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Breaking bad news to parents: the children's nurse's role
Jayne Price1, Patricia McNeilly, Mark Surgenor
1School of Nursing and Midwifery, Queen's University Belfast.
Insights
Breaking bad news is challenging for healthcare professionals. This article examines the literature and introduces a new framework for children
Area of Science:
- Pediatric Nursing
- Healthcare Communication
- Child and Family Support
Background:
- Breaking bad news is a complex and challenging aspect of healthcare delivery.
- The National Service Framework for Children emphasizes the impact of news delivery on patient and family reception.
- Effective communication is crucial for children's nurses within the multidisciplinary team.
Purpose of the Study:
- To examine existing literature on the process of breaking bad news to children and families.
- To introduce a novel framework detailing the children's nurse's role in this communication process.
- To enhance understanding of the multifaceted responsibilities of nurses in delivering difficult information.
Main Methods:
- Literature review of studies and guidelines on breaking bad news in pediatric care.
- Analysis of the children's nurse's role within the multidisciplinary team context.
- Development of a conceptual framework based on reviewed evidence.
Main Results:
- The manner of delivering bad news significantly influences its reception and understanding.
- Children's nurses play a pivotal role in the communication chain involving sensitive information.
- A comprehensive framework is needed to guide nurses in this challenging communication.
Conclusions:
- Effective breaking of bad news requires specific skills and a structured approach.
- The proposed framework highlights the critical and varied contributions of children's nurses.
- Further research can refine strategies for supporting nurses in delivering difficult news.
Abstract:
Breaking bad news is an extremely difficult and challenging process for the health care professional. The National Service Framework for Children in the UK highlights that the manner in which the health care professional delivers bad news impacts upon the way it is received, interpreted, understood and dealt with. The children's nurse, as an instrumental member of the multidisciplinary team caring for the child and family, is central to this complex communication process. This article examines the literature surrounding the breaking of bad news and introduces a new framework that outlines the multifaceted role of the children's nurse within this complex, challenging process.
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