Ending on a high note: Perspective-taking influences bad news delivery

2014 ◽  
Author(s):  
Angela M. Legg ◽  
Kate Sweeny
2019 ◽  
Vol 30 (2) ◽  
pp. 258-267
Author(s):  
Maria Brann ◽  
Jennifer J. Bute ◽  
Susanna Foxworthy Scott

Miscarriage is one of the most common pregnancy complications health care providers discuss with patients. Previous research suggests that women’s distress is compounded by ineffective communication with providers, who are usually not trained to deliver bad news using patient-centered dialogue. The purpose of this study was to use a patient-centered approach to examine women’s experiences with and perspectives of communication during a miscarriage to assist in the development of communication training tools for health care providers. During focus groups, 22 women who had experienced miscarriage discussed video-recorded standardized patient-provider interactions and recalled communication during their own miscarriages. Results of a pragmatic iterative analysis of the transcripts suggest training techniques and communication behaviors that should guide education for providers to deliver the diagnosis of and treatment options for early pregnancy loss, such as demonstrating empathy, creating space for processing, checking for understanding, and avoiding medical jargon and emotionally charged language.


2020 ◽  
Vol 47 (1) ◽  
pp. 16-19
Author(s):  
Iain Campbell

As a result of the COVID-19 global pandemic, paramedics in the UK face unprecedented challenges in the care of acutely unwell patients and their family members. This article will describe and discuss a new ethical dilemma faced by clinicians in the out-of-hospital environment during this time, namely the delivery of bad news to family members who are required to remain at home and self-isolate while the critically unwell patient is transported to hospital. I will discuss some failings of current practice and reflect on some of the ethical and practical challenges confronting paramedics in these circumstances. I conclude by making three recommendations: first, that dedicated pastoral outreach teams ought to be set up during pandemics to assist family members of patients transported to hospital; second, I offer a framework for how bad news can be delivered during a lockdown in a less damaging way; and finally, that a new model of bad news delivery more suited for unplanned, time-pressured care should be developed.


2005 ◽  
Vol 2 (1) ◽  
pp. 35-44 ◽  
Author(s):  
Karen P. Grainger ◽  
Simon Masterson ◽  
Michael Jennings

2020 ◽  
pp. 003022282094408
Author(s):  
Jaehee Yi ◽  
Min Ah Kim ◽  
Kwon Ho Choi ◽  
Laura Bradbury

This study explored oncologists’ experiences of delivering bad news to patients with cancer and their families. Nine oncologists recruited from three superior hospitals in Korea completed in-depth interviews. The results of thematic analyses identified four themes: precursors to bad news delivery, why it is difficult to deliver bad news, when it is more difficult to deliver bad news, and strategies of delivering bad news. The participants felt unprepared for the task and stressed because breaking bad news goes against their responsibility to do no harm and their professional objective to promote healing. Although they were unclear about best practices regarding communication styles, they individualized their communication style to meet the needs of their patients, who have an array of cultural, social, and spiritual backgrounds. Understanding oncologists’ perceptions of bad news delivery can inform culturally appropriate interventions for alleviating their stress and improving patient–physician relationships in communication of bad news.


2016 ◽  
Vol 11 (6) ◽  
pp. 843-852 ◽  
Author(s):  
Alice Ann Min ◽  
Karen Spear-Ellinwood ◽  
Melissa Berman ◽  
Peyton Nisson ◽  
Suzanne Michelle Rhodes

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