Communicating bad news: an integrative review of the nursing literature
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Published on: February 16, 2011
Cassiana Mendes Bertoncello Fontes1, Daniele Vieira de Menezes2, Maria Helena Borgato1
1Universidade Estadual Paulista Júlio de Mesquita Filho, Faculty of Medicine of Botucatu, Department of Nursing. Botucatu, São Paulo, Brazil.
Objectives::
describe how the process of breaking bad news is established and identify how nurses approach the task of giving bad news.
Method::
integrative review of the literature for articles in Portuguese and English published between 1993-2014, in the databases: Bireme, PubMed, Scopus, Web of Science, CINAHL and Embase. Nine articles were included using the selection flow chart. A digital form was completed for each article according to the Consolidated Criteria for Reporting Qualitative Research checklist and the level of scientific evidence was determined.
Results::
Of the 99 articles in identified, nine were included after applying the selection flowchart.
Discussion::
breaking bad news is frequent in the area of oncology and palliative care, with a strong cultural influence on the autonomy of nurses in this process.
Conclusion::
the approach and skills of the nurse during this task influences the patient's reaction to the message. The theme is scarce in the literature and merits further investigation.
Objetivos::
Descrever como se estabelece o processo de comunicação de más notícias e identificar como o enfermeiro pratica a comunicação de más notícias.
MéTodo::
Revisão integrativa da literatura com artigos em português e inglês referente ao período 1993-2014 nas bases de dados Bireme, PubMed, Scopus, Web of Science, CINAHL e Embase. Elegeram-se nove artigos pelo fluxograma de seleção. Para cada artigo foi preenchida uma ficha eletrônica, elaborado um checklist do Consolidated Criteria for Reporting Qualitative Research e verificado o nível de evidência científica.
Resultados::
Foram identificados 99 artigos e incluídos nove pelo fluxograma de seleção.
DiscussãO::
Transmitir más notícias é frequente nas áreas de oncologia e cuidados paliativos, com forte influência cultural na autonomia do enfermeiro nesse processo.
ConclusãO::
O modo e a habilidade do enfermeiro durante a ação influenciarão a reação do paciente acerca da mensagem. O tema é escasso na literatura, necessitando ser explorado.
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