Abstract
to identify the scientific evidence of the elements of communication in the process of communicating bad news in pediatrics. integrative review searched in the LILACS, PubMed and WoS databases. Primary studies in Portuguese, Spanish or English were included. the evidence from the 40 studies were organized according to the elements of communication: sender (family and/or professional), receiver (family and/or child), message (bad or difficult news about diagnosis/prognosis; empathetically, honestly, objective, hopeful and available), channel (materials, quality, quantity and pace), context and effects (social and emotional changes), noise (feelings and language) and failures (silencing and misleading information). there is a need to prepare the institution and team, as well as the family and the child, in order to promote co-responsibility in this process, to minimize suffering and communication noise and to avoid failures, recognizing the child's right to know their condition.
Highlights
In daily health care, professionals often experience the challenge of communicating news that can be considered bad or difficult, which causes sadness, discontent, anxiety and grief, among other distressing feelings
The evidence of the elements of communication in the process of communicating bad news in pediatrics, that were extracted from the results of each article included in the review, are presented in Chart 2
Chart 1- Characterization of articles included in the integrative review of communication of bad news in pediatrics, Brazil, 2018
Summary
Professionals often experience the challenge of communicating news that can be considered bad or difficult, which causes sadness, discontent, anxiety and grief, among other distressing feelings. It is worth noting that the effectiveness of the communication process depends on the link between those involved and on the professional’s sensitivity to manage each situation; it depends on cultural, social, educational and family contexts(2-4) Such issue stands out as a problem in the pediatric context, since the communication of bad news is even more complex, as it involves both the family and the child. It requires an assessment of the quantity and quality of information that will be communicated and the way to develop it, considering the child’s intellectual, cultural and psychological singularity(5). This reinforces the importance and indicates the need for evidencebased practice, as it enables the search for strategies that can be used by health professionals in such communication
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