Doctors' tacit knowledge on coping processes of oral cancer patients: A qualitative study.
OBJECTIVE
The implicit knowledge of doctors about coping, quality of life and factors which have an influence on these aspects were investigated. In addition, they were asked about the need for psychological support in clinical practice.


METHODS
Doctors (n = 40) working in the field of oral and maxillofacial surgery, otorhinolaryngology and oncology were interviewed about coping and quality of life of patients, the course of therapy and experiences in the doctor-patient interaction based on a semi-structured interview. The data were analyzed using qualitative content analysis.


RESULTS
Hundred percent of the doctors pointed out that patients with oral cancer are a special clientele which definitely needs to have psycho-oncological support. Eighty seven percent of the doctors divide their patients based on their style of coping into two groups: the one who are depressive and do not cope well and active patients who are able to stand their diagnosis. Ninety five percent of the doctors cite personality and social support as key factors affecting the quality of life and style of coping. Lack of time and lack of support from psychologists were given as the main obstacle for holistic treatment.


CONCLUSIONS
Doctors have very specific ideas about the coping mechanisms and problems of their patients. These theories may have an impact on the doctor-patient relationship and should be considered in more detail.
Department of Differential Psychology and Psychological Assessment, Helmut-Schmidt-University, University of the Federal Armed Forces, Hamburg, Germany.
Madiha
M
Rana
Department of Differential Psychology and Psychological Assessment, Helmut-Schmidt-University, University of the Federal Armed Forces, Hamburg, Germany.
Franziska
F
Czens
Department of Craniomaxillofacial Surgery, Hannover Medical School, Hannover, Germany.
Franziska
F
Wingartz
Department of Craniomaxillofacial Surgery, Hannover Medical School, Hannover, Germany.
Nils-Claudius
NC
Gellrich
Department of Craniomaxillofacial Surgery, Hannover Medical School, Hannover, Germany. Electronic address: rana.majeed@mh-hannover.de.
Majeed
M
Rana
D000223:Adaptation, Psychological; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009062:Mouth Neoplasms / Q000523:psychology*; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology
Coping; Oral cancer; Oral oncology; Quality of life