医疗服务中的坏消息告知：一项全面的系统评价。
Breaking bad news in medical services: a comprehensive systematic review.
作者信息
Jalali Rostam, Jalali Amir, Jalilian Milad
机构信息
Nursing Department, Nursing & Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Psychiatric Nursing, Nursing & Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran.
出版信息
Heliyon. 2023 Mar 22;9(4):e14734. doi: 10.1016/j.heliyon.2023.e14734. eCollection 2023 Apr.
OBJECTIVE
This study was performed with the aims of screening the previous studies on breaking bad news in all medical wards.
METHODS
Eligible observational studies were selected. The quality of the studies was assessed using the STROBE checklist. The findings were reported using Garrard's table. All the stages of the present study were performed in terms of the PRISMA statement.
RESULTS
Totally, 40 articles were included in the study and 96 items were extracted. The results show that breaking bad news is a recipient-centered process. Respect, empathy, and support were reported. The news presenters are better to use guidelines based on evidence-based findings. It is suggested that the presenter should use simple and understandable content. Moreover, suitable time and space are important to present the news. The results show the importance of paying enough attention to the emotions of the recipient and the need to provide support after breaking bad news.
CONCLUSION
The recipient must be the center of the programs. It is necessary to pay attention to the characteristics of the news presenter, the news content, and finally the support.Practice Implication: Understand the recipient, trained presenter, and use of the evidence-based results, improve the breaking bad news outcome.
目的
本研究旨在筛选所有医学科室中关于告知坏消息的既往研究。
方法
选取符合条件的观察性研究。使用STROBE清单评估研究质量。研究结果采用加拉德表格进行报告。本研究的所有阶段均按照PRISMA声明进行。
结果
本研究共纳入40篇文章，提取了96项内容。结果表明，告知坏消息是以接受者为中心的过程。研究报告了尊重、同理心和支持等方面。消息传达者最好使用基于循证结果的指南。建议传达者使用简单易懂的内容。此外，合适的时间和空间对于传达消息很重要。结果表明充分关注接受者的情绪以及在告知坏消息后提供支持的必要性。
结论
接受者必须是各项程序的核心。有必要关注消息传达者的特点、消息内容以及最终的支持。实践意义：了解接受者、培训传达者并运用循证结果，改善告知坏消息的效果。
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