Paper Information

Journal:   HORMOZGAN MEDICAL JOURNAL   SUMMER 2006 , Volume 10 , Number 2; Page(s) 179 To 184.
 
Paper:  STUDY ON BREAKING BAD NEWS TO PATIENTS AMONG PHYSICIANS OF KERMAN UNIVERSITY OF MEDICAL SCIENCES
 
Author(s):  GHAFARI NEZHAD A.R.*, SALARI P., MIRZAZADEH ALI
 
* DEPARTMENT OF PSYCHIATRY, SHAHID BEHESHTI HOSPITAL, KERMAN UNIVERSITY OF MEDICAL SCIENCES, KERMAN, IRAN
 
Abstract: 

Introduction: Breaking bad news to patients is one of the physician’s most difficult duties. Yet medical education typically offers little formal preparation for this difficult task. Previous studies showed patients generally desire frank and empathetic disclosure of serious illnesses and bad news. In this study we study how physicians of Kerman University of medical sciences break bad news to their patients.
Methods: In this descriptive study, a questionnaire including demographic data, questions regarding information about how physicians give bad news and the emotional support that they provide to patients and questions addressing the environmental aspects of giving bad news in the office was sent to 75 randomly selected physicians. After assessing the validity and reliability of questions, questionnaire was given to physicians and the results were analyzed using descriptive statistics.
Results: Of 75 questionnaires, 44 were returned. The responding physicians were 29 men and 15 women with mean age of 39.08±8.61 and 8.21±6.59 year's duration of practice respectively. They are more concerned about emotional support than environmental support when they gave bad news to their patients. There were no statistical relationships between physician's scores of emotional and environmental support during breaking bad news and their sex, marital status and duration of their practice.
Conclusion: Without proper training the discomfort and uncertainty associated with breaking bad news may lead physicians to emotionally disengage from patients. Providing undergraduate and postgraduate education could help physicians to do better in hard situations of breaking bad news.

 
Keyword(s): BAD NEWS, PHYSICIANS, KERMAN
 
References: 
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