Breaking bad news: Comparing the perception of the role, barriers and experiences of neonatal intensive care and well-baby nursery nurses.

IF 3 3区 医学 Q1 NURSING
Nursing in Critical Care Pub Date : 2025-03-01 Epub Date: 2024-07-31 DOI:10.1111/nicc.13119
Lilach Haim-Eli, Julie Benbenishty, Anna C Kienski Woloski Wruble
{"title":"Breaking bad news: Comparing the perception of the role, barriers and experiences of neonatal intensive care and well-baby nursery nurses.","authors":"Lilach Haim-Eli, Julie Benbenishty, Anna C Kienski Woloski Wruble","doi":"10.1111/nicc.13119","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Nurses accompany patients throughout the breaking bad news process.</p><p><strong>Aim: </strong>The aim of the research was to compare neonatal intensive care unit (NICU) nurses and well-baby nursery (WBN) nurses on their role, barriers and experiences in breaking bad news to parents/relatives during hospitalization.</p><p><strong>Study design: </strong>A cross-sectional comparative study.</p><p><strong>Results: </strong>Two medical centres in Israel were employed. A 39-item questionnaire was distributed with 140 nurses participating in the study. STROBE Checklist was used. A total of 140 nurses participated in this study. There was no significant overall difference (p ≤ .45) between NICU and WBN nurses in their perception of their role in breaking bad news. Differences were found in barriers to the role which included a lack of information, lack of time and communication issues. No differences were found in the nurses' experiences in breaking bad news. NICU and WBN nurses reported that they received no support (n = 40, 58.8%; n = 45, 64.3%, respectively). No breaking bad news specialty team existed in either unit (NICU: n = 64, 91.4%; n = 60, 87.0%).</p><p><strong>Conclusions: </strong>Nurses in the WBN and NICU are involved in breaking bad news. The role of the nurse has not been fully acknowledged making it difficult to perform. Nurses' experiences in breaking bad news were varied. Nurses facing challenges should be provided guidance and support. This needs to be implemented.</p><p><strong>Relevance to clinical practice: </strong>The role played by nurses in breaking bad news has not been fully acknowledged making it difficult to perform. Nurses need to receive formal training and support in order to improve this practice.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13119"},"PeriodicalIF":3.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891030/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing in Critical Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/nicc.13119","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/31 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Nurses accompany patients throughout the breaking bad news process.

Aim: The aim of the research was to compare neonatal intensive care unit (NICU) nurses and well-baby nursery (WBN) nurses on their role, barriers and experiences in breaking bad news to parents/relatives during hospitalization.

Study design: A cross-sectional comparative study.

Results: Two medical centres in Israel were employed. A 39-item questionnaire was distributed with 140 nurses participating in the study. STROBE Checklist was used. A total of 140 nurses participated in this study. There was no significant overall difference (p ≤ .45) between NICU and WBN nurses in their perception of their role in breaking bad news. Differences were found in barriers to the role which included a lack of information, lack of time and communication issues. No differences were found in the nurses' experiences in breaking bad news. NICU and WBN nurses reported that they received no support (n = 40, 58.8%; n = 45, 64.3%, respectively). No breaking bad news specialty team existed in either unit (NICU: n = 64, 91.4%; n = 60, 87.0%).

Conclusions: Nurses in the WBN and NICU are involved in breaking bad news. The role of the nurse has not been fully acknowledged making it difficult to perform. Nurses' experiences in breaking bad news were varied. Nurses facing challenges should be provided guidance and support. This needs to be implemented.

Relevance to clinical practice: The role played by nurses in breaking bad news has not been fully acknowledged making it difficult to perform. Nurses need to receive formal training and support in order to improve this practice.

发布坏消息:比较新生儿重症监护室和婴儿护理室护士对角色、障碍和经验的认识。
背景:护士陪伴患者打破坏消息的整个过程:研究目的:本研究旨在比较新生儿重症监护室(NICU)护士和健康婴儿护理室(WBN)护士在住院期间向父母/亲属告知坏消息时的角色、障碍和经验:研究设计:横断面比较研究:研究对象:以色列的两个医疗中心。共发放了 39 个项目的调查问卷,140 名护士参与了研究。使用了 STROBE 检查表。共有 140 名护士参与了这项研究。NICU 和 WBN 护士对自己在打破坏消息方面所扮演角色的认知总体上没有明显差异(p ≤ .45)。在角色障碍方面发现了差异,其中包括缺乏信息、缺乏时间和沟通问题。护士在发布坏消息方面的经验没有发现差异。新生儿重症监护室(NICU)和世界母乳喂养中心(WBN)的护士表示没有得到任何支持(分别为 40 人,58.8%;45 人,64.3%)。两个科室都不存在发布坏消息的专业团队(NICU:n = 64,91.4%;n = 60,87.0%):结论:WBN 和 NICU 的护士都参与了发布坏消息的工作。结论:WBN 和 NICU 的护士都参与了发布坏消息的工作,但护士的作用尚未得到充分认识,因此很难发挥其作用。护士在发布坏消息方面的经验各不相同。面临挑战的护士应得到指导和支持。与临床实践的相关性:护士在发布坏消息时所扮演的角色尚未得到充分认可,因此很难发挥其作用。护士需要接受正规培训和支持,以改进这一做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
6.00
自引率
13.30%
发文量
109
审稿时长
>12 weeks
期刊介绍: Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics. Papers published in the journal normally fall into one of the following categories: -research reports -literature reviews -developments in practice, education or management -reflections on practice
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信