Cancer information disclosure in different cultural contexts
Open Access
- 1 March 2004
- journal article
- review article
- Published by Springer Science and Business Media LLC in Supportive Care in Cancer
- Vol. 12 (3), 147-154
- https://doi.org/10.1007/s00520-003-0552-7
Abstract
The relationship between truth telling and culture has been the subject of increasing attention in the literature. The issue of whether, how and how much to tell cancer patients concerning diagnosis is still approached differently depending on country and culture. The majority of physicians tell the truth more often today than in the past, in both developed and developing countries, but most of them prefer to disclose the truth to the next of kin. Nurses in Anglo-Saxon countries are considered to be the most suitable health-care professionals for the patients to share their thoughts and feelings with. Nevertheless, in most other cultures the final decision on information disclosure lies with the treating physician. Regardless of cultural origin, the diagnosis of cancer affects both family structure and family dynamics. In most cases patients’ families, in an effort to protect them from despair and a feeling of hopelessness, exclude the patient from the process of information exchange. The health-care team–patient relationship is a triangle consisting of the health-care professional, the patient and the family. Each part supports the other two and is affected by the cultural background of each of the others as well as the changes that occur within the triangle.Keywords
This publication has 68 references indexed in Scilit:
- How to Optimize Physicians’ Communication Skills in Cancer Care: Results of a Randomized Study Assessing the Usefulness of Posttraining Consolidation WorkshopsJournal of Clinical Oncology, 2003
- Communicating bad newsWestern Journal of Medicine, 2002
- Nursesʼ Experiences in Giving Bad News to Patients with Spinal Cord InjuriesJournal of Neuroscience Nursing, 2000
- Is It Wise to Tell the Truth, the Whole Truth, and Nothing but the Truth to a Cancer Patient?Annals of the New York Academy of Sciences, 1997
- Truth in the Relationship between Cancer Patient and PhysicianAnnals of the New York Academy of Sciences, 1997
- Communication with the seriously ill: physicians' attitudes in Saudi Arabia.Journal of Medical Ethics, 1996
- Family dynamics in end-of-life treatment decisionsGeneral Hospital Psychiatry, 1994
- Psychiatric liaison issues in cancer care in JapanJournal of Pain and Symptom Management, 1994
- Factors which influence how nurses communicate with cancer patientsJournal of Advanced Nursing, 1991
- Informed Consent — Why Are Its Goals Imperfectly Realized?New England Journal of Medicine, 1980