Breaking bad news in inpatient clinical settings: role of the nurse
- 2 June 2010
- journal article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 66 (7), 1543-1555
- https://doi.org/10.1111/j.1365-2648.2010.05325.x
Abstract
This paper is a report of an exploration of the role of the nurse in the process of breaking bad news in the inpatient clinical setting and the provision of education and support for nurses carrying out this role. The term 'breaking bad news' is mostly associated with the moment when negative medical information is shared with a patient or relative. However, it can also be seen as a process of interactions that take place before, during and after bad news is broken. Little research has been conducted exploring the role of the nurse in the process of breaking bad news in the inpatient clinical setting. A questionnaire was developed using Likert scales and open text questions. Data collection took place in 2007. Fifty-nine inpatient areas took part in the study; 335 questionnaires were distributed in total and 236 were completed (response rate 70%). Nurses engaged in diverse breaking bad news activities at many points in care pathways. Relationships with patients and relatives and uncontrolled and unplanned events shaped the context in which they provided this care. Little formal education or support for this work had been received. Guidance for breaking bad news should encompass the whole process of doing this and acknowledge the challenges nurses face in the inpatient clinical area. Developments in education and support are required that reflect the challenges that nurses encounter in the inpatient care setting.Keywords
This publication has 24 references indexed in Scilit:
- Receiving Bad NewsCancer Nursing, 2008
- Truth-telling in discussing prognosis in advanced life-limiting illnesses: a systematic reviewPalliative Medicine, 2007
- Information needs and experiences: An audit of UK cancer patientsEuropean Journal of Oncology Nursing, 2006
- Truth telling in palliative care nursing: the dilemmas of collusionInternational Journal of Palliative Nursing, 2006
- Communicating With Realism and Hope: Incurable Cancer Patients' Views on the Disclosure of PrognosisJournal of Clinical Oncology, 2005
- Truth-TellingJournal of Hospice & Palliative Nursing, 2004
- Communicating sad, bad, and difficult news in medicineThe Lancet, 2004
- Nursesʼ Experiences in Giving Bad News to Patients with Spinal Cord InjuriesJournal of Neuroscience Nursing, 2000
- Extending the Theory of Awareness Contexts by Examining the Ethical Issues Faced by Nurses in Terminal CareNursing Ethics, 1997
- How To Break Bad NewsPublished by University of Toronto Press Inc. (UTPress) ,1992