R, Lin CT, Lown B et al (2001) “Let me see if I have this right …”. Words that build empathy. Ann Intern Med 135:221–227PubMed

Beckman HB, Frankel RM (2003) Training practitioners to communicate effectively in cancer care: it is the relationship that counts. Patient Educ Couns 50:85–89PubMedCrossRef

Neumann M, Wirtz M, Bollschweiler E, Warm M, Wolf J, Pfaff H (2008) Psychometric evaluation of the German version of the “Consultation and Relational Empathy” (CARE) measure at the example of cancer patients [in German]. Psychother Psychosom Med Psychol 58:5–15PubMedCrossRef

10.

Larson EB, Yao Y (2005) Clinical empathy as emotional labor in the patient–physician relationship. JAMA 293:1100–1106PubMedCrossRef

11.

Halpern J (2001) From detached concern to empathy: humanizing medical practice. Oxford University Press, Oxford

12.

Neumann M, Wirtz M, Bollschweiler E, Mercer SW, Warm M, Wolf J et al (2007) Determinants and patient-reported long-term outcomes of physician empathy in oncology: a structural equation modelling approach. Patient Educ Couns 69:63–75PubMedCrossRef

13.

Kim SS, Kaplowitz S, Johnston MV (2004) The effects of physician empathy on patient satisfaction and compliance. Eval Health Prof 27:237–251PubMedCrossRef

14.

Roter DL, Stewart M, Putnam S, Lipkin MJ, Stiles W, Inui T (1997) Communication patterns of primary care physicians. JAMA 277:350–356PubMedCrossRef

15.

Levinson W, Gorawa-Bhat R, Lamb J (2000) A study of patient cues and physician responses in primary care and surgical settings. JAMA 284:1021–1027PubMedCrossRef

16.

Mercer SW, Reynolds WJ (2002) Empathy and quality of care. Br J Gen Pract 52(suppl):S9–S13PubMed

17.

Price S, Mercer SW, MacPherson H (2006) Practitioner empathy, patient enablement and health outcomes: a prospective study of acupuncture patients. Patient Educ Couns 63:239–245PubMedCrossRef

18.

Association of American Medical Colleges (1999) Report I: Learning objectives for medical student education—guidelines for medical student education school. Acad Med 74:461–462

19.

Frank JR (2005) The CanMEDS 2005 physician competency framework. Better standards. Better physicians. Better care. Royal College of Physicians and Surgeons of Canada, Ottawa

20.

Neumann M, Edelhauser F, Tauschel D, Fischer MR, Wirtz M, Woopen C et al (2011) Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med 86:996–1009PubMedCrossRef

21.

Federation of Internal Medicine (EFIM) (2002) Project of The American Board of Internal Medicine (ABIM) Foundation, The American College of Physicians-American Society of Internal Medicine (ACP–ASIM) Foundation, and The Medical Professionalism in the New Millennium A Physician Charter. Eur J Intern Med 13:215–219CrossRef

22.

Ebstein RM, Hundert EM (2002) Defining and assessing professional competence. JAMA 2:226–235CrossRef

23.

General Medical Council (2009) Tomorrow’s Doctors

24.

Goldie J (2008) Integrating professionalism teaching into undergraduate medical education in the UK setting. Med Teach 30:513–527PubMedCrossRef

25.

Gulpinar MA, Akman M, User I (2009) A course, ‘The Human in Medicine’, as an example of a preclinical medical humanities program: a summary of 7 years. Med Teach 31:e469–e476PubMedCrossRef

26.

Horvath LE, Yoldan E, Malhotra D, Leyva I, Bortel K, Schalk D et al (2010) Multidisciplinary care in the oncology setting: historical perspective and data from lung and gynecology multidisciplinary clinics. J Oncol Pract 6:e21–e26PubMedCrossRef

27.

Wiederholt PA, Cannor NP, Hartiq GK, Harari PM (2007) Bringing gaps in multidisciplinary head and neck cancer cure: nursing coordination and case management. Int J Radiat Oncol Biol Phys 69:S88–S91PubMedCrossRef

28.

Jansma FF, Schure LM, de Jong BM (2005) Support requirements for caregivers of patients with palliative cancer. Patient Educ Couns 58:182–186PubMedCrossRef

29.

Kalnins I (2006) Caring for the terminally ill: experiences of Latvian family caregivers. Int Nurs Rev 53:129–135PubMedCrossRef

30.

Kimberlin C, Brushwood D, Allen W, Radson E, Wilson D (2004) Cancer patient and caregiver experiences: communication and pain management issues. J Pain Symptom Manag 28:566–578CrossRef

31.

Ferrance E (2000) Action research. LAB at Brown University The Education Alliance. http://www.lab.brown.edu/pubs/themes_ed/act_research.pdf Accessed 15 Sep 2011

32.

Hendricks C (2006) Improving schools trough action research: a comprehensive guide for educators. Pearson Education, Inc., Boston

33.

Mills GE (2003) Action research: a guide for the teacher researcher, 2nd edn. Merrill Prentice Hall, New Jersey

34.

Parker PA, Baile WF, de Moor C, Lenzi R, Kudelka AP, Cohen L (2001) Breaking bad news about cancer: patients’ preferences for communication. J Clin Oncol 19:2049–2056PubMed

35.

Kirk P, Kirk I, Kristjanson LJ (2004) What do patients receiving palliative care for cancer and their families want to be told? A Canadian and Australian qualitative study. BMJ 328:1343PubMedCrossRef

36.

Oksuzoglu B, Abali H, Bakar M, Yildirim N, Zengin N (2006) Disclosure of cancer diagnosis to patients and their relatives in Turkey: views of accompanying persons and influential factors in reaching those views. Tumori 92:62–66PubMed

37.

Hoff L, Hermeren G (2008) Information from physicians and retention of information by patients—obstacles to the awareness of patients of progressing disease when life is near the end. BMC Palliat Care 7:1–8CrossRef

38.

Silver HJ, Wellman NS (2002) Nutrition education may reduce burden in family caregivers of older adults. J Nutr Educ Behav 34:S53–S58PubMedCrossRef

39.

Atasoy BM, Ozgen Z, Yuksek Kantas O, Demirel B, Aksu A, Dane F et al (2011) Interdisciplinary collaboration in management of nutrition during chemoradiotherapy in cancer patients: a pilot study. Marmara Med J (in press)

40.

Northouse LL, Mood D, Kershaw T, Scafenacker A, Mellon S, Walker J et al (2002) Quality of life women with recurrent breast cancer and their family members. J Clin Oncol 20:4050–4064PubMedCrossRef

41.

Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP (2000) SPIKES—a six-step protocol for delivering bad news: application to the patient with cancer. Oncologist 5:302–311PubMedCrossRef

42.

Lewin LO, Cole-Kelly K, Greenfield M (2001) A year-long course for third-year students on ethics, professionalism, and communication. Acad Med 76:511PubMedCrossRef

43.

Abacioglu U, Sarikaya O, Iskit S, Sengoz M (2004) Problem based integrated multidisciplinary program: clinical approach to cancer patients. J Cancer Educ 19:144–148PubMedCrossRef

44.

Sarikaya O, Uzuner A, Gulpinar MA et al (2004) Communication skills education in the University of Marmara Medical School. International Conference On Communication in Healthcare, Abstract Book, No. 2C-12.06

45.

Sarikaya O, Gulpinar MA (2006) Marmara University School of Medicine lecture for communication skills and giving bad news. IV. National Medical Education Congress, Abstract Book, p. 59

46.

McNeilly DP, Wengel SP (2001) The “ER” seminar teaching psychotherapeutic techniques to medical students. Acad Psychiatry 25:193–200PubMedCrossRef

47.

Edinger W, Robertson JD, Skeel J, Div M, Schoonmaker J (1999) Using standardized patients to teach clinical ethics. Medical College of Ohio at Toledo. Med Educ Online, 4, 4

48.

Ferrrell BR, Winn R (2006) Medical and nursing education and training opportunities to improve survivorship care. J Clin Oncol 24:5142–5148CrossRef

Title: Students Meeting with Caregivers of Cancer Patient: Results of an Experience-Based Learning Project
Authors: Beste M. Atasoy
Ozlem Sarikaya
M. Kemal Kuscu
Merve Yondem
Elif Buyukkara
E. Gokcen Eken
Figen Kahyaoglu
Publication date: 01-12-2012
Publisher: Springer-Verlag
Published in: Journal of Cancer Education / Issue 4/2012
Print ISSN: 0885-8195
Electronic ISSN: 1543-0154
DOI: https://doi.org/10.1007/s13187-012-0387-3

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