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Giving sad and bad news

L Fallowfield1

  • 1CRC Communication & Counselling Research Centre, London Hospital Medical College.

Lancet (London, England)
|February 20, 1993
PubMed
Summary

Breaking bad news insensitively causes distress and lasting effects for patients. Improved doctor communication training is essential for sensitive delivery and patient support, enhancing the patient experience.

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Area of Science:

  • Medical Communication
  • Patient Experience
  • Healthcare Professional Training

Background:

  • Insensitive delivery of bad news can cause significant distress and long-term negative impacts on patients.
  • Inadequate communication skills training leaves many physicians ill-equipped to handle delivering bad news effectively.
  • Physicians often struggle with the fear of blame and feelings of failure when unable to alter a patient's prognosis.

Purpose of the Study:

  • To highlight the detrimental effects of poorly delivered bad news.
  • To emphasize the need for enhanced communication skills training for physicians.
  • To provide guidance on best practices for delivering bad news to patients.

Main Methods:

  • Review of the impact of communication in medical settings.
  • Analysis of physician training deficits in delivering difficult news.
  • Identification of key strategies for effective patient communication.

Main Results:

  • Poorly communicated bad news leads to prolonged patient distress.
  • Effective communication requires physicians to manage their own fears and reactions.
  • Patient understanding and immediate needs must be addressed post-disclosure.

Conclusions:

  • Physicians require comprehensive training to deliver bad news empathetically and effectively.
  • Preparation, clear communication, and post-interview support are crucial for patients receiving bad news.
  • Utilizing tools like audiotape recordings can aid patient comprehension when discussing complex medical information.
Keywords:
Professional Patient Relationship

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