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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Ending Relationships01:28

Ending Relationships

The dissolution of intimate relationships presents complex emotional and psychological challenges, particularly when emotional bonds are strong, the relationship is long-standing, and perceived alternatives are limited. This distress often intensifies in romantic breakups, where the initiator may experience greater turmoil than the rejected partner. Contributing factors include residual attachment, guilt over causing pain, and uncertainty about how to manage the situation. The stress is further...
Types of Reports I: Hand-off Report01:25

Types of Reports I: Hand-off Report

A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Bonanno's Theory of Grieving01:17

Bonanno's Theory of Grieving

Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
The resilience...

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Related Experiment Video

Updated: Jul 3, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Published on: August 5, 2020

Breaking bad news.

Rainer Schoefl1

  • 1Department of Gastroenterology, Hepatology, Metabolism and Nutrition, Elisabethinen Hospital Linz, Linz, Austria. rainer.schoefl@elisabethinen.or.at

Digestive Diseases (Basel, Switzerland)
|July 5, 2008
PubMed
Summary

Delivering difficult medical news requires cultural sensitivity and patient readiness. Effective communication involves privacy, clear information, and emotional support, particularly in gastrointestinal endoscopy settings.

Area of Science:

  • Medical Communication
  • Patient Psychology

Background:

  • Historically, breaking bad news was often neglected, influenced by cultural and social factors.
  • Modern societies show a growing trend towards complete patient information disclosure.

Purpose of the Study:

  • To outline patient stages when receiving bad news.
  • To provide recommendations for effectively breaking bad news.
  • To specifically address breaking bad news in gastrointestinal endoscopy.

Main Methods:

  • Literature review and synthesis of best practices in medical communication.
  • Description of patient psychological responses to adverse information.
  • Case-specific analysis for gastrointestinal endoscopy procedures.

Main Results:

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  • Patients progress through distinct emotional and cognitive stages upon receiving bad news.
  • Key communication strategies include ensuring privacy, allocating sufficient time, assessing prior patient knowledge, and delivering information incrementally.
  • Acknowledging and validating patient emotions is crucial, alongside planning follow-up interactions.

Conclusions:

  • Effective breaking bad news requires a structured, empathetic approach tailored to the patient's readiness and emotional state.
  • Specific considerations are necessary for procedures like gastrointestinal endoscopy.
  • Adopting recommended communication strategies can improve patient experience and understanding.