senior lecturer in adult nursing, College of Nursing, Midwifery and Health, University of West London, Brentford, England.
Nurs Stand. 2022 Oct 5;37(10):43-49. doi: 10.7748/ns.2022.e11898. Epub 2022 Aug 22.
Nurses are often faced with situations in their practice where they have to break bad news to patients and their families. Such conversations are complex and can be challenging for all parties. It is essential that nurses are equipped with the skills required to manage such situations effectively to ensure optimal outcomes and quality of care for patients and their families. This article discusses some of the barriers to breaking bad news effectively to patients and the communication skills required to engage in challenging conversations. It also describes two mnemonic protocols that can be used by nurses to structure challenging conversations with patients face to face and over the phone.
护士在实践中经常会遇到需要向患者及其家属传达坏消息的情况。这种对话很复杂，对所有相关方来说都具有挑战性。因此，护士必须具备有效处理此类情况所需的技能，以确保为患者及其家属提供最佳的治疗效果和护理质量。本文讨论了有效向患者传达坏消息的一些障碍以及进行挑战性对话所需的沟通技巧。它还描述了两个助记符协议，护士可以使用这些协议与患者面对面和通过电话进行具有挑战性的对话。
