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Abstract/Summary
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<jats:title>Abstract</jats:title><jats:sec>
<jats:title>Purpose</jats:title>
<jats:p>Studies that focus on improving the difficult process of breaking bad news in oncology should include the patient perspective and be guided by appropriate outcome measures. Endpoints such as “patient satisfaction” fall short to capture the complex nature of breaking bad news (BBN) conversations. However, this is true of many studies. The present study attempts to develop a framework model from a new, patient-centered perspective, which can be applied equally in clinical practice and in education.</jats:p>
</jats:sec><jats:sec>
<jats:title>Methods</jats:title>
<jats:p>Semi-structured in-depth interviews with twelve cancer patients were conducted. Transcripts were analyzed by “qualitative content analysis” following Mayring. Outcomes were further extrapolated in interpretational steps, and a model of “success” from patients view in BBN was developed.</jats:p>
</jats:sec><jats:sec>
<jats:title>Results</jats:title>
<jats:p>Two central needs of the patients could be identified: <jats:italic>understanding</jats:italic> and <jats:italic>feelings</jats:italic>. Their fulfillment depends on two groups of variables: first, structural characteristics, such as the inevitable <jats:italic>shock</jats:italic>, <jats:italic>individuality,</jats:italic> and <jats:italic>processability</jats:italic>; second, strongly influenceable variables, such as <jats:italic>relationship</jats:italic>, <jats:italic>transfer of knowledge</jats:italic>, and <jats:italic>atmosphere</jats:italic>. From these results, a framework model for successful breaking of bad news from the patient’s perspective was developed: The <jats:italic>successful delivery process</jats:italic> model (SDP model).</jats:p>
</jats:sec><jats:sec>
<jats:title>Conclusion</jats:title>
<jats:p>As a basic model for the framework for breaking bad news from the patient’s perspective, the SDP model can be applied to many different situations in oncology and help to frame the difficult conversations by tailoring the BBN conversations on determinants that favorably influence the process in a patient centered manner. In this sense, the model can be useful in clinical practice as well as in education.</jats:p>
</jats:sec>
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Hinweis
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DeepGreen-ID: 5678e20d447d46f19b7b3bfcdfd84567 ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search)
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