Wahyuni Surya, Gautama Made Satya Nugraha, Simamora Tiur Yulianta
Master of Nursing Program, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Indian J Palliat Care. 2023 Jul-Sep;29(3):243-249. doi: 10.25259/IJPC_128_2023. Epub 2023 Sep 2.
Breaking bad news (BBN) is a challenging task for healthcare professionals, including nurses. The manner in which bad news is delivered can have a significant impact on patients and their families, either positive or negative. Understanding the roles, methods, obstacles, and challenges that nurses face in the process of delivering bad news is crucial for improving the quality of the delivery process.
This narrative review synthesises related studies. The search was conducted through PubMed, Scopus, ScienceDirect and Sage, with no restriction on publication year. The main keywords were 'nurse's challenge', 'nurse's barrier', 'bad news', 'breaking bad news', and 'communicating bad news.' A total of 12 articles were selected from 1075 articles.
Nurses play a key role in BBN before, during and after the process. Their activities include preparing patients to receive bad news, supporting patients and families when doctors deliver bad news and clarifying information obtained by patients and families regarding the prognosis of their illness. Nurses should possess skills such as building interpersonal relationships, therapeutic communication and providing emotional care for patients and their families. The main challenges and barriers for nurses in implementing BBN are due to a lack of skills and unpreparedness for patient and family reactions. After BBN, the most reported roles of nurses were supporting patients and families and helping them understand the information received from doctors. It is essential for nurses to have the necessary skills and preparedness to effectively deliver bad news to patients and their families.
Nurses play a crucial role in delivering bad news to patients and their families. They should be equipped with the necessary skills to effectively communicate with patients and their families during this difficult time. Further training for nurses in therapeutic communication, emotional care for patients and their families, and building interpersonal relationships could help to improve the quality of the delivery process.
对包括护士在内的医护人员而言，传达坏消息是一项具有挑战性的任务。传达坏消息的方式会对患者及其家属产生重大影响，这种影响可能是积极的，也可能是消极的。了解护士在传达坏消息过程中所扮演的角色、采用的方法、遇到的障碍和挑战，对于提高传达过程的质量至关重要。
本叙述性综述综合了相关研究。通过PubMed、Scopus、ScienceDirect和Sage进行检索，对发表年份无限制。主要关键词为“护士的挑战”“护士的障碍”“坏消息”“传达坏消息”以及“沟通坏消息”。从1075篇文章中总共筛选出12篇文章。
护士在传达坏消息的整个过程中，包括之前、期间和之后都发挥着关键作用。他们的工作包括让患者做好接收坏消息的准备、在医生传达坏消息时支持患者及其家属，以及澄清患者及其家属所获得的关于疾病预后的信息。护士应具备建立人际关系、进行治疗性沟通以及为患者及其家属提供情感护理等技能。护士在实施传达坏消息时面临的主要挑战和障碍源于缺乏技能以及对患者和家属反应的准备不足。在传达坏消息之后，护士最常被提及的角色是支持患者及其家属，并帮助他们理解从医生那里获得的信息。护士具备必要的技能和做好充分准备，对于有效地向患者及其家属传达坏消息至关重要。
护士在向患者及其家属传达坏消息方面发挥着至关重要的作用。在这个困难时期，他们应具备必要的技能，以便有效地与患者及其家属进行沟通。对护士进行治疗性沟通、对患者及其家属进行情感护理以及建立人际关系方面的进一步培训，有助于提高传达过程的质量。
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