Giving Bad News: A Qualitative Research Exploration

被引:27
作者
Aein, Fereshteh [1 ]
Delaram, Masoumeh [1 ]
机构
[1] Shahrekord Univ Med Sci, Nursing Fac, Shahrekord, Iran
关键词
Truth Disclosure; Neoplasms; Mothers; Child; Qualitative Research; CANCER-DIAGNOSIS; PARENTS; COMMUNICATION; PERCEPTIONS; PREFERENCES; STRATEGIES; CHILDREN; TALK;
D O I
10.5812/ircmj.8197
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页数:7
相关论文
共 34 条
[1]   Breaking bad news - development of a hospital-based training workshop [J].
Abel, Julian ;
Dennison, Sian ;
Senior-Smith, Gaye ;
Dolley, Tracy ;
Lovett, Jenny ;
Cassidy, Sheila .
LANCET ONCOLOGY, 2001, 2 (06) :380-384
[2]   Ability of primary care physician's to break bad news: A performance based assessment of an educational intervention [J].
Amiel, GE ;
Ungar, L ;
Alperin, M ;
Baharier, Z ;
Cohen, R ;
Reis, S .
PATIENT EDUCATION AND COUNSELING, 2006, 60 (01) :10-15
[3]   Effect of breaking bad news on patients' perceptions of doctors [J].
Barnett, MM .
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 2002, 95 (07) :343-347
[4]   Parental distress.: The initial phase of hearing aid and cochlear implant fitting [J].
Burger, T ;
Spahn, C ;
Richter, B ;
Eissele, S ;
Löhle, E ;
Bengel, J .
AMERICAN ANNALS OF THE DEAF, 2005, 150 (01) :5-10
[5]   How the doc should (not) talk: When breaking bad news with negations influences patients' immediate responses and medical adherence intentions [J].
Burgers, Christian ;
Beukeboom, Camiel J. ;
Sparks, Lisa .
PATIENT EDUCATION AND COUNSELING, 2012, 89 (02) :267-273
[6]   I'm not ready for hospice: Strategies for timely and effective hospice discussions [J].
Casarett, David J. ;
Quill, Timothy E. .
ANNALS OF INTERNAL MEDICINE, 2007, 146 (06) :443-449
[7]   Lay understanding of terms used in cancer consultations [J].
Chapman, K ;
Abraham, C ;
Jenkins, V ;
Fallowfield, L .
PSYCHO-ONCOLOGY, 2003, 12 (06) :557-566
[8]   Overcoming Cultural Barriers to Giving Bad News: Feasibility of Training to Promote Truth-Telling to Cancer Patients [J].
Costantini, Anna ;
Baile, Walter F. ;
Lenzi, Renato ;
Costantini, Massimo ;
Ziparo, Vincenzo ;
Marchetti, Paolo ;
Grassi, Luigi .
JOURNAL OF CANCER EDUCATION, 2009, 24 (03) :180-185
[9]   Communicating sad, bad, and difficult news in medicine [J].
Fallowfield, L ;
Jenkins, V .
LANCET, 2004, 363 (9405) :312-319
[10]   Good communication with patients receiving bad news about cancer in Japan [J].
Fujimori, M ;
Akechi, T ;
Akizuki, N ;
Okamura, M ;
Oba, A ;
Sakano, Y ;
Uchitomi, Y .
PSYCHO-ONCOLOGY, 2005, 14 (12) :1043-1051