Comparing the Performance of Emergency Department Personnel and Patients' Preferences in Breaking Bad News.

Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI:10.30476/BEAT.2023.98439.1428

Mohammad Gholami, Sina Valiee, Naser Kamyari, Salam Vatandost

{"title":"Comparing the Performance of Emergency Department Personnel and Patients' Preferences in Breaking Bad News.","authors":"Mohammad Gholami, Sina Valiee, Naser Kamyari, Salam Vatandost","doi":"10.30476/BEAT.2023.98439.1428","DOIUrl":null,"url":null,"abstract":"Objective: Breaking bad news (BBN) is a critical aspect of healthcare delivery that can have significant implications for patients' outcomes. Inadequate and inappropriate delivery of bad news can result in detrimental psychological and emotional effects. This study aimed to compare the performance of emergency department (ED) personnel and patients' preferences in BBN.Methods: This descriptive-analytical study was conducted in 2022, and 135 patients who were admitted to the ED were included using quota sampling. Data were collected using a demographic questionnaire, a researcher-made questionnaire, and a standard questionnaire on attitudes toward the methods of BBN in the ED. The data were analyzed using SPSS software (version 16), and a p-value<0.05 was considered statistically significant.Results: The results showed that the majority of patients (69.6%) received bad news from nurses. Based on the conditions mentioned in the standard questionnaire, the overall performance of personnel was 6.08±4.22 out of 19, while the overall attitude score (59.66±7.66 out of 76) revealed patients' high tendency to receive bad news. There was a statistically significant difference between the total score of personnel performances and the total score of patients' attitudes (p=0.001).Conclusion: The performance of ED personnel concerning patients' attitudes toward the method of BBN in the emergency department was not optimal. Therefore, it is recommended to implement appropriate training programs for medical professionals, especially physicians, and nurses, to enhance their communication skills and reduce the detrimental effects of inappropriate delivery of bad news in medical settings.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 3","pages":"146-153"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/79/bet-11-146.PMC10387337.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bulletin of emergency and trauma","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30476/BEAT.2023.98439.1428","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

Objective: Breaking bad news (BBN) is a critical aspect of healthcare delivery that can have significant implications for patients' outcomes. Inadequate and inappropriate delivery of bad news can result in detrimental psychological and emotional effects. This study aimed to compare the performance of emergency department (ED) personnel and patients' preferences in BBN.

Methods: This descriptive-analytical study was conducted in 2022, and 135 patients who were admitted to the ED were included using quota sampling. Data were collected using a demographic questionnaire, a researcher-made questionnaire, and a standard questionnaire on attitudes toward the methods of BBN in the ED. The data were analyzed using SPSS software (version 16), and a p-value<0.05 was considered statistically significant.

Results: The results showed that the majority of patients (69.6%) received bad news from nurses. Based on the conditions mentioned in the standard questionnaire, the overall performance of personnel was 6.08±4.22 out of 19, while the overall attitude score (59.66±7.66 out of 76) revealed patients' high tendency to receive bad news. There was a statistically significant difference between the total score of personnel performances and the total score of patients' attitudes (p=0.001).

Conclusion: The performance of ED personnel concerning patients' attitudes toward the method of BBN in the emergency department was not optimal. Therefore, it is recommended to implement appropriate training programs for medical professionals, especially physicians, and nurses, to enhance their communication skills and reduce the detrimental effects of inappropriate delivery of bad news in medical settings.

查看原文本刊更多论文

急诊科人员在突发坏消息处理中的表现与患者偏好的比较。

目的:突发坏消息(BBN)是医疗保健服务的一个关键方面，可以对患者的结果产生重大影响。不充分和不恰当地传递坏消息会导致有害的心理和情感影响。本研究旨在比较急诊科(ED)人员的表现和患者对BBN的偏好。方法:本描述性分析研究于2022年进行，采用配额抽样方法纳入135例急诊科住院患者。采用人口统计问卷、研究者自编问卷和对急诊科BBN方法态度的标准问卷收集数据。数据采用SPSS(16版)软件进行分析，p值分析结果显示:绝大多数患者(69.6%)从护士那里得到坏消息。根据标准问卷中提到的条件，人员的整体表现为6.08±4.22分(满分19分)，而总体态度得分为59.66±7.66分(满分76分)，显示患者接受坏消息的倾向较高。人员绩效总分与患者态度总分差异有统计学意义(p=0.001)。结论:急诊科工作人员对患者对BBN方法的态度表现不佳。因此，建议对医疗专业人员，特别是医生和护士实施适当的培训计划，以提高他们的沟通技巧，减少在医疗环境中不恰当地传递坏消息的有害影响。

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

Bulletin of emergency and trauma

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： BEAT: Bulletin of Emergency And Trauma is an international, peer-reviewed, quarterly journal coping with original research contributing to the field of emergency medicine and trauma. BEAT is the official journal of the Trauma Research Center (TRC) of Shiraz University of Medical Sciences (SUMS), Hungarian Trauma Society (HTS) and Lusitanian Association for Trauma and Emergency Surgery (ALTEC/LATES) aiming to be a publication of international repute that serves as a medium for dissemination and exchange of scientific knowledge in the emergency medicine and trauma. The aim of BEAT is to publish original research focusing on practicing and training of emergency medicine and trauma to publish peer-reviewed articles of current international interest in the form of original articles, brief communications, reviews, case reports, clinical images, and letters.