{"title":"使用 \"SPIKE \"协议对危重症护理护士发布坏消息的感受、态度和做法的影响","authors":"Intessar Ahmad, Hala Eid","doi":"10.21608/ejnhs.2023.327633","DOIUrl":null,"url":null,"abstract":": Background: Information that awfully significantly changes the patient's life is referred to as \"bad news.\" Breaking bad news requires skillful communication and is by no means simple. For most nurses, breaking bad news is a handicap caused by inadequate training. When delivering bad news, the six-step SPIKE procedure is frequently employed. Aim of the study: The study's objective was to evaluate how the \"SPIKE\" protocol affected critical care nurses' attitudes, practices, and feelings for breaking bad news. Materials and Method: Research Design: For this study, a quasi-experimental research design was adopted. Setting: This study was conducted at the 16-bed general adult intensive care unit (ICU) of Al-Rahmaneah Central Hospital, which is divided between Hall A and Hall B. Sample: A convenience sample of 50 nurses was recruited for the current study. Instruments: two tools were used in the current study to collect data. Tool one was a questionnaire, which consisted of three parts. Part I: focused on the socio-demographics and characteristics of critical care nurses. Part II: It was composed of 12 statements to assess the feelings of nurses toward breaking bad news. Part III: It was composed of 17 statements to assess nurses , attitudes. Tool II: was composed of the SPIKE' protocol checklist. Method: Nurses interviewed individually to fulfill parts I and II, and the researcher recorded their responses using tool I. Nurses was observed, while they were breaking bad news the researcher recorded their practices by using the SPIKE protocol checklist (tool II). An educational program was conducted to teach nurses how to break bad news through three educational methods. Nurses were re-interviewed individually to fulfill tool I and observed to reassess their practices during breaking bad news by using tool II. Conclusion: the current study concluded that the hypothesis of nurses who were subjected to the \"SPIKE'' protocol had positive feelings, attitudes, and practices for breaking bad news was accepted .","PeriodicalId":117851,"journal":{"name":"Egyptian Journal of Nursing and Health Sciences","volume":"78 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of using the \\\"SPIKE'' protocol on feelings, attitudes, and practices of critical care nurses for breaking bad news\",\"authors\":\"Intessar Ahmad, Hala Eid\",\"doi\":\"10.21608/ejnhs.2023.327633\",\"DOIUrl\":null,\"url\":null,\"abstract\":\": Background: Information that awfully significantly changes the patient's life is referred to as \\\"bad news.\\\" Breaking bad news requires skillful communication and is by no means simple. For most nurses, breaking bad news is a handicap caused by inadequate training. When delivering bad news, the six-step SPIKE procedure is frequently employed. Aim of the study: The study's objective was to evaluate how the \\\"SPIKE\\\" protocol affected critical care nurses' attitudes, practices, and feelings for breaking bad news. Materials and Method: Research Design: For this study, a quasi-experimental research design was adopted. Setting: This study was conducted at the 16-bed general adult intensive care unit (ICU) of Al-Rahmaneah Central Hospital, which is divided between Hall A and Hall B. Sample: A convenience sample of 50 nurses was recruited for the current study. Instruments: two tools were used in the current study to collect data. Tool one was a questionnaire, which consisted of three parts. Part I: focused on the socio-demographics and characteristics of critical care nurses. Part II: It was composed of 12 statements to assess the feelings of nurses toward breaking bad news. Part III: It was composed of 17 statements to assess nurses , attitudes. Tool II: was composed of the SPIKE' protocol checklist. Method: Nurses interviewed individually to fulfill parts I and II, and the researcher recorded their responses using tool I. Nurses was observed, while they were breaking bad news the researcher recorded their practices by using the SPIKE protocol checklist (tool II). An educational program was conducted to teach nurses how to break bad news through three educational methods. Nurses were re-interviewed individually to fulfill tool I and observed to reassess their practices during breaking bad news by using tool II. 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引用次数: 0
摘要
:背景：严重改变病人生活的信息被称为 "坏消息"。传达坏消息需要娴熟的沟通技巧，而且绝非易事。对于大多数护士来说，传达坏消息是一项因培训不足而造成的障碍。在传递坏消息时，经常采用 SPIKE 六步程序。研究目的本研究的目的是评估 "SPIKE "程序如何影响重症监护护士在发布坏消息时的态度、做法和感受。材料与方法：研究设计：本研究采用准实验研究设计。研究环境：本研究在 Al-Rahmaneah 中心医院拥有 16 张病床的普通成人重症监护病房（ICU）进行，该病房分为 A 厅和 B 厅：本次研究招募了 50 名护士作为方便抽样。工具：本次研究使用了两种工具来收集数据。工具一是调查问卷，由三部分组成。第一部分：主要调查重症监护护士的社会人口统计学特征。第二部分：由 12 个语句组成，用于评估护士对发布坏消息的感受。第三部分：由 17 个陈述组成，评估护士的态度。工具 II：由 "SPIKE "协议核对表组成。方法：对护士进行个别访谈，以完成第一和第二部分，研究人员使用工具 I 记录她们的回答。对护士进行观察，当她们播报坏消息时，研究人员使用 SPIKE 协议核对表（工具 II）记录她们的做法。开展了一项教育计划，通过三种教育方法教会护士如何发布坏消息。研究人员再次对护士进行个别访谈，以完成工具 I，并通过工具 II 对护士进行观察，以重新评估她们在播报坏消息时的做法。结论：本研究得出结论，接受 "SPIKE''方案的护士在发布坏消息时具有积极的情感、态度和做法这一假设被接受。
Effect of using the "SPIKE'' protocol on feelings, attitudes, and practices of critical care nurses for breaking bad news
: Background: Information that awfully significantly changes the patient's life is referred to as "bad news." Breaking bad news requires skillful communication and is by no means simple. For most nurses, breaking bad news is a handicap caused by inadequate training. When delivering bad news, the six-step SPIKE procedure is frequently employed. Aim of the study: The study's objective was to evaluate how the "SPIKE" protocol affected critical care nurses' attitudes, practices, and feelings for breaking bad news. Materials and Method: Research Design: For this study, a quasi-experimental research design was adopted. Setting: This study was conducted at the 16-bed general adult intensive care unit (ICU) of Al-Rahmaneah Central Hospital, which is divided between Hall A and Hall B. Sample: A convenience sample of 50 nurses was recruited for the current study. Instruments: two tools were used in the current study to collect data. Tool one was a questionnaire, which consisted of three parts. Part I: focused on the socio-demographics and characteristics of critical care nurses. Part II: It was composed of 12 statements to assess the feelings of nurses toward breaking bad news. Part III: It was composed of 17 statements to assess nurses , attitudes. Tool II: was composed of the SPIKE' protocol checklist. Method: Nurses interviewed individually to fulfill parts I and II, and the researcher recorded their responses using tool I. Nurses was observed, while they were breaking bad news the researcher recorded their practices by using the SPIKE protocol checklist (tool II). An educational program was conducted to teach nurses how to break bad news through three educational methods. Nurses were re-interviewed individually to fulfill tool I and observed to reassess their practices during breaking bad news by using tool II. Conclusion: the current study concluded that the hypothesis of nurses who were subjected to the "SPIKE'' protocol had positive feelings, attitudes, and practices for breaking bad news was accepted .
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