The influence of “bad news” and “neutral/good news” on patients' perception of physician empathy during oncology consultations

Author:

Tranberg Mattias12ORCID,Ekedahl Henrik3,Fürst Carl Johan12,Engellau Jacob3

Affiliation:

1. Division of Palliative Care, Department of Clinical Sciences Lund Lund University Lund Sweden

2. The Institute for Palliative Care at Lund University and Region Skåne Lund Sweden

3. Department of Oncology Skåne University Hospital Lund Sweden

Abstract

AbstractObjectivesBeing met with empathy increases information sharing, treatment coherence, and helps patients to recover faster. However, we do not know how the content of the conversation about disease progression, new treatments, or other issues concerning serious illness affects patients' perceptions of the physician's empathy, and thus, the quality of the conversation. This study aimed to test the hypothesis that patients will rate their physician lower following a “bad news” consultation using the consultation and relational empathy (CARE) measure.MethodsA total of 186 outpatients from the Department of Oncology were recruited for this study. After meeting with a patient, the physician filled out a form, placing the patient in either the “bad news” group, or the “neutral/good news” group along with information about the patient and the consultation. The patient was given the CARE measure after the visit.ResultsThe patients who had received bad news rated their physicians a significantly lower score on the CARE measure, even though the effect size was small, than those who had neutral/good news. On average, bad news consultations were 11 min longer.ConclusionsPhysicians need to be aware of the patients' need to be known and understood, in addition to having skills to attend to emotional cues and concerns, since the current study's finding could be a sign either of the content being projected onto the physician or that the physician is focused on the message rather than on the patient.

Publisher

Wiley

Subject

Cancer Research,Radiology, Nuclear Medicine and imaging,Oncology

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