Indigenous Perspectives on Breaking Bad News: Ethical Considerations for Healthcare Providers

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aut.relation.journalJournal of Medical Ethicsen_NZ
aut.researcherKidd, Jacqueline
dc.contributor.authorCassim, Sen_NZ
dc.contributor.authorKidd, Jen_NZ
dc.contributor.authorKeenan, Ren_NZ
dc.contributor.authorMiddleton, Ken_NZ
dc.contributor.authorRolleston, Aen_NZ
dc.contributor.authorHokowhitu, Ben_NZ
dc.contributor.authorFirth, Men_NZ
dc.contributor.authorAitken, Den_NZ
dc.contributor.authorWong, Jen_NZ
dc.contributor.authorLawrenson, Ren_NZ
dc.date.accessioned2021-01-11T02:01:52Z
dc.date.available2021-01-11T02:01:52Z
dc.description.abstractMost healthcare providers (HCPs) work from ethical principles based on a Western model of practice that may not adhere to the cultural values intrinsic to Indigenous peoples. Breaking bad news (BBN) is an important topic of ethical concern in health research. While much has been documented on BBN globally, the ethical implications of receiving bad news, from an Indigenous patient perspective in particular, is an area that requires further inquiry. This article discusses the experiences of Māori (Indigenous peoples of New Zealand) lung cancer patients and their families, in order to investigate the ethical implications of receiving bad news. Data collection occurred through 23 semistructured interviews and nine focus groups with Māori lung cancer patients and their families in four districts in the Midland Region of New Zealand: Waikato, Bay of Plenty, Lakes and Tairāwhiti. The findings of this study were categorised into two key themes: communication and context. Avenues for best practice include understanding the centrality of the HCP–patient relationship and family ties in the healthcare journey, and providing patients with the full range of viable treatment options including hope, clear advice and guidance when the situation calls for it. Overall, the findings of this study hold implications for providing culturally safe and humanistic cancer care when BBN to Māori and Indigenous patients.en_NZ
dc.identifier.citationJournal of Medical Ethics Published Online First: 08 January 2021. doi: 10.1136/medethics-2020-106916
dc.identifier.doi10.1136/medethics-2020-106916en_NZ
dc.identifier.issn0306-6800en_NZ
dc.identifier.issn1473-4257en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13901
dc.languageenen_NZ
dc.publisherBMJen_NZ
dc.relation.urihttps://jme.bmj.com/content/early/2021/01/08/medethics-2020-106916
dc.rights© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.
dc.rights.accessrightsOpenAccessen_NZ
dc.titleIndigenous Perspectives on Breaking Bad News: Ethical Considerations for Healthcare Providersen_NZ
dc.typeJournal Article
pubs.elements-id396764
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/Nursing
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