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Related Experiment Videos

Difference between nurses' and physicians' approach to denial in oncology.

D M Ross1, J R Peteet, C Medeiros

  • 1Dana-Farber Cancer Institute, Boston, MA 02115.

Cancer Nursing
|December 1, 1992
PubMed
Summary

Physicians and nurses view denial in cancer patients differently. While physicians see it as a defense mechanism, nurses emphasize honesty and view denial as a phase, impacting patient care and communication.

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Area of Science:

  • Oncology
  • Psychiatry
  • Healthcare Professions

Background:

  • Denial is a common psychological response in oncology patients.
  • Understanding healthcare professionals' perspectives on denial is crucial for patient care.

Purpose of the Study:

  • To explore and compare physicians' and nurses' approaches to denial in cancer patients.
  • To identify differences in how these professions manage denial and its impact on treatment.

Main Methods:

  • Qualitative interviews with 33 physicians and 94 nurses at a cancer center.
  • Exploration of their experiences and usual approaches to patient denial.

Main Results:

  • Most respondents consider denial a universal defense mechanism that can hinder treatment.

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  • Physicians tend to present facts once, allowing denial unless it impedes medical intervention.
  • Nurses view denial as a phase, prioritizing honesty and experiencing discomfort when physicians withhold information.

    • Conclusions:

    • Differences in managing denial stem from professional contexts, roles, and values.
    • Nurses and physicians have complementary roles, but differing approaches to denial may affect patient care.
    • Further dialogue is needed to reconcile these perspectives for optimal patient support.