Sara L Fällman, Ylva Widgren, Marit Silén, Anna Efverman
University of Gävle, Sweden.
University of Borås, Sweden.
Integr Cancer Ther. 2025 Jan-Dec;24:15347354251370781. doi: 10.1177/15347354251370781. Epub 2025 Sep 19.
Optimizing communications and treatment expectations appears crucial for improving overall health outcomes in integrative cancer care. Cancer care may benefit from cancer care practitioners' insights into the role of communication and treatment expectations. The aim was to describe how cancer care practitioners view the significance of communication and treatment expectations, both for patients and for themselves in the care of people with cancer.
This descriptive qualitative interview study covered 15 cancer care practitioners (9 nurses, 4 physiotherapists, 2 occupational therapists) with professional experience ranging from 3 to 37 years. The individual interviews were analyzed using thematic analysis.
Presented as an overarching theme, the cancer care practitioners viewed personalized, mutual, trustful communication to be fundamental to ensure safe, secure, and effective cancer care, as well as to experience well-being at work. The thematic analysis identified 5 themes: Personalizing patient communication is challenging, yet essential for providing quality care; Communication is a mutual give-and-take between different parties; Patients' expectations and pre-understandings of the care system affect communication dynamics; Cancer care practitioners use communication to influence patients' expectations; Communication creates satisfaction and safety at work.
Cancer care practitioners viewed personalized, mutual, trustful communication to be fundamental to ensure safe, secure, and effective cancer care, as well as to experience well-being at work. Given the wide variation in views on whether communication strategies should be used to enhance patients' positive expectations to improve health outcomes, rigorous scientific studies evaluation communication styles in cancer care are warranted.
优化沟通与治疗期望对于改善综合癌症护理的整体健康结果似乎至关重要。癌症护理可能会受益于癌症护理从业者对沟通和治疗期望作用的见解。目的是描述癌症护理从业者如何看待沟通和治疗期望对于癌症患者护理以及他们自身的重要性。
这项描述性定性访谈研究涵盖了15名癌症护理从业者（9名护士、4名物理治疗师、2名职业治疗师），其专业经验从3年到37年不等。采用主题分析法对个体访谈进行分析。
作为一个总体主题，癌症护理从业者认为个性化、相互信任的沟通对于确保安全、可靠和有效的癌症护理以及在工作中体验幸福感至关重要。主题分析确定了5个主题：个性化患者沟通具有挑战性，但对于提供高质量护理至关重要；沟通是不同方之间的相互给予和接受；患者对护理系统的期望和预先理解会影响沟通动态；癌症护理从业者利用沟通来影响患者的期望；沟通在工作中创造满意度和安全感。
癌症护理从业者认为个性化、相互信任的沟通对于确保安全、可靠和有效的癌症护理以及在工作中体验幸福感至关重要。鉴于对于是否应使用沟通策略来增强患者的积极期望以改善健康结果的观点存在很大差异，有必要进行严格的科学研究来评估癌症护理中的沟通方式。
