Breaking bad news to children with chronic kidney disease

Abstract

Introduction Breaking bad ne ws to caregivers of children with (CKD) [I can’t comment in the box] Title says to breaking bad news to children but in here, breaking bad news to caregivers. Please clarify and edit accordingly. is an important role of nephrologists. In our practice there has been a thought about parental dissatisfaction from breaking bad news to CKD patients. Caregiver’s preferences on how to be told the bad news in CKD children has not been studied adequately. Our objective was to identify how much is the emotional and knowledge satisfaction of CKD caregivers and the relation of their socioeconomic and educational levels with their preferences in breaking bad news. Methods A questionnaire based study was conducted for caregivers of CKD children, in the outpatient clinics, and peritoneal dialysis and hemodialysis units at the King Faisal Specialist Hospital and Research Centre for three months. Results 83 questionnaires from caregivers of CKD patients age (1–14) years, mean age of 8.5 ± 3.9 years. (47.6%) were emotionally very satisfied, 29.5% were very satisfied about the knowledge they had. Conclusion Caregivers of CKD patients are satisfied emotionally more than the satisfaction about the amount of information they got. Different demographic data might affect their preferences in the way of receiving the bad news. The dissatisfaction suggesting that physicians’ communication skills needs improvement.

Breaking Bad News Preferences among Healthcare Professionals in Malaysian Government Hospitals

“…A recent study by Almaiman et al (2021) shows 86.3 percent of those who received bad news preferred it to be delivered in a simplified scientific manner, which corresponds to almost all respondents' (98.7%) preference for using appropriate language or 'layman' language when breaking bad news. This is parallel to a previous study done by Randall and Wearn (2005) that the respondents insist for the bad news communication to be done clearly.…”

“…Because the bearers of the news are considerate of the preferences of the recipients, they adjust their delivery manner to meet those preferences. Almaiman et al (2021) found that the majority of caretakers of children with chronic kidney illness preferred to receive bad news when they were alone with the bearers of the news (58.2 percent). This demonstrates that people value a private setting in which to receive bad news.…”

Neuroscience on breaking bad news: Effects of physicians’ response on patient emotion and trust

“…Researchers have explored and created communication strategies. In terms of patient emotional improvement, strategies like SPIKES focus on the effect of empathy response ( Atienza-Carrasco et al, 2018 ; Toutin-Dias et al, 2018 ; Marschollek et al, 2019 ; Mirza et al, 2019 ; Almaiman et al, 2020 ; Rasmus et al, 2020 ; Bukowski et al, 2021 ). Apart from that, the information need ( Friedrichsen et al, 2000 ; Almyroudi et al, 2011 ) plays an important role in patient satisfaction and decision-making ( Friedrichsen et al, 2000 ; Almyroudi et al, 2011 ).…”