Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/22028
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: General practitioners' 'lived experience' of assessing psychological distress in cancer patients: an exploratory qualitative study
Authors: Carolan, Clare
Campbell, Karen
Contact Email: clare.carolan@stir.ac.uk
Keywords: cancer
emotional
psychological
Issue Date: May-2016
Publisher: Wiley-Blackwell
Citation: Carolan C & Campbell K (2016) General practitioners' 'lived experience' of assessing psychological distress in cancer patients: an exploratory qualitative study, European Journal of Cancer Care, 25 (3), pp. 391-401.
Abstract: While psychological distress in cancer patients is common, little is known about how general practitioners (GPs) assess distress. Using semi-structured interviews, a phenomenological study of seven GPs was conducted to explore GPs' experiences of assessing distress. Findings revealed five themes: (1) Being in the Relay Team - receiving and passing the baton: where the assessment of distress was conceptualised as a relay baton passed between a team of health care professionals, with GPs most involved at diagnosis and in the palliative phase. (2) Being in a Relationship: where the doctor-patient relationship was described as a powerful facilitator to assessment. (3) Being Skilled: where GPs perceive they are skilled at assessment adopting a patient-centred approach. (4) Being Challenged - encountering barriers: challenges with assessment were identified regarding the GPs' own emotions, patient related factors and time; the duality of family as both barrier and facilitator was voiced. (5) The Intruder in the Room: where GPs did not use validated screening tools which were viewed as an intruder in the doctor-patient relationship. Further research to objectively assess GPs' skills in distress assessment and attitudes towards the use of screening tools within the cancer care context are merited.
Type: Journal Article
URI: http://hdl.handle.net/1893/22028
DOI Link: http://dx.doi.org/10.1111/ecc.12351
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Faculty of Health Sciences and Sport
Edinburgh Napier University

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