Nnate Daniel A, Nashwan Abdulqadir J
Urgent Care Division, Countess of Chester NHS Foundation Trust, Chester, GBR.
Nursing Department, Hamad Medical Corporation, Doha, QAT.
Cureus. 2023 Jun 13;15(6):e40353. doi: 10.7759/cureus.40353. eCollection 2023 Jun.
Delivering bad news often impacts nurses' emotional well-being and relationships with patients. However, most practice models do not offer a sufficient solution to the distress and reduced job satisfaction that may thus arise. This paper offers a critique of theoretical frameworks for breaking bad news in clinical settings, with the aim of highlighting the inadequate evidence available to guide nursing practice with regard to managing the emotional burden of breaking bad news. Firstly, the concept of emotional intelligence is introduced, followed by an overview of the impact of delivering bad news on the psychological well-being of healthcare workers. Several models for delivering bad news in clinical practice were then presented to emphasise the lack of evidence regarding ways of mitigating the burden associated with breaking bad news. Key components of emotional intelligence are highlighted to increase awareness of this factor among nurses and enable them to improve their interpersonal skills to mitigate the impact of breaking bad news. Enabling nurses to develop emotional self-awareness before utilising these frameworks will likely lead to increased nurse retention rates and improve reflective practice and communication skills, which could, in turn, strengthen nurse-patient relationships and subsequent care planning.
传达坏消息往往会影响护士的情绪健康以及他们与患者的关系。然而，大多数实践模式并不能充分解决由此可能产生的困扰和工作满意度下降的问题。本文对临床环境中传达坏消息的理论框架进行了批判，旨在突出在指导护理实践以应对传达坏消息的情感负担方面可用证据的不足。首先，介绍了情商的概念，接着概述了传达坏消息对医护人员心理健康的影响。然后展示了临床实践中传达坏消息的几种模式，以强调在减轻与传达坏消息相关负担的方法方面缺乏证据。强调了情商的关键组成部分，以提高护士对这一因素的认识，并使他们能够提高人际技能，以减轻传达坏消息的影响。在使用这些框架之前，让护士培养情绪自我意识可能会提高护士留用率，并改善反思性实践和沟通技巧，这反过来又可以加强护患关系及后续护理计划。
