Giving Bad News: A Qualitative Research Exploration
نویسندگان
چکیده
BACKGROUND The manner in which healthcare professionals deliver bad news affects the way it is received, interpreted, understood, and dealt with. Despite the fact that clinicians are responsible for breaking bad news, it has been shown that they lack skills necessary to perform this task. OBJECTIVES The purpose of this study was to explore Iranian mothers' experiences to receive bad news about their children cancer and to summarize suggestions for improving delivering bad news by healthcare providers. MATERIALS AND METHODS A qualitative approach using content analysis was adopted. Semi-structured interviews were conducted with 14 mothers from two pediatric hospitals in Iran. RESULTS Five major categories emerged from the data analysis, including dumping information, shock and upset, emotional work, burden of delivering bad news to the family members, and a room for multidisciplinary approach. CONCLUSIONS Effective communication of healthcare team with mothers is required during breaking bad news. Using multidisciplinary approaches to prevent harmful reactions and providing appropriate support are recommended.
منابع مشابه
Knowledge and Attitudes of Clinical Teachers, Family Physicians, and Medical Interns towards Giving Bad News, a Study in Jahrom University of Medical Sciences
Introduction: Pronouncing bad news is one of the most difficult duties of a physician. Lack of education in this field may negatively affect physician-patient relationship. These skills are not taught in our country vastly and effectively. The aim of this study was to assess knowledge and attitude of clinical teachers, family physicians and interns of Jahrom University of Medical Science about ...
متن کاملBeing the Best Bearer of Bad Tidings
Giving bad news is an unpleasant task, and the medical literature provides numerous guidelines for giving bad news well. However, what people mean by “giving bad news well” is less clear. What should be the goal when communicating bad news? The authors suggest that the goal of news-givers should be to guide recipients toward a desired response and the authors propose a theoretical framework, th...
متن کاملتجارب بیمار و خانواده از شنیدن خبر بد توسط کادر پزشکی: یک مطالعهی کیفی
Breaking bad news to patients and their families is an important issue in health care services. Since access to information is among the basic rights of the patient, investigating the experiences of patients and their families after receiving bad news can make the process more purposeful and prevent unnecessary suffering. This study aimed to describe the experiences of patients and their famili...
متن کاملDisplaying fairness while delivering bad news: Testing the effectiveness of organizational bad news training in the layoff context.
Although giving bad news at work is a stressful experience, managers are often underprepared for this challenging task. As a solution, we introduce organizational bad news training that integrates (a) principles of delivering bad news from the context of health care (i.e., bad news delivery component), and (b) principles of organizational justice theory (i.e., fairness component). We argue that...
متن کاملNurses’ perspectives on breaking bad news to patients and their families: a qualitative content analysis
Breaking bad news is quite often not done in an effective manner in clinical settings due to the medical staff lacking the skills necessary for speaking to patients and their families. Bad news is faced with similar reactions on the part of the news receiver in all cultures and nations. The purpose of this study was to explore the perspectives of Iranian nurses on breaking bad news to patients ...
متن کامل