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Cognitive side effects in cancer treatment: communication challenges for healthcare providers
Léa Baillat1,2, Myriam Pannard1,2, Charlotte Bauquier1,2
1Unité Inserm 1290 RESHAPE, Université Lyon 2, Lyon, France.
Background:
Talking about the cognitive side effects of cancer treatment is a complex challenge for care providers, as it is often influenced by emotional issues and social stereotypes.
Objective:
This study explored oncology care providers' communication practices concerning treatment-related cognitive side effects, as well as the emotional implications of these exchanges both for them and for patients.
Method:
We conducted 37 semi-structured interviews with oncologists and nurses specialized in oncology. Data were analyzed using a reflexive thematic approach.
Results:
Communication about cognitive side effects was often downplayed or avoided. Care providers prioritized more visible side effects of treatment. Communication with patients varied according to patient profile, care providers being more likely to discuss cognitive side-effects with younger persons. A lack of time and training on how to manage (i) cognitive side effects and (ii) the emotional tension they felt trying to protect patients while maintaining their own professional identity, fostered a climate of concealment around this issue.
Conclusion:
This study highlights the need to design training programs for healthcare professionals that focus on developing emotional skills and better communication of the cognitive side effects of cancer treatment. Encouraging multi-disciplinary dialogue on these side effects could contribute to care providers' well-being.
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