Attitude of doctors regarding Breaking Bad News to patients in Iraq

Abstract

Objectives: To assess the attitude of doctors with regard delivering bad news to patients and breaking bad news protocols.
 Methods: This is a cross sectional (descriptive study) done in Iraq from first of November 2020 to end of May 2021 involved 500 doctors ( periodic resident, senior resident, general practitioner and specialist doctors in different specialties ) working in different hospitals, primary health care centers and private clinics in Iraq, they are selected randomly. A self – administered questionnaire design in addition to online data collection, by using modified questionnaire and link sent to different online ways (whats app, viber, facebook, telegram ).
 Results: Out of 500 respondents doctors there were 329 (65.8%) females, 171 (34.2%) males. Regarding to attitude of doctors in breaking bad news 268 (53.6%) of doctors were need a structured protocol in breaking bad news and 280 (56%) doctors need training for breaking bad news. The SPIKES protocol is the most preferred protocol by doctors about (75.6%).
 Conclusion: High percentage of participants doctors(63%) did not know any protocol in breaking bad news and about (43%) of them rated themselves had good ability in delivering bad news. The SPIKES protocol is the preferred protocol by doctors.

The role of family and culture in the disclosure of bad news: A multicentre cross-sectional study in Pakistan

“…Although there are many international guidelines, they are not always generalizable and applicable to different contexts and cultures in which bad news is delivered [ [11] , [12] , [13] , [14] , [15] ]. In many countries, the difficulties are compounded due to a lack of adequate training for this emotive task [ 8 , 16 , 17 ]. It is because of these reasons that approximately half of the recipients of bad news are not satisfied with the way it is disclosed to them [ 8 , 11 , 14 ].…”