title: The doctor's role in helping dying patients with cancer achieve peace: a qualitative study.
abstract: BACKGROUND
  Being at peace is important for the quality of life of dying cancer patients, but its features, and the role of the doctor in facilitating peace, are unclear.
  
  
  OBJECTIVE
  We sought to understand the features of a peaceful patient, and patients' preferences regarding the role of the doctor in facilitating a sense of peace.
  
  
  METHODS
  A grounded theory approach was used with semi-structured interviews. Patients were asked about the things that gave their life meaning and a sense of peace and how the doctor could support their spiritual well-being. Patients were also questioned about their concerns for their future.
  
  
  METHODS
  In total, 15 cancer patients with advanced disease were interviewed in a variety of care settings.
  
  
  RESULTS
  Patients were observed to be along a spectrum between having peace and not having peace. Features of the two extreme positions are described. Doctors could facilitate peace by developing a good relationship with cancer patients and supplying clear and honest information about what patients could expect as they approached their death.
  
  
  CONCLUSIONS
  Spiritual well-being in cancer patients can be promoted by communication from doctors regarding prognosis, which allows them time to prepare for death, and recognition of their fears. However, acceptance of death does not always lead to the patient experiencing peace.
authors.affiliation: Palliative Care, Greenwich Hospital, Greenwich, NSW, Australia PoCoG, University of Sydney, NSW, Australia megan.best@sydney.edu.au.
authors.forename: Megan
authors.initials: M
authors.lastname: Best
authors.affiliation: PoCoG, University of Sydney, NSW, Australia.
authors.forename: Phyllis
authors.initials: P
authors.lastname: Butow
authors.affiliation: Cancer Council Australia, Sydney, NSW, Australia.
authors.forename: Ian
authors.initials: I
authors.lastname: Olver
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001293:Attitude to Death; D003142:Communication; D005260:Female; D066296:Grounded Theory; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D057240:Patient Preference; D010819:Physician's Role / Q000523:psychology; D010817:Physician-Patient Relations; D036301:Qualitative Research; D011788:Quality of Life; D029181:Spirituality; D011795:Surveys and Questionnaires; D013727:Terminal Care / Q000523:psychology*; D019452:Terminally Ill / Q000523:psychology*
keywords: Peace; cancer; doctor–patient relations; physician–patient relations; spirituality; terminal care