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THE EFFECTIVENESS OF "DELIVERING UNFAVORABLE NEWS TO PATIENTS DIAGNOSED WITH CANCER" TRAINING PROGRAM FOR ONCOLOGISTS IN UZBEKISTAN
Title
THE EFFECTIVENESS OF "DELIVERING UNFAVORABLE NEWS TO PATIENTS DIAGNOSED WITH CANCER" TRAINING PROGRAM FOR ONCOLOGISTS IN UZBEKISTAN.
Creator
Hundley, Gulnora, Robinson, Edward H., University of Central Florida
Abstract / Description
Effective physician-patient communication is primary to successful medical consultation and encourages a collaborative interactional process between patient and doctor. Collaborative communication, rather than one-way authoritarian, physician-led medical interview, is significant in navigating difficult circumstances such as delivering "bad news" to patients diagnosed with cancer. Additionally, the potential psychological effects of breaking bad news in an abrupt and insensitive manner can be...
Show moreEffective physician-patient communication is primary to successful medical consultation and encourages a collaborative interactional process between patient and doctor. Collaborative communication, rather than one-way authoritarian, physician-led medical interview, is significant in navigating difficult circumstances such as delivering "bad news" to patients diagnosed with cancer. Additionally, the potential psychological effects of breaking bad news in an abrupt and insensitive manner can be devastating and long-lasting for both the patient and his or her family. The topic of delivering unfavorable news to patients is an issue that many medical professionals find to be challenging and is now getting the attention of medical professionals in many countries, including the former Soviet Union (FSU) republics. The limited literature on communication skills in oncology in the FSU republics supports that the physician-patient communication style is perceived as significantly physician-oriented rather than patient-oriented. More specifically, the Soviet medical education system, as well as post-graduate medical education, has placed little to no emphasis on physician-patient communication training. Physician-oriented communication leads to patients being less forthcoming and open regarding their own feelings about being diagnosed with cancer, which may exacerbate the overall communication problem. The purpose of this study was to investigate the effectiveness of the training program "Delivering Unfavorable News to Patients Diagnosed with Cancer" (Baile et al., 2000) conducted in Uzbekistan, one of the FSU republics. A total of 50 oncologists from the National Oncology Center of Uzbekistan (N = 50, n = 25 , n = 25 ) completed Self-Efficacy, Interpersonal skills (FIRO-B), Empathy (JSPE), and Physician Belief (PBS), and demographic instruments before, immediately after, and then two weeks after the training intervention. Results of MANOVA and bivariate statistical analyses revealed significant differences in self-efficacy, empathy, and PBS scores within the experimental group, but not within the control group, from pre-test to post-test. The follow-up data analysis suggested that participants maintained the level of change that occurred immediately after the training intervention.
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Date Issued
2008
Identifier
CFE0002043, ucf:47596
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0002043
THE RELATIONSHIP AMONG WELLNESS, SEVERITY OF DISTURBANCE, AND SOCIAL DESIRABILITY OF ENTERING MASTER'S-LEVEL COUNSELING STUDENTS
Title
THE RELATIONSHIP AMONG WELLNESS, SEVERITY OF DISTURBANCE, AND SOCIAL DESIRABILITY OF ENTERING MASTER'S-LEVEL COUNSELING STUDENTS.
Creator
Smith, Heather, Robinson III, Edward H. "Mike", University of Central Florida
Abstract / Description
A wellness paradigm may hold promise for unifying and strengthening the identity of the counseling profession. The construct of wellness may also hold implications for assessment of entering master's-level counseling students, as a tool for continuous evaluation of students, or for overall program evaluation. In this study, the only counseling-based wellness assessment measure, the Five Factor Wellness Evaluation of Lifestyle, was tested for its relationship to two other constructs:...
Show moreA wellness paradigm may hold promise for unifying and strengthening the identity of the counseling profession. The construct of wellness may also hold implications for assessment of entering master's-level counseling students, as a tool for continuous evaluation of students, or for overall program evaluation. In this study, the only counseling-based wellness assessment measure, the Five Factor Wellness Evaluation of Lifestyle, was tested for its relationship to two other constructs: psychological disturbance and social desirability. In order to test the research hypotheses, a total of nine programs (in five states) and 204 entering master's-level counseling students completed instrumentation packets comprised of the Five-Factor Wellness Evaluation of Lifestyle, the Marlowe-Crowne Social Desirability Scale, and the Outcome Questionnaire – 45.2. The results of the analyses indicated statically significant relationships in 52 out of 55 correlations between the instruments' total scores and subscale scores. The first null hypothesis was rejected in favor of the alternative hypothesis; there was a statistically significant negative relationship between level of psychological disturbance and level of wellness. The results of the study failed to reject null hypothesis two; the relationship between wellness and social desirability was found to have no statistical significance after removing the influence of psychological disturbance. Null hypothesis three was rejected in favor of the alternative hypothesis; there was a statistically significant negative relationship between level of psychological disturbance and social desirability. Number and percent of participants exceeding psychological disturbance cutoff scores was examined. Measures of central tendency and the effects of demographic variables for each of the instruments were presented. Exploratory data analysis revealed that the first-order wellness factor, second-order wellness factors, and social desirability mean scores of those scoring above the cutoff for Severity of Disturbance, difficulty in Interpersonal Relations, Symptom Distress, and Difficulty in Social Roles were lower than those scoring below each cutoff score. Results of the study were summarized, factors to consider in the interpretation of the results were discussed, and implications for counselor education and future research were provided.
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Date Issued
2006
Identifier
CFE0001032, ucf:46827
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0001032