{"title":"Comunicar malas noticias en cuidados intensivos: Algoritmo CRISIS 123","authors":"Liliana Correa-Pérez , John Camilo García Uribe","doi":"10.1016/j.acci.2025.01.001","DOIUrl":null,"url":null,"abstract":"<div><div>In intensive care, it is common to have to provide unfavorable information to patients and families in poor recovery scenarios. The empathic and appropriate delivery of bad news provides confidence, acceptance and grief for the patient and family, while inappropriate communication can generate negative emotional reactions. Through a literature review of current concepts for delivering bad news in serious or critical conditions, a novel proposal is generated: the CRISIS 123 algorithm: a mnemonic for delivering bad news, consisting of three domains: the first promotes techniques for delivering CRISIS 1 information: Communication, Summary/Reasons, Information, Event, Unexpected, Simulation. The CRISIS 2 domain includes key aspects of the news itself: Content, Risks, Impact, Serenity, Introduce and Silence. CRISIS 3 domain explains the emotions that can be experienced by both the giver and the receiver of the news: Compassion/Empathy and Respect, Sensitivity, Irreparable and Sense. An educational and methodical strategy that allows to give greater depth to the values and emotions involved in the communication of bad news in intensive care, and in other settings such as the obstetric ICU, emergency services and palliative care.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 325-335"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Colombiana de Cuidado Intensivo","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0122726225000011","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
In intensive care, it is common to have to provide unfavorable information to patients and families in poor recovery scenarios. The empathic and appropriate delivery of bad news provides confidence, acceptance and grief for the patient and family, while inappropriate communication can generate negative emotional reactions. Through a literature review of current concepts for delivering bad news in serious or critical conditions, a novel proposal is generated: the CRISIS 123 algorithm: a mnemonic for delivering bad news, consisting of three domains: the first promotes techniques for delivering CRISIS 1 information: Communication, Summary/Reasons, Information, Event, Unexpected, Simulation. The CRISIS 2 domain includes key aspects of the news itself: Content, Risks, Impact, Serenity, Introduce and Silence. CRISIS 3 domain explains the emotions that can be experienced by both the giver and the receiver of the news: Compassion/Empathy and Respect, Sensitivity, Irreparable and Sense. An educational and methodical strategy that allows to give greater depth to the values and emotions involved in the communication of bad news in intensive care, and in other settings such as the obstetric ICU, emergency services and palliative care.