A comparative investigation of clients' attitudes toward breaking bad news to patients with cancer

Background: Truth disclosure is one of the major challenges for physicians with cancer patients. The attitude toward breaking news adopted by individuals depends on their cultural background. The present study was conducted at Ardabil University of Medical sciences, Ardabil, Iran, to investigate the attitudes of Turkish-speaking patients with cancer and their families to the disclosure of bad news. Materials and Methods: The present descriptive cross-sectional study used convenience sampling to select 62 patients, 76 family members of young and 58 children. The mean age of the patients was 37.29 years, and their majorities were 32-42 years old. The data were collected using the questionnaire proposed by Managheb et al., which included six dimensions, i.e., suitability of the person, suitability of the time, the place, factors affecting the delivery of bad news, amount of disclosed information, and acceptance. Results: Despite the insignificant differences in the total score of attitude between the groups (P=0.23), significant differences were found in terms of suitability of the time (P=0.017) and affecting factors (P=0.007) between children's families. Also, in parents of children, employment made truth acceptance better (p=0.04). The acuteness of the disease increased the total attitude score in all the participants (P=0.047). Significant relationships were also observed between age and accepting truth (P=0.045), male gender and place of disclosing the truth (P=0.004), male gender and amount of disclosed information (P=0.043), as well as owning a house and accepting truth (P=0.002). Moreover, education was negatively related to the person for truth disclosing (P=0.036) and factors affecting the truth disclosing (P=0.015). Conclusion: There are different circumstances and economic impacts in children's families on their tolerance. Given the difficulty of disclosing the truth to the employee and highly-educated individuals, it is recommended that health workers consider individual conditions in these circumstances.

Death and dying of newborns and children: relationships between nursing and family according to Travelbee

ABSTRACT Objective: Identify the nursing staff's perception of their relationship with families of newborns and children who are in the process of death and dying. Methods: Qualitative research, carried out in the Neonatal and Pediatric Intensive Care Unit of a public maternity hospital in Rio Grande do Norte, with 17 nursing professionals, through a semi-structured interview. After being transcribed, the data were subjected to Bardin's content analysis and interpreted in the light of the theory of Interpersonal Relations proposed by Travelbee. Results: Four categories emerged from the analysis: "Caring and welcoming people, feelings and stories"; "Reactions in the midst of pain: moving between acceptance and suffering"; "Communication of bad news: challenges and strategies"; "The weight of caring and suffering". Final considerations: Family assistance can be established using Travelbee's principles, as they offer timely theoretical support for nursing actions in the context of the process of death and dying.

Communication of bad news in the context of neonatal palliative care: experience of intensivist nurses

ABSTRACT Objectives: To know the experiences of nurses in neonatal intensive care units in the face of the process of communicating bad news to the family of newborns in palliative care. Methods: Study with a descriptive qualitative approach, in which 17 professionals participated. Data were collected through a semi-structured interview script, from December/2018 to February/2019, and submitted to content analysis. Results: Four theoretical categories emerged, with 11 subcategories inserted: meanings attributed to bad news; nursing as a support for the family; difficulties in dealing with the process of communicating bad news; nursing and involvement with the family’s suffering. Final considerations: The challenges to deal with the situation are related to lack of preparation, impotence, and subjectivities. The results broaden knowledge on the subject and enable the improvement of nursing care in this context.

Telephone communication with relatives of hospitalised COVID-19 patients by a specialised family support team: lessons learned

During March and April 2020, the number of hospital admissions and deaths due to the first wave of COVID-19 peaked. The objective of this study was to analyse the experiences of a team of health professionals in charge of breaking bad news over the telephone to the relatives of patients admitted to the respiratory ward of a large hospital in Barcelona. This was a qualitative research based on semi-structured individual interviews with all the members of the team and a group interview. The interviews were analysed using Condensation of Meaning techniques. Three central themes emerged after analysing the interviews: (1) the call itself, (2) the need for good organisational support both before and during a crisis, and (3) the care that the professionals themselves need. To set up a large-scale operation to break bad news over the phone, some organisational aspects must be considered that go beyond the call itself. All these aspects are interrelated to a large extent, and due attention should be given to proper communication and adequate care practices for both relatives and health workers.

Analisis Kebijakan Dividen: Index CGPI sebagai Variable Moderasi

This study aims to empirically examine the effect of leverage, profitability, liquidity, the CGPI index in moderating, and the CGPI index in moderating dividend policy. This study uses quantitative methods with sample criteria are companies that do not consistently follow the CGPI ranking and companies that do not consistently distribute dividends. The object of research is a company registered in CGPI with data sources obtained at IDX and IICG. The results of this study, firstly, the effect of leverage on dividend policy has a significant positive effect, the high debt of the company causes the holding of the company's dividends. Second, the effect of profitability on dividend policy does not have a significant effect, because profitability is used for business expansion. Third, the effect of liquidity on dividend policy has an insignificant effect, because liquidity is used to pay off term debt with a period of less than one year. Fourth, the CGPI index as a moderating variable, the effect of leverage on dividend policy, cannot be moderated by the CGPI index, because good or bad reputation is not a guarantee if the company will give dividends to investors, because the company's main priority is paying off debt. Fifth, the CGPI index as a moderating variable, the influence of profitability on dividend policy, cannot be moderated by the CGPI index, because it is not always bad news for investors even if the company has a good reputation. Sixth, the CGPI index as a moderating variable, the influence of liquidity on dividend policy, cannot be moderated by the CGPI index, because high liquidity is not able to guarantee the amount of dividends distributed is getting bigger even if the company has a good reputation.

On a Country in Captive: A Review on Aruni Kashyap’s There Is No Good Time for Bad News

Aruni Kashyap’s poetry is an organic blend of powerful realities and raw emotions. While many of his contemporary poets devote their attention towards the technical nuances of poetry, Kashyap’s focus beams on what he wants to say rather than the how behind it. The form never overpowers the ideas that he ardently tries to convey through the perfectly cut lines of his debut poetry collection, There Is No Good Time for Bad News, which depicts the plight of a state that was brought to nemesis by the insurgency. His poems offer a spatial tour through the unexplored regions of the Northeast to the streets of Manhattan, where numerous lives are entwined into a single destiny. It resonates with the traumatic experiences and suppressed voices of the survivors of the Assam insurgency alerting the world to the brutality inflicted by the authoritarian state which deprives the people of a happy and peaceful life. The poet draws deep from the turbulent personal experiences of the people around him which he then fine-tunes into the shared experiences of the narrator, narrated and the reader. These verses are stained with the everyday violence encountered by the people of his homeland and unquestionably create a lasting impact, with the conversational style of language that is astutely employed by the poet.