Blended news delivery in healthcare: a framework for injecting good news into bad news conversations

@article{Legg2015BlendedND,
  title={Blended news delivery in healthcare: a framework for injecting good news into bad news conversations},
  author={Angela M. Legg and Kate Sweeny},
  journal={Health Psychology Review},
  year={2015},
  volume={9},
  pages={452 - 468}
}
Clinicians often inject good news into bad news delivery, and they do so for a variety of reasons. We present a framework that draws from research in the fields of health and social psychology to shed light on situations in which clinicians add superfluous good news into bad news conversations in an effort to ease the conversation or mitigate patients’ distress, a broad strategy we refer to as blended news delivery. Our framework includes predictors of clinicians’ use of blended news delivery… 

Topics from this paper

BREAKING BAD NEWS: STRENGTHS, DIFFICULTIES AND STRATEGIES USED BY UNDERGRADUATE NURSING STUDENTS
ABSTRACT Objective: identify strengths, difficulties, and strategies used by nursing students to communicate bad news within the Primary Health Care context during the undergraduate program. Method:
Parent-teacher conference communication: a guide to integrating family engagement through simulated conversations about student academic progress
Abstract Teachers regularly communicate with families, yet few candidates are well-prepared for this professional activity. This gap can hinder family–school partnership and pupils’ success. Given
Texto & Contexto Enfermagem
TLDR
It was observed that the experience of pleasure was satisfactory, while the factors of suffering obtained a critical assessment, and communication decreased, as suffering at work increased.

References

SHOWING 1-10 OF 108 REFERENCES
Being the Best Bearer of Bad Tidings
Giving bad news is an unpleasant task, and the medical literature provides numerous guidelines for giving bad news well. However, what people mean by “giving bad news well” is less clear. What should
Bad News, Good News: Conversational Order in Everyday Talk and Clinical Settings
When we share or receive good or bad news, from ordinary events such as the birth of a child to public catastrophes such as 9/11, our "old" lives come to an end, and suddenly we see the world with
Breaking bad news : the SPIKE-S strategy
TLDR
The S-P-I-K-E-S protocol described in this article provides a simple, easily learned strategy for communicating bad news and suggests ways to assess the situation as it evolves and respond constructively to patients.
Breaking bad news to patients: physicians' perceptions of the process
TLDR
The fact that many of the physicians reported that their stress lasted beyond the transaction itself suggests that training in the delivery of bad news should include guidance on cognitive and behavioral coping strategies to help physicians deal with their own discomfort.
Do You Want the Good News or the Bad News First? The Nature and Consequences of News Order Preferences
TLDR
Evidence that news order has consequences for recipients, such that opening with bad news (as recipients prefer) reduces worry, but this emotional benefit undermines motivation to change behavior.
Breaking bad news: consensus guidelines for medical practitioners.
  • A. Girgis, R. Sanson-Fisher
  • Medicine
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology
  • 1995
TLDR
A set of guidelines for breaking bad news that was developed using a consensus process and incorporates the views of medical oncologists, general practitioners, surgeons, nurse consultants, social workers, clergy, human rights representatives, cancer patients, hospital interns, and clinical directors of medical schools in Australia are reported on.
Breaking bad news: the S-P-I-K-E-S strategy
SPIKES: a framework for breaking bad news to patients with cancer.
TLDR
The SPIKES protocol provides a step-wise framework for difficult discussions such as when cancer recurs or when palliative or hospice care is indicated and provides structure for this difficult discussion and helps support all involved.
...
1
2
3
4
5
...