Critical Care Nurses’ Attitudes, Roles, and Barriers Regarding Breaking Bad News

Rayan, Ahmad; Al‐Ghabeesh, Suhair Hussni; Qarallah, Islam

doi:10.1177/23779608221089999

Cited by 11 publications

(11 citation statements)

References 27 publications

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“…The emergency department (ED) is a crucial component of the healthcare delivery system. Healthcare workers in ED are frontline staff who deal with patients presenting with acute life-threatening conditions ( Rayan et al, 2022 ). The quality of services provided in the ED has significant consequences not only on patients’ survival but also on their hospital experience, care satisfaction, and psychological well-being ( Morley et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Triage Knowledge and Practice and Associated Factors Among Emergency Department Nurses

et al. 2022

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Objective The study aims at assessing the triage knowledge and practices and their associated factors among emergency department nurses employed in King Fahad Medical City (KFMC), Saudi Arabia. Method The study employed a cross-sectional, descriptive, and correlational design. Data collection was carried out from February 11, 2021, until April 27, 2021. The study included all emergency department nurses who were working in the KFMC during the data collection period and excluded those who were on leave at the time of data collection. A self-reported questionnaire with adequate validity and reliability was used. Statistical analysis was performed using the IBM SPSS Version 25 employing descriptive statistics, independent t-test, one-way ANOVA, and Pearson correlation test. Results A total of 147 emergency department nurses completed the study. Participants demonstrated generally high levels of triage knowledge and triage practice. However, knowledge deficit and incorrect practice related to some aspects were noted. There were no significant differences in triage knowledge and practice according to participants’ demographics including gender, job title, qualification, emergency nursing training, and previous training in triage ( P > 0.05). Most participants ( n = 141, 95.9%) had access to their triage systems and the majority ( n = 79, 53.7%) utilize triage systems on a daily basis. Half said that only professional nurses performed the triage role ( n = 69, 46.9%). There was a significant positive relationship between triage knowledge and practice (r = 0.486, P < 0.01). Conclusion The respondents had a high level of triage knowledge and practice. However, they have some areas of knowledge deficit and some deficiencies in the conversion of their knowledge into practice. The study recommends the development of further training and education in emergency nursing to address knowledge deficits and incorrect triage practices.

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Section: Introductionmentioning

confidence: 99%

Triage Knowledge and Practice and Associated Factors Among Emergency Department Nurses

et al. 2022

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“…[ 15 , 16 , 19 ] During the BBN process, the nurse must recognise and pay attention to the special emotional needs of patients and caregivers. [ 17 , 20 ] Studies report that nurses also break bad news directly to patients and families. [ 15 , 21 ]…”

Section: Resultsmentioning

confidence: 99%

“…[ 15 , 16 , 19 - 21 ] Nurses also play a role in helping patients and families to plan for logical treatment and make treatment decisions. [ 14 , 22 ] Nurses continuously provide emotional support [ 15 - 20 ] and help patients to have a quality life. [ 19 , 23 ]…”

Section: Resultsmentioning

confidence: 99%

A Literature Review of Nurses Challenges and Barriers in Assisting Patients and Families Facing Breaking Bad News

Wahyuni,

Gautama,

Simamora

2023

IJPC

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Objectives: Breaking bad news (BBN) is a challenging task for healthcare professionals, including nurses. The manner in which bad news is delivered can have a significant impact on patients and their families, either positive or negative. Understanding the roles, methods, obstacles, and challenges that nurses face in the process of delivering bad news is crucial for improving the quality of the delivery process. Material and Methods: This narrative review synthesises related studies. The search was conducted through PubMed, Scopus, ScienceDirect and Sage, with no restriction on publication year. The main keywords were ‘nurse’s challenge’, ‘nurse’s barrier’, ‘bad news’, ‘breaking bad news’, and ‘communicating bad news.’ A total of 12 articles were selected from 1075 articles. Results: Nurses play a key role in BBN before, during and after the process. Their activities include preparing patients to receive bad news, supporting patients and families when doctors deliver bad news and clarifying information obtained by patients and families regarding the prognosis of their illness. Nurses should possess skills such as building interpersonal relationships, therapeutic communication and providing emotional care for patients and their families. The main challenges and barriers for nurses in implementing BBN are due to a lack of skills and unpreparedness for patient and family reactions. After BBN, the most reported roles of nurses were supporting patients and families and helping them understand the information received from doctors. It is essential for nurses to have the necessary skills and preparedness to effectively deliver bad news to patients and their families. Conclusion: Nurses play a crucial role in delivering bad news to patients and their families. They should be equipped with the necessary skills to effectively communicate with patients and their families during this difficult time. Further training for nurses in therapeutic communication, emotional care for patients and their families, and building interpersonal relationships could help to improve the quality of the delivery process.

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“…Experiential training is an integral part of pharmacy curricula worldwide. Training under the mentorship of an experienced pharmacist provides students with the opportunity to emphasize, shape and develop the necessary knowledge and skills while practicing direct patient care [1] and that is true for other professions too, including nursing [2]. It is assumed that training students reduces undesirable variation in pharmacy practice, such as managing drug therapy in direct patient care settings and taking the responsibility of ensuring optimal patient outcomes, and improves patients' outcomes [3].…”

Section: Introductionmentioning

confidence: 99%

Pharmacy students’ perceptions and attitudes towards experiential training in Jordan and United Kingdom

Hammad¹,

Al‐Qerem²,

Sunoqrot³

et al. 2022

Trop. J. Pharm Res

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Purpose: To examine the quality of pharmaceutical experiential training by developing an experiential training survey. Methods: An online survey was placed on E-learning platforms in Jordan and UK to develop a validated instrument that can assess pharmacy students' perceptions of the experiential program implemented in their curricula. Results: A total of 377 students from Jordan (250 students) and the UK (127 students) completed the survey. Principal component analysis was used to conduct exploratory factor analysis and to assess the factor structure for the data. A two-factor model was applied to the data obtained from the students. These factors included students’ feelings toward experiential training (Perceiver Feelings; PF) and their ability to conduct a full Pharmaceutical Care Plan (PCP). Students from both Jordan and the UK showed a higher satisfaction PF score toward the experiential training program compared to PCP. Being female and not having prior practice experience led to significantly lower PCP scores compared to males and having a prior practice experience, respectively. Conclusion: The availability of a validated questionnaire will help in investigating the effectiveness of experiential training courses. Keywords: Experiential training; Factor Analysis; Survey development; Pharmacy

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Critical Care Nurses’ Attitudes, Roles, and Barriers Regarding Breaking Bad News

Cited by 11 publications

References 27 publications

Triage Knowledge and Practice and Associated Factors Among Emergency Department Nurses

Triage Knowledge and Practice and Associated Factors Among Emergency Department Nurses

A Literature Review of Nurses Challenges and Barriers in Assisting Patients and Families Facing Breaking Bad News

Pharmacy students’ perceptions and attitudes towards experiential training in Jordan and United Kingdom

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