Information seeking during "bad news" oncology interactions: Question asking by patients and their companions.

摘要: Previous research has investigated patient question asking in clinical settings as a strategy of information seeking and an indicator the level active participation interaction. This study investigates questions asked by patients their companions during stressful encounters oncology setting USA. We transcribed all oncologist 28 outpatient interactions which "bad news" was discussed (n = 705) analyzed them for frequency topic. Additionally, we extent to personal demographic characteristics independently obtained ratings oncologist-patient/companion relationships were related asking. Findings demonstrated that at least one companion present 24 (86%) significantly more than patients. The most frequently occurring topics both treatment, diagnostic testing, diagnosis, prognosis. In general, unrelated asking, but older fewer questions, while educated questions. With regard quality dyadic relationships, results showed "trust" between physician positively correlated "conversational dominance physician" negatively with positive relationship physicians demonstrates are participants interactions. Future training communication would benefit from expanding focus beyond patient-physician dyad roles influence multiple medical