The Communication of Bad News in Palliative Care: The View of Professionals in Spain.

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

American Journal of Hospice & Palliative Medicine Pub Date : 2024-01-01 Epub Date: 2023-03-21 DOI:10.1177/10499091231163323

Antonio Ramos Sánchez, María Jesús Martínez Beltrán, Juan Manuel Arribas Marín, Julio C de la Torre-Montero, Beatriz Blanco Gil, María Del Carmen Massé García, Ana Sofia Fernandes Ribeiro

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引用次数: 0

Abstract

BACKGROUND Communication is one of the central axes around which end-of-life care revolves in the context of palliative care. Communication of bad news is reported as one of the most difficult and stressful tasks by palliative care professionals. Therefore, the aim of this study is to identify aspects related to the communication of bad news in palliative care in Spain. METHODS Descriptive cross-sectional study. An ad hoc questionnaire was designed and sent by e-mail to all palliative care teams in Spain. RESULTS Overall, 206 professionals (102 nurses, 88 physicians and 16 psychologists) completed the questionnaire. A total of 60.2% considered their communication of bad news skills to be good or very good. This was related to older age, experience in both the profession and palliative care, and to having received specific postgraduate training (P < .001). Around 42.2% perform communication of bad news with the patient first, which is associated with lower skill (P = .013). About 78.15% of the professionals do not use any specific protocol. CONCLUSION This study suggests that patients access palliative care with little information about their diagnosis and prognosis. The barriers identified in the communication of bad news are the lack of specific education and training in protocol management, the difficult balance between hope and honesty, the young age of the patient, and the family.

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姑息关怀中的坏消息沟通：西班牙专业人士的观点。

背景：在姑息关怀中，沟通是生命末期关怀的核心之一。据报道，传达坏消息是姑息关怀专业人员最困难、压力最大的任务之一。因此，本研究旨在确定西班牙姑息关怀中与坏消息沟通相关的各个方面：描述性横断面研究。设计了一份特别问卷，并通过电子邮件发送给西班牙所有姑息关怀团队：共有 206 名专业人员（102 名护士、88 名医生和 16 名心理学家）完成了问卷调查。共有 60.2% 的人认为他们的坏消息沟通技巧良好或非常好。这与年龄、专业和姑息关怀经验以及接受过专门的研究生培训有关（P < .001）。约 42.2% 的专业人员首先与病人沟通坏消息，这与他们的技能较低有关（P = .013）。约78.15%的专业人员没有使用任何特定的协议：本研究表明，病人在接受姑息关怀时，对其诊断和预后知之甚少。在传达坏消息时发现的障碍包括：缺乏具体的教育和协议管理培训、希望与诚实之间难以平衡、患者年龄较小以及家属。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Hospice & Palliative Medicine HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.80

自引率

5.30%

发文量

169

审稿时长

6-12 weeks

期刊介绍： American Journal of Hospice & Palliative Medicine (AJHPM) is a peer-reviewed journal, published eight times a year. In 30 years of publication, AJHPM has highlighted the interdisciplinary team approach to hospice and palliative medicine as related to the care of the patient and family. This journal is a member of the Committee on Publication Ethics (COPE).