Volume : VII, Issue : III, March - 2018

KNOWLEDGE, ATTITUDE OF CLINICIAN / ADMINISTRATORS / NURSES TOWARDS BREAKING BAD NEWS TO PATIENTS

Dr Madhav Madhusudan Singh, Dr Pradeep Srivastava

Abstract :

 

Information that drastically alters the life world of the patient is termed as bad news. Conveying bad news is a skilled communication, and not at all easy. A growing body of evidence has demonstrated that most patients want to be informed about their illness, treatment and prognosis, whether this information is good or bad¹.

Most physicians experience difficulty when required to deliver bad news .The amount of truth to be disclosed is subjective. A properly structured and well–orchestrated communication has a positive therapeutic effect. This is a process of negotiation between patient and physician, but physicians often find it difficult due to many reasons. They feel incompetent and are afraid of unleashing a negative reaction from the patient or their relatives. Information that drastically alters the life world of the patient is termed as bad news. Conveying bad news is a skilled communication, and not at all easy. A growing body of evidence has demonstrated that most patients want to be informed about their illness, treatment and prognosis, whether this information is good or bad¹. Questionnaire for Knowledge, Attitude of Clinician / Administrators / Nurses towards communicating bad news to patient developed and validation was done. The validated questions were sent to 70 Clinicians, Nurses and Administrators   of 5 multispecialty hospital in Delhi NCR, out of which Clinician (N= 54), Nurses ( N = 52) and Administrators ( N = 54)  responded.   This study was done to assess the knowledge, attitude, and practice (KAP) of Clinician / Administrators / Nurses about communicating bad news to patient. It was a questionnaire–based cross–sectional study. Questionnaire for Knowledge, Attitude of Clinician / Administrators / Nurses towards communicating bad news to patient developed and validation was done. Questionnaire for Knowledge, Attitude of Clinician / Administrators / Nurses towards communicating bad news to patient developed and validation was done. The validated questions were sent to 70 Clinicians, Nurses and Administrators   of 5 multispecialty hospital in Delhi NCR, out of which Clinician (N= 54), Nurses ( N = 52) and Administrators ( N = 54)  responded.    This study was done to assess the knowledge, attitude, and practice (KAP) of Clinician / Administrators / Nurses about communicating bad news to patient. It was a questionnaire–based cross–sectional study. The findings of the study suggest a huge scope for improving the awareness and knowledge about communicating bad news to patient among the Clinician / Administrators / Nurses who will be the backbone of health care delivery in future. For this, there is a need for continuous educational initiatives like CME, and it should also be included in their curriculum as part of their study / on the Job Training. A protocol was suggested to follow in hospital.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Madhav Madhusudan Singh, Dr Pradeep Srivastava, KNOWLEDGE, ATTITUDE OF CLINICIAN / ADMINISTRATORS / NURSES TOWARDS BREAKING BAD NEWS TO PATIENTS, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-3 | March-2018

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