Delivering Bad News to Patients

Monden, Kimberley R.; Gentry, Lonnie; Cox, Thomas R.

doi:10.1080/08998280.2016.11929380

Cited by 119 publications

(111 citation statements)

References 10 publications

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“…This was consistent with the findings of Bousquet et al's 23 reported to be a source of discomfort for HCPs due to them perceiving a lack of training in this area 28 and having to concurrently manage their own emotional reactions. 23 This review found that patients and family members viewed hav- This variation may be culturally informed, as reflected in models of breaking bad news that have been developed for different cultural settings.…”

Section: Discussionsupporting

confidence: 90%

“…Given this finding, holistic models of health care that include attending to a patient's psychological wellbeing may apply to the bad news context over and above what a biomedical model of care can offer. However, this may be challenging as managing patients' and family members' emotions has been reported to be a source of discomfort for HCPs due to them perceiving a lack of training in this area and having to concurrently manage their own emotional reactions …”

Section: Discussionmentioning

confidence: 90%

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The experiences of patients and their family members when receiving bad news about cancer: A qualitative meta‐synthesis

et al. 2019

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Objective This qualitative meta‐synthesis explored the subjective experiences of patients and their family members when receiving bad news about cancer, with a focus on what was important to them during this process and making future recommendations. Methods A search of five electronic databases yielded 587 different records that resulted in 88 articles assessed against the inclusion/exclusion criteria. With the supplement of four additional records, 29 articles were analysed using thematic synthesis. A quality appraisal checklist was used to provide further information about the included articles. Results Patients and family members experienced receiving bad news as a process that involved three phases, labelled as follows: “preparation”, “delivery”, and “adjusting and coping”. The “preparation” phase had four themes: the setting, developing a relationship, knowing the patient, and forewarning. Four themes were identified during the “delivery” phase: emotional reactions, empathy not sympathy, active participation, and understanding. “Adjusting and coping” comprised four themes: hope, holistic support, being a protector, and ongoing relationships. Conclusions Receiving bad news is a significant experience for patients and family members. They want bad news delivered in an appropriate setting, in a manner consistent with their personal preferences, and have their psychological needs attended to within the context of an established relationship. Healthcare professionals can be assisted to deliver bad news in the best way possible by additional training and their workplace institutions providing quiet, private rooms, and sufficient time. Future research is needed to better understand family members' experiences and needs.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 90%

The experiences of patients and their family members when receiving bad news about cancer: A qualitative meta‐synthesis

et al. 2019

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“…On the other hand, difficulty in assisting the family to accept the condition of family members who are critically ill. Delivering information to the patient's family was increasingly difficult especially when the nurse has to deal with a denial patient's family. In accordance with research that conducted by Griffiths (Monden, Gentry, & Cox, 2016) stated that it is not easy to deliver bad news to patients or families. Moreover, sometimes they enter a phase where they cannot accept the situation.…”

Section: Discussionsupporting

confidence: 67%

Nurses’ Reflections on Challenges and Barriers of Communication in the Intensive Care Unit: A Phenomenology Study

et al. 2020

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Communication among nurses, patients, and families takes an important role in the intensive care unit in which the patients are in critical condition and unable to involve in two-way communication. Research related to effective nurse-patient communication has been done extensively, but the information regarding communication in intensive care unit is still limited. This research aimed to explore nurses’ experiences in the intensive care units in effective communication to patients/patient’s families. This was a qualitative study project with phenomenology approach. The data were collected using the in-depth interview technique approximately 60 minutes involving ten nurses who were selected using the purposive sampling at Al Islam Hospital Bandung. Data were analysed using the Colaizzi method and the results were presented in themes. Based on the nurses’ experiences, four themes were emerged in this study including (1) Nurses’ dilemma of their professionalism and personal issues/matters, (2) Contextual factor affects selection of nurses' communication technique, (3) Barriers in effective communication; difficulties in accompanying families to accept critical patient conditions, care and treatment procedures in the ICU which were complicated, and misunderstanding between nurse-patient and family (4) Compassion and patience are required in nurse-patient communication in ICU. The complex patient/family conditions in the ICU require nurses to choose the appropriate communication technique accompanied by a sense of compassion and patience. Nurses need to improve their ability to communicate effectively in order to lower the barriers in communicating between nurses-patients/families. Recommendations, training and assistance of effective communication become important for nurses in improving services in the Intensive Care Unit.

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“…The doctors, nurses and nursing assistants who took part in this study all agree that in developing their professional competence, they learned to communicate with patients by means of trial and error and by imitation, from observing the actions of colleagues with more experience. None of the medical workers taking part in our study had received a refresher course or specific training in this respect, a shortcoming that has also been reported in previous research [32][33][34][35].…”

Section: Discussionmentioning

confidence: 91%

Breaking bad news to antenatal patients with strategies to lessen the pain: a qualitative study

et al. 2018

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Background: To consider the thoughts and actions of healthcare personnel in situations when an adverse prenatal diagnosis must be communicated, including appropriate strategies and skills to respond to information needs and to manage the emotional responses of patients. Methods: Descriptive qualitative study using non-participant observation and semi-structured interviews to analyse the discourses of physicians, midwives, nurses and nursing assistants who provide healthcare to obstetric patients. Results: There may be barriers to effective communication between healthcare personnel and patients, depending on the characteristics of the persons involved, the organisation of healthcare, biotechnological progress and cultural factors. Conclusions: The human quality of healthcare has deteriorated due to excessive workloads and to the growing role played by technology. In order to improve communication, more attention should be paid to human and spiritual dimensions, prioritising empathy, authenticity and non-judgmental listening. An appropriate model of clinical relationship should be based on shared decision making, clarifying the functions of the multidisciplinary team to alleviate a mother's suffering when a pregnancy is interrupted. To do so, protocols should be implemented to ensure the provision of comprehensive care, not only addressing biological issues but also providing psychosocial attention. Finally, training should be provided to healthcare staff to enhance their social skills and cultural competence. This study identifies potential improvements in the interventions made by healthcare personnel and in the organisation of the institution, concerning the attention provided to pregnant women when an adverse prenatal diagnosis must be communicated.

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Delivering Bad News to Patients

Cited by 119 publications

References 10 publications

The experiences of patients and their family members when receiving bad news about cancer: A qualitative meta‐synthesis

The experiences of patients and their family members when receiving bad news about cancer: A qualitative meta‐synthesis

Nurses’ Reflections on Challenges and Barriers of Communication in the Intensive Care Unit: A Phenomenology Study

Breaking bad news to antenatal patients with strategies to lessen the pain: a qualitative study

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