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Peer-reviewedCC BYBrazilian journal of otorhinolaryngology

Emotional meanings of clinical practice with head and neck cancer patients: a qualitative study with Brazilian professionals.

4 affiliations
  1. 1Laboratory of Clinical-Qualitative Research, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil.
  2. 2Laboratory of Clinical-Qualitative Research, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil; School of Nursing of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
  3. 3Laboratory of Clinical-Qualitative Research, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil; School of Odontology, University of Campinas, Piracicaba, São Paulo, Brazil.
  4. 4Clinical Oncology Service, Department of Anesthesiology, Oncology, and Radiology, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil. Electronic address: [email protected].

Abstract

Objective

To interpret emotional meanings attributed by healthcare professionals to the clinical management of patients with head and neck cancer, in a university-specialised outpatient service at a public general hospital.Method

A qualitative study was carried out using semi-directed interviews with open-ended questions in-depth. The sample was closed by the saturation strategy. Data treatment was conducted by Clinical-Qualitative Content Analysis technique under theoretical framework of psychodynamic concepts from Medical Psychology, and validation by peers from a research group.Results

Ten clinical professionals were interviewed: six nurses and four physicians. From the analysis of the interviews, three categories are constructed for this article: (1) An instituted stigmatization; (2) Wide-open reality; (3) Naturalization without trivialization. The aggressiveness of these tumours, the association with harmful lifestyle habits, and the great concern of family members call for clinical-psychological management to mitigate emotional distress, to handle possible guilt, and prevent any burnout, improving a better adherence to treatment and harmonious interpersonal relationships.Conclusion

The stigma is a symbolic entity that takes distress for the clinicians but also seems to highlight a higher level of awareness and reflection. This awareness can be a starting point for the development of healthier strategies for emotional coping, contributing to a more balanced work and personal harmonic relationship of care.Level of evidence: 5

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BibTeX
@article{bispo2026emotional,
  title = {{Emotional meanings of clinical practice with head and neck cancer patients: a qualitative study with Brazilian professionals.}},
  author = {Adriana Consuelo Oliveira Bispo and Rodrigo Almeida Bastos and Ricardo Souza Evangelista Sant'Ana and Sarah Adriely da Silva and Milena Rossi Suedt and Jéssica Renata Ponce-de-Leon and Claudiane Graças Dos Santos and Luciane Miranda Guerra and Carmen Silvia Passos Lima and Egberto Ribeiro Turato},
  journal = {Brazilian journal of otorhinolaryngology},
  year = {2026},
  month = oct,
  doi = {10.1016/j.bjorl.2026.101923},
  url = {https://europepmc.org/article/MED/42874298},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Emotional meanings of clinical practice with head and neck cancer patients: a qualitative study with Brazilian professionals.
AU  - Adriana Consuelo Oliveira Bispo
AU  - Rodrigo Almeida Bastos
AU  - Ricardo Souza Evangelista Sant'Ana
AU  - Sarah Adriely da Silva
AU  - Milena Rossi Suedt
AU  - Jéssica Renata Ponce-de-Leon
AU  - Claudiane Graças Dos Santos
AU  - Luciane Miranda Guerra
AU  - Carmen Silvia Passos Lima
AU  - Egberto Ribeiro Turato
PY  - 2026
DA  - 2026/10/14
JO  - Brazilian journal of otorhinolaryngology
DO  - 10.1016/j.bjorl.2026.101923
UR  - https://europepmc.org/article/MED/42874298
AB  - Objective  To interpret emotional meanings attributed by healthcare professionals to the clinical management of patients with head and neck cancer, in a university-specialised outpatient service at a public general hospital.Method  A qualitative study was carried out using semi-directed interviews with open-ended questions in-depth. The sample was closed by the saturation strategy. Data treatment was conducted by Clinical-Qualitative Content Analysis technique under theoretical framework of psychodynamic concepts from Medical Psychology, and validation by peers from a research group.Results  Ten clinical professionals were interviewed: six nurses and four physicians. From the analysis of the interviews, three categories are constructed for this article: (1) An instituted stigmatization; (2) Wide-open reality; (3) Naturalization without trivialization. The aggressiveness of these tumours, the association with harmful lifestyle habits, and the great concern of family members call for clinical-psychological management to mitigate emotional distress, to handle possible guilt, and prevent any burnout, improving a better adherence to treatment and harmonious interpersonal relationships.Conclusion  The stigma is a symbolic entity that takes distress for the clinicians but also seems to highlight a higher level of awareness and reflection. This awareness can be a starting point for the development of healthier strategies for emotional coping, contributing to a more balanced work and personal harmonic relationship of care.Level of evidence: 5
SN  - 1808-8694
SN  - 1808-8686
ER  -