Read S
Department of Nursing and Midwifery, University of Keele, City General Hospital, Stoke on Trent, Staffordshire.
Br J Nurs. 1998;7(2):86-91. doi: 10.12968/bjon.1998.7.2.86.
This article identifies the difficulties often associated with breaking bad news, from a nursing perspective. The additional considerations involved in breaking bad news to people with learning disabilities are identified, and a six-step protocol (Buckman, 1991) is introduced and explored in relation to this client group. Effective communication is seen to be crucial when working with people with a learning disability, and a system for accurate listening is offered (Conboy-Hill, 1992). Finally, recommendations for helping professionals to learn how to break bad news sensitively to this client group are suggested. They include multi-agency working, education and training opportunities, standard statements, resources, support and research initiatives.
本文从护理角度探讨了传递坏消息时经常遇到的困难。文中指出了向有学习障碍的人传递坏消息时需要额外考虑的因素，并引入了一个六步方案（巴克曼，1991年），并针对这一客户群体进行了探讨。与有学习障碍的人打交道时，有效的沟通至关重要，文中还提供了一个准确倾听的系统（康博伊-希尔，1992年）。最后，针对帮助专业人员学习如何敏感地向这一客户群体传递坏消息提出了建议。这些建议包括多机构合作、教育和培训机会、标准声明、资源、支持和研究倡议。
