The difficulties experienced by nurses and healthcare staff involved in the process of breaking bad news

Warnock, Clare; Buchanan, Jean; Tod, Angela

doi:10.1111/jan.13252

Cited by 38 publications

(39 citation statements)

References 24 publications

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“…Literature revealed that a major barrier for delivering bad news is lack of nurses' knowledge [25,26]. In this study, 67% of Jordanian critical care nurses stated that they face barrier during breaking bad news process, in which major barrier to nurses (73%) was not having time to do it.…”

Section: Discussionmentioning

confidence: 74%

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Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

M.Alkhawaldeh¹,

M.Abufeddeh²,

Izzeldeen³

2018

AJNR

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Background. Breaking bad news (BBN) is one of the most difficult tasks faced by healthcare providers. In addition, breaking bad news is stressful for both; healthcare providers and patient. Nurses can play an important role in the process of BBN. Whereas, effective communication by critical care nurses improves patients' understanding of their health status and decreases their stress level. Furthermore, effective BBN process requires effective communication skills. Aims. To assess critical care nurses' knowledge level regarding breaking bad news process, assess their involvement in the process of BBN, andto determine the barrier of practicing breaking bad news process as perceived by critical care nurses to identify the factors that affect nurses' practice of breaking bad news in the critical care units. Methods. Descriptive cross-sectional design, using self-reported questionnaires. Results. The study showed that most critical care nurses in Jordan are highly involved in BBN process 77% (n=157), Also, nurses are highly perceived themselves as an active part in BBN process 76% (n=155). The major barrier in providing BBN was relatives requesting that a patient is not told bad news 75% (n=152). Conclusion. Current study revealed that Jordanian critical care nurses took different roles in the process of breaking bad news and they are highly involved in BBN news, creating a base of knowledge regarding BBN among critical care nurses in Jordan. Thus, the study recommends the policymakers to empower nurses role in this process through design an educational program regarding practice BBN and clarify nurses' role in this process.

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Section: Discussionmentioning

confidence: 74%

“…In addition, Lin et al [24] reported that the lack of communication training negatively affects nurses' perspective during communication with patients. Furthermore, Warnock, Buchanan and Tod [25] concluded that patients' diagnosis and treatment modalities could affect BBN process.…”

Section: Introductionmentioning

confidence: 99%

Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

M.Alkhawaldeh¹,

M.Abufeddeh²,

Izzeldeen³

2018

AJNR

View full text Add to dashboard Cite

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“…The findings also highlighted negative experiences of disclosing perceived bad news, and the impact on practitioners' emotional well-being [19]. This has been previously highlighted as a potential cause of work-related stress [10,11,19]. Both novice and experienced practitioners expressed relief their experiences resonated with others and expressed a desire for more formal and informal peer support to support their emotional well-being.…”

Section: Discussionmentioning

confidence: 74%

Great expectations? A qualitative study of health professionals’ perspectives on breaking bad news about rehabilitation potential after traumatic brain injury or spinal injury

Peel

Jones

Miller

et al. 2019

Disability and Rehabilitation

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Background: Neurorehabilitation units play an important role in facilitating recovery for those with complex needs following a neurological event. National guidance highlights the importance of providing patients and their families with information and fostering realistic expectations. This may involve the breaking of bad news. The aim of this study is to explore health professionals' perspectives on breaking bad news in the neurorehabilitation setting.Method: 15 health professionals (physiotherapists, occupational therapists, nurses, speech therapists, psychologists and doctors) working at a 24 bedded neurorehabilitation unit in a National Health Service acute trust in England were recruited. A qualitative study was conducted using patient vignettes to facilitate discussions during semi-structured interviews and a focus group. The results were analysed using thematic analysis.Results: Four major themes emerged: influencing factors, current approaches used, staff experiences, and strategies to improve breaking bad news. There was a need for better management of patients' and families' expectations. Breaking bad news was seen as emotionally demanding yet often unrecognised work. Conclusions:Breaking bad news in the neurorehabilitation setting is complex and underrecognised work, involving multiple health professionals. There is a need for both experience and training to improve skills and confidence in breaking bad news.

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“…If done badly, it can impact on subsequent quality of life and well-being 9. Recent research indicated that considering BBN as a process involving multiple episodes of information provision and supportive interventions is a useful approach and can facilitate good practice 10 11. This is in comparison to emphasising the single episode of care when bad news, such as a diagnosis, is confirmed.…”

Section: Introductionmentioning

confidence: 99%

Communication of a mesothelioma diagnosis: developing recommendations to improve the patient experience

2019

Self Cite

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BackgroundMalignant pleural mesothelioma (MPM) is an aggressive cancer linked to asbestos exposure and inhalation. As with other cancers, receiving a diagnosis of MPM is challenging and distressing. Particular challenges are associated with communicating a diagnosis of MPM, including explaining the disease and its prognosis, treatment options and legal and financial implications. Receiving A Diagnosis Of Mesothelioma (RADIO Meso) aimed to understand the experience of communicating a diagnosis of MPM from the perspective of patients, family carers and health professionals.MethodsThis qualitative study comprised 31 individual interviews with patients, family carers and health professionals. This was followed by two group interviews (n=42) and an electronic consultation exercise (n=39).ResultsThis study provides unique insight into the mesothelioma diagnostic experience of patients, family carers and health professionals. Key findings include the importance of regarding diagnosis as a process, and provision of continuity and consistency. The clinical nurse specialist and effective multidisciplinary team working provided vital contributions to successful mesothelioma diagnostic communication. Facilitators to diagnostic communication included honesty and timeliness in communication, partnership working and maintaining a patient-centred approach. Challenges to enhancing mesothelioma diagnosis communication included accessing ongoing training, ensuring a suitable clinical environment and being able to allocate appropriate time.ConclusionThe RADIO Meso study highlights factors that influence the communication of a diagnosis of MPM from the perspectives of individual patients and family carers. These findings provide the basis for a set of recommendations that can be used by health professionals to improve the MPM diagnostic experience.

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The difficulties experienced by nurses and healthcare staff involved in the process of breaking bad news

Abstract: The framework provides insights into the scope of the challenges faced by staff when they engage in the process of breaking bad news. This provides the foundation for developing interventions to support staff that more closely matches their experiences in clinical practice.

Cited by 38 publications

References 24 publications

Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

Great expectations? A qualitative study of health professionals’ perspectives on breaking bad news about rehabilitation potential after traumatic brain injury or spinal injury

Communication of a mesothelioma diagnosis: developing recommendations to improve the patient experience

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