Abstract
describe how the process of breaking bad news is established and identify how nurses approach the task of giving bad news. integrative review of the literature for articles in Portuguese and English published between 1993-2014, in the databases: Bireme, PubMed, Scopus, Web of Science, CINAHL and Embase. Nine articles were included using the selection flow chart. A digital form was completed for each article according to the Consolidated Criteria for Reporting Qualitative Research checklist and the level of scientific evidence was determined. Of the 99 articles in identified, nine were included after applying the selection flowchart. breaking bad news is frequent in the area of oncology and palliative care, with a strong cultural influence on the autonomy of nurses in this process. the approach and skills of the nurse during this task influences the patient's reaction to the message. The theme is scarce in the literature and merits further investigation. Descrever como se estabelece o processo de comunicação de más notícias e identificar como o enfermeiro pratica a comunicação de más notícias. Revisão integrativa da literatura com artigos em português e inglês referente ao período 1993-2014 nas bases de dados Bireme, PubMed, Scopus, Web of Science, CINAHL e Embase. Elegeram-se nove artigos pelo fluxograma de seleção. Para cada artigo foi preenchida uma ficha eletrônica, elaborado um checklist do Consolidated Criteria for Reporting Qualitative Research e verificado o nível de evidência científica. Foram identificados 99 artigos e incluídos nove pelo fluxograma de seleção. Transmitir más notícias é frequente nas áreas de oncologia e cuidados paliativos, com forte influência cultural na autonomia do enfermeiro nesse processo. O modo e a habilidade do enfermeiro durante a ação influenciarão a reação do paciente acerca da mensagem. O tema é escasso na literatura, necessitando ser explorado.
Highlights
METHODBad news is defined as any information with unpleasant content related to the patient and transmitted to him or her by the caregiver or family that involves a drastic change in future perspectives and/or health prognosis(1)
The present study aims to identify from the Brazilian and international nursing literature how the process of communicating bad news occurs in the multiple scenarios of nurses’ practice
Chart 1 presents the characteristics of all nine articles indropped out); setting of data collection; presence of non- cluded in the study, considering: title, database, country of participants; description of sample; interview guide; repeat origin, methodological design, context, number of items atinterviews; audio/visual recording; field notes; duration; data tributed by the Criteria for Reporting Qualitative Research (COREQ) instrument and evidence level of the saturation; transcripts returned; description of the coding tree; studies
Summary
Bad news is defined as any information with unpleasant content related to the patient and transmitted to him or her by the caregiver or family that involves a drastic change in future perspectives and/or health prognosis(1). The manner in which health professionals communicate bad news can generate strong emotional reactions in people who receive the news, such that they will never forget how the communication was made and by whom. The nurse has the legal responsibility to provide training and competence for the team they coordinate, with the objective of promoting quality, scientific evidence-based care and patient safety(2-3). In this context, the present study aims to identify from the Brazilian and international nursing literature how the process of communicating bad news occurs in the multiple scenarios of nurses’ practice. This integrative review of literature has the purpose of describing how the communication of bad news is managed and the nurses’ role in this process(4)
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