Rafiei Malihe, Mohammadi Zakieh, Mohamadirizi Shahla
Master of Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Master of Critical Care Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2024 Jul 29;13:247. doi: 10.4103/jehp.jehp_417_23. eCollection 2024.
Nurses have the most contact with COVID-19 patients and their families, while it is unclear how nurses react when they give bad news during pandemic disaster, particularly in the cultural and social context of Iran. So, our main purpose was to explore the experiences of clinical nurses about breaking bad news (BBN) in the context of the COVID-19 epidemic era.
The study was a qualitative content analysis approach. Data were collected by the purposive sampling method through in-depth interviews with 13 nurses in Isfahan University of Medical Sciences. The method of data analysis was conventional qualitative content analysis.
The participants of this study were 13 nurses. The work experience range was from 2 to 18 years, and in terms of education, one of them was Ph.D., eight had a bachelor's degree education, and four had a master's degree in nursing. Qualitative data of content analysis were obtained in four main categories such as nurses' avoidance of BBN, considering the patient's and family's beliefs in BBN, nurses' unpreparedness to deliver bad news during the pandemic crisis, and surrender of the patient and family members in the face of the COVID-19 bad news.
The results of the research showed that due to probability of occurrence of pandemic in the futureand also the nature of the nursing profession, so nurses should be familiar with the correct ways of BBN and existing protocols on crisis conditions and cultural and religious context of the society to provide a high quality of care for patients and their families.
护士与新冠肺炎患者及其家属接触最为频繁，然而在疫情灾难期间，当护士传达坏消息时他们会作何反应尚不清楚，尤其是在伊朗的文化和社会背景下。因此，我们的主要目的是探讨临床护士在新冠肺炎疫情时代传达坏消息（BBN）的经历。
本研究采用定性内容分析法。通过目的抽样法，对伊斯法罕医科大学的13名护士进行深入访谈来收集数据。数据分析方法为常规定性内容分析。
本研究的参与者为13名护士。工作经验范围为2至18年，在教育程度方面，其中1人为博士，8人拥有本科学历，4人拥有护理学硕士学位。内容分析的定性数据分为四个主要类别，如护士对传达坏消息的回避、考虑患者及其家属对传达坏消息的看法、护士在疫情危机期间对传达坏消息准备不足，以及患者和家属面对新冠肺炎坏消息时的屈服。
研究结果表明，鉴于未来可能发生疫情以及护理职业的性质，护士应熟悉传达坏消息的正确方式以及关于危机情况、社会文化和宗教背景的现有规程，以便为患者及其家属提供高质量护理。
