Supakit Peanchitlertkajorn, Premthip Chalidapongse, Thanyaluck Jiansuwannapas, Nattaporn Surinsirirat, Patipan Khamphuang, Paweelada Boonyai, Kawin Sipiyaruk
Dental Sleep Medicine Education Amongst Accredited Orthodontic Programmes in Thailand
International dental journal
cancer growing concern ethiopia though communication essential treatment process studies looked communication ethiopian cancer care due large number patients scarcity resources vital understand manage consultations order effectively help many patients possible challenging work environment thus research needed analyze understand communicative challenges experienced physicians patients family caregivers order successfully handle patient care practice explore communication ethiopian cancer care present main challenges faced physicians patients family caregivers explorative qualitative study conducted oncology department tikur anbessa black lion specialized teaching hospital tash addis ababa ethiopia triangulation data collection methods used 91 audiorecorded semistructured interviews 21 videorecordings authentic interactions hospital rounds aim obtain complete picture possible communication perspectives physicians patients family caregivers interviews analyzed using thematic content analysis identified themes supported excerpts transcribed recordings eight themes emerged data workload time pressure combination restricted space privacy limited possibilities physicians deliver detailed information provide emotional support furthermore patient literacy levels combination little cancer awareness financial problems reliance traditional religious treatments stigma cancer fatalistic attitude resulted delays patients seeking care participating positive health behaviors subsequently often resulted unwillingness openly discuss problems physicians adhere treatment study also illustrates paramount role family physicianpatient communication ethiopia though family caregivers provide valuable interpreting support patients limited language skills also prevent patients sharing information physicians another important finding family caregivers often responsible making decisions treatment avoided telling patients poor prognosis believing conveying bad news may upset themes important implications role ethically acceptable communication patientcentered care study identified number serious challenges successful ethically acceptable health communication ethiopian cancer care study contributes understanding complexity around role family combined patients dependency family members communication support access care creates particular ethical dilemmas medical staff questions raised study concern organize consultations achieve patientcentered health communication maintaining constructive alliance family jeopardizing patients continued access care integration communication training medical students ethiopia focus ethical guidelines familycentered patient consultation suitable circumstances would essential step