Role, perspective and knowledge of Iranian critical care nurses about breaking bad news

Imanipour, Masoomeh; Karim, Zahra; Bahrani, N

doi:10.1016/j.aucc.2015.07.003

Cited by 11 publications

(23 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nurses play major role in the breaking bad news process by using effective communication channels to improve patients' understanding of their health status, leading to decrease stress level [6]. Only 16% of critical care nurses have a good level of knowledge regarding breaking bad news [19]. Literature revealed that ineffective communication skills are considered the major barrier for breaking bad news process.…”

Section: Discussionmentioning

confidence: 99%

“…Findings of this study regarding Jordanian critical care nurses revealed that 63% of nurses were involved in the practice of breaking bad news process. Imanipour et al [19] reported that most of critical care nurses are involved in breaking bad news and most nurses (67%) are involved in providing support to patient and patient relatives all the time but a few nurses are actually practice breaking bad news to patient and relatives (18%). Similarly, a study by Warnock [10] stated that most of nurses are involved in providing support to patient and their relatives (55.5%), and (2.5%) of nurses are actually breaking bad news all the time.…”

Section: Discussionmentioning

confidence: 99%

“…Inversely, nurses had positive attitude toward involvement on BBN process. Imanipour et al [19] revealed that 91.2% (among who?) positive attitude toward involvement in the BBN.…”

Section: Introductionmentioning

confidence: 99%

“…Literature shows that there is a lack of knowledge regarding BBN in the nursing field. Imanipour, Karim and Bahrani [19] stated that only 16.2% of critical care nurses had a good level of knowledge regarding BBN process. Inversely, nurses had positive attitude toward involvement on BBN process.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

M.Alkhawaldeh¹,

M.Abufeddeh²,

Izzeldeen³

2018

AJNR

View full text Add to dashboard Cite

Background. Breaking bad news (BBN) is one of the most difficult tasks faced by healthcare providers. In addition, breaking bad news is stressful for both; healthcare providers and patient. Nurses can play an important role in the process of BBN. Whereas, effective communication by critical care nurses improves patients' understanding of their health status and decreases their stress level. Furthermore, effective BBN process requires effective communication skills. Aims. To assess critical care nurses' knowledge level regarding breaking bad news process, assess their involvement in the process of BBN, andto determine the barrier of practicing breaking bad news process as perceived by critical care nurses to identify the factors that affect nurses' practice of breaking bad news in the critical care units. Methods. Descriptive cross-sectional design, using self-reported questionnaires. Results. The study showed that most critical care nurses in Jordan are highly involved in BBN process 77% (n=157), Also, nurses are highly perceived themselves as an active part in BBN process 76% (n=155). The major barrier in providing BBN was relatives requesting that a patient is not told bad news 75% (n=152). Conclusion. Current study revealed that Jordanian critical care nurses took different roles in the process of breaking bad news and they are highly involved in BBN news, creating a base of knowledge regarding BBN among critical care nurses in Jordan. Thus, the study recommends the policymakers to empower nurses role in this process through design an educational program regarding practice BBN and clarify nurses' role in this process.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Inversely, nurses had positive attitude toward involvement on BBN process. Imanipour et al [19] revealed that 91.2% (among who?) positive attitude toward involvement in the BBN.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

M.Alkhawaldeh¹,

M.Abufeddeh²,

Izzeldeen³

2018

AJNR

View full text Add to dashboard Cite

show abstract

“…Routinely, physicians are the main information providers to patients and their families [15][16][17][18]. Yet, truth-telling to patients necessitates the involvement of all healthcare providers, particularly nurses [19]. Studies showed that nurses are also located in situations where they hide truths or tell a white lie [12,20].…”

mentioning

confidence: 99%

Situations of using white lie during patient care: a qualitative study into nurses’ perspectives

Nasrabadi

Joolaee

Navab

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Receiving accurate and complete information about diagnosis, prognosis, and treatments is among patients’ rights in healthcare systems. Although all healthcare providers have the same viewpoint about truth-telling in the process of treatment, sometimes truths are not told to patients or they are told a “white lie”. The aim of the study was to explore nurses’ experiences of the situations of using white lie during patient care. Methods: This qualitative descriptive study was conducted in 2018. Participants were eighteen hospital nurses purposively recruited with maximum variation from ten hospitals affiliated to Tehran University of Medical Sciences, Tehran, Iran. Data were collected through semi-structured interviews. Sampling and data collection were continued up to data saturation. Data analysis was done concurrently with data collection through conventional content analysis. Results: Situations of using white-lie-telling by nurses during patient care resulted in eleven subcategories and four main categories. The main categories of the study were the crisis of hope, bad news, cultural diversity, and nurses’ limited professional competence. Conclusion: Professional knowledge, skills, and experience are needed for establishing effective communication with patients and providing them with accurate information even about bitter truths. Nurses’ communication with patients needs to be established based on adequate knowledge about the cultures of patients and healthcare organizations, and should aim to maintain patients’ hope and motivation for treatments and, should help them make accurate decisions.

show abstract

Effectiveness of communication skill training on cancer truth‐telling for advanced practice nurses in Taiwan: A pilot study

Chen

Yang

et al. 2021

Psycho-Oncology

View full text Add to dashboard Cite

Objective Advanced practice nurses (APNs) can best support physicians in improving the quality of truth‐telling. However, the effectiveness of communication skill training (CST), based on the Japanese SHARE model exclusive to APNs, has not been tested from APNs' and recipients' viewpoints, motivating the author to conduct the present study. Methods A two‐group before–after model design was adopted, and 61 APNs from two hospitals were randomly assigned to either an experimental group (EG; N = 28) or an control group (CG; N = 33). APNs in the EG received 6 h of CST under the guidance of qualified facilitators and simulated patients. This study used APNs' subjective assessment (N = 61) (self‐confidence and perceptions on truth‐telling) and recipients' opinions (N = 480) (cancer patients' and their caregivers' satisfaction with truth‐telling and emotional status) to assess the effectiveness of the SHARE CST. Data were collected before CST (baseline, T0), immediately after (T1), and 2 weeks after (T2). Results APNs in the EG had more confidence (p < 0.05) and better perceptions of cancer truth‐telling (p < 0.01) than APNs in the CG at both T1 and T2. No group differences were found in patients' or their caregivers' satisfaction with truth‐telling, emotional distress, and anxiety (p > 0.05). In addition, patients in the EG had higher depression than patients in the CG (β = 1.65, p = 0.01). Conclusions SHARE CST can improve APNs' confidence and perceptions of cancer truth‐telling. However, more rigorous studies are required to test the effectiveness of CST from recipients' viewpoint.

show abstract

Role, perspective and knowledge of Iranian critical care nurses about breaking bad news

Cited by 11 publications

References 21 publications

Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

Critical Care Nurses' Involvement, Feeling, Perception and Barrier for Practice Breaking Bad News in Jordan

Situations of using white lie during patient care: a qualitative study into nurses’ perspectives

Effectiveness of communication skill training on cancer truth‐telling for advanced practice nurses in Taiwan: A pilot study

Contact Info

Product

Resources

About