Nursing and Midwifery Care Research Center, Non- Communicable Diseases Research Institute, Shahid Sadougi University of Medical Sciences, Yazd, Iran.
Department of Health in Emergencies and Disasters, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
BMC Health Serv Res. 2024 Oct 4;24(1):1175. doi: 10.1186/s12913-024-11604-w.
Bad news refers to any information that create negative changes in a person's understanding or expectations of in present and future. Breaking Bad News (BBN) is a stressful task that may have disturbing effects on the professional performance and general health of the medical staff. Pre-hospital emergency staff often needs to deliver bad news to the patient or his family. This study was conducted to determine the effect of guided group reflection training on the ability and comfort of BBN in pre-hospital emergency staff.
This quasi-experimental study was conducted on 95 staff of the pre-hospital emergency, in the test and the control groups. For the test group, a 4-hour training workshop on BBN was held, and then a group was formed in virtual space to discuss and exchange opinions about the scenarios of BBN and reflecting on it. Data collection tools were SPIKES Questionnaire and the Visual Analogue Mood Scale. The data were analyzed with SPSS .
The mean score of the ability to BBN after the intervention was 44.01 ± 6.21 in the test group and 31.40 ± 4.51 in the control group, and a significant difference was found using the independent t-test (P = 0.0001). Besides, the mean scores of the convenience of BBN in post-test was 5.52 ± 1.64 in the test group and 3.50 ± 1.28 in the control group using the independent t-test with a significant difference (P = 0.0001).
According to the findings, training in guided group reflection improved the ability to BBN and its convenience in pre-hospital emergency staff. Therefore, it is suggested the use of this method in training for health care providers. Relating to BBN.
坏消息是指任何在个人对现在和未来的理解或期望方面造成负面变化的信息。传递坏消息（BBN）是一项具有压力的任务，可能会对医务人员的专业表现和整体健康产生干扰。院前急救人员经常需要向患者或其家属传递坏消息。本研究旨在确定引导式小组反思训练对院前急救人员传递坏消息能力和舒适度的影响。
本准实验研究纳入了 95 名院前急救人员，分为实验组和对照组。实验组接受了 4 小时的 BBN 培训课程，之后成立了虚拟小组，讨论和交流 BBN 场景，并进行反思。采用 SPIKES 问卷和视觉模拟情绪量表来收集数据。采用 SPSS 进行数据分析。
干预后，实验组在 BBN 能力方面的平均得分为 44.01±6.21，对照组为 31.40±4.51，独立 t 检验显示差异具有统计学意义（P=0.0001）。此外，实验组在 BBN 便利性方面的平均得分为 5.52±1.64，对照组为 3.50±1.28，独立 t 检验显示差异具有统计学意义（P=0.0001）。
根据研究结果，引导式小组反思训练提高了院前急救人员的 BBN 能力和便利性。因此，建议在医疗保健提供者的培训中使用这种方法。与 BBN 相关。
