Prioritizing the Values, Wishes, and Needs of Patients with Advanced Cancer
A Secondary Linguistic Analysis
Bibliographic Data
| ID | 21616622 |
|---|---|
| Authors | Sita de Vries (0000-0002-7478-7462, University Medical Center Utrecht, corresponding author), Krista Francke (University Medical Center Utrecht), Sigrid C J M Vervoort (0000-0003-3578-3685, University Medical Center Utrecht), Laury Pijnappel (0009-0005-2913-332X, University Medical Center Utrecht), Megan Milota (0000-0002-2144-4175, University Medical Center Utrecht), Yvette M Van Der Linden (0000-0002-9003-6124, Leiden University Medical Center), Saskia Teunissen (0000-0001-8827-461X, University Medical Center Utrecht), Everlien De Graaf (0000-0001-8528-4070, University Medical Center Utrecht) |
| Year | 2025 |
| Volume | 40 |
| Issue | 12 |
| Pages | 2458-2466 |
| Publication date | 2025-10-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Communication (JOURNAL) |
| Journal identifiers | ISSN: 1041-0236 • E-ISSN: 1532-7027 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10410236.2025.2462065 |
| PMID | 39931843 |
| OpenAlex | W4407375350 |
| Language | EN |
| References cited | 42 |
Linguistic research on communication regarding the values, wishes, and needs of patients with advanced cancer in the palliative phase is limited, resulting in an inadequate understanding of clinicians’ communication. To explore the verbal expressions used by hospital oncology clinicians regarding the VWN of patients with advanced cancer in the palliative phase and to examine the clinician’s speech acts and speech act patterns employed during outpatient consultations. A secondary linguistic analysis was performed. Physicians, nurse practitioners and nurses were previously recruited. Content analysis was performed to explore what clinicians expressed verbally about VWN during semi-structured interviews (N = 7). Functional pragmatic analysis was conducted to identify the clinician’s speech acts and speech act patterns employed during outpatient consultations (N = 7). Speech acts encompass words/phrases used to perform functions in communication. Speech act patterns were combinations of speech acts used to achieve communicative goals. Clinicians were interviewed once and/or observed multiple times. Eleven clinicians participated. Three findings reveal clinicians’ expressions about VWN: 1) Prioritizing patients’ VWN in patient-clinician interactions, 2) Trying to understand perspectives of advanced illness, and 3) Seeking to facilitate dialogue on coping with advanced illness. Four findings describe the clinician’s speech acts and patterns: 1) Discussing the treatment goal, 2) Focusing on action, 3) Providing Limited Space to Discuss Patients’ VWN and 4) Responding to patient emotions. Clinicians did not adequately address patients’ VWN in their communication, thereby limiting opportunities for patients to discuss it. The study’s findings contribute to improving communication training materials in palliative care
Cancer · Linguistic analysis · Linguistics · MEDLINE · Political science · Medicine · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Patient-Provider Communication in Healthcare · Psychology · Internal Medicine
Report of the Lancet Commission on the Value of Death
“Best Practice” for Patient-Centered Communication
Shared Decision Making — The Pinnacle of Patient-Centered Care
Patient-centered communication in cancer care: Promoting healing and reducing suffering
The Need for a New Medical Model
Consolidated criteria for reporting qualitative research (Coreq)
Functional Pragmatics
Conducting secondary analysis of qualitative data
Personal values in human life
Three Approaches to Qualitative Content Analysis
| Citation velocity | historical |
|---|---|
| Highly cited | No |