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How to Break Bad News: Physicians’ and Nurses’ Attitudes
OBJECTIVE: Bad news disclosure is one of the most complex tasks of physicians. Recent evidences indicate that patients' and physicians' attitude toward breaking bad news has been changed since few years ago. The evidence of breaking bad news is different across cultures. The aim of this st...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tehran University of Medical Sciences
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3395928/ https://www.ncbi.nlm.nih.gov/pubmed/22952506 |
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author | Arbabi, Mohammad Roozdar, Ava Taher, Mohammad Shirzad, Samira Arjmand, Mohsen Mohammadi, Mohammad Reza Nejatisafa, Ali-Akbar Tahmasebi, Mamak Roozdar, Alale |
author_facet | Arbabi, Mohammad Roozdar, Ava Taher, Mohammad Shirzad, Samira Arjmand, Mohsen Mohammadi, Mohammad Reza Nejatisafa, Ali-Akbar Tahmasebi, Mamak Roozdar, Alale |
author_sort | Arbabi, Mohammad |
collection | PubMed |
description | OBJECTIVE: Bad news disclosure is one of the most complex tasks of physicians. Recent evidences indicate that patients' and physicians' attitude toward breaking bad news has been changed since few years ago. The evidence of breaking bad news is different across cultures. The aim of this study is to evaluate the attitude of medical staff toward breaking bad news to provide a clinical guideline in Iran. METHODS: A descriptive study was conducted during 2008-2009 on a sample of 100 medical staff (50 physicians and 50 nurses) at Cancer Institute of Imam Khomeini hospital. The subjects' demographic characteristics and their attitudes toward the manner of revealing the diagnosis were registered in a questionnaire. RESULTS: The majority of the physicians (86%, n=43) and nurses (74%, n=37), mostly the older and more experienced, tended to reveal the diagnosis to patients. Only a few physicians (8%, n=4) had been trained how to disclose bad news, which discloused diagnosis more than non trained ones. Physicians and nurses preferred to inform the patients about the diagnosis when either the patients were alone or in the presence of their spouse respectively. Only a few physicians (14%) and nurses (24%) agreed to explain life expectancy to patients. CONCLUSION: Compared to past, physicians and nurses are more willing to share cancer diagnosis with patients. However, lack of adequate communication skills in caregivers, and their concerns about managing patients’ emotional reactions reduce their tendency to disclose bad news to the patients. Therefore, training physicians and nurses to expose bad news to the patients seems to be necessary. |
format | Online Article Text |
id | pubmed-3395928 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Tehran University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-33959282012-09-05 How to Break Bad News: Physicians’ and Nurses’ Attitudes Arbabi, Mohammad Roozdar, Ava Taher, Mohammad Shirzad, Samira Arjmand, Mohsen Mohammadi, Mohammad Reza Nejatisafa, Ali-Akbar Tahmasebi, Mamak Roozdar, Alale Iran J Psychiatry Original Article OBJECTIVE: Bad news disclosure is one of the most complex tasks of physicians. Recent evidences indicate that patients' and physicians' attitude toward breaking bad news has been changed since few years ago. The evidence of breaking bad news is different across cultures. The aim of this study is to evaluate the attitude of medical staff toward breaking bad news to provide a clinical guideline in Iran. METHODS: A descriptive study was conducted during 2008-2009 on a sample of 100 medical staff (50 physicians and 50 nurses) at Cancer Institute of Imam Khomeini hospital. The subjects' demographic characteristics and their attitudes toward the manner of revealing the diagnosis were registered in a questionnaire. RESULTS: The majority of the physicians (86%, n=43) and nurses (74%, n=37), mostly the older and more experienced, tended to reveal the diagnosis to patients. Only a few physicians (8%, n=4) had been trained how to disclose bad news, which discloused diagnosis more than non trained ones. Physicians and nurses preferred to inform the patients about the diagnosis when either the patients were alone or in the presence of their spouse respectively. Only a few physicians (14%) and nurses (24%) agreed to explain life expectancy to patients. CONCLUSION: Compared to past, physicians and nurses are more willing to share cancer diagnosis with patients. However, lack of adequate communication skills in caregivers, and their concerns about managing patients’ emotional reactions reduce their tendency to disclose bad news to the patients. Therefore, training physicians and nurses to expose bad news to the patients seems to be necessary. Tehran University of Medical Sciences 2010 /pmc/articles/PMC3395928/ /pubmed/22952506 Text en © 2010 Psychiatry and Psychology Research Center, Tehran University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly. |
spellingShingle | Original Article Arbabi, Mohammad Roozdar, Ava Taher, Mohammad Shirzad, Samira Arjmand, Mohsen Mohammadi, Mohammad Reza Nejatisafa, Ali-Akbar Tahmasebi, Mamak Roozdar, Alale How to Break Bad News: Physicians’ and Nurses’ Attitudes |
title | How to Break Bad News: Physicians’ and Nurses’ Attitudes |
title_full | How to Break Bad News: Physicians’ and Nurses’ Attitudes |
title_fullStr | How to Break Bad News: Physicians’ and Nurses’ Attitudes |
title_full_unstemmed | How to Break Bad News: Physicians’ and Nurses’ Attitudes |
title_short | How to Break Bad News: Physicians’ and Nurses’ Attitudes |
title_sort | how to break bad news: physicians’ and nurses’ attitudes |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3395928/ https://www.ncbi.nlm.nih.gov/pubmed/22952506 |
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