Volume 17, Issue 1 (3-2024)
IJMEHM 2024, 17(1): 1-23 |
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Khaki S, Fallahi -Khoshknab M, Mohammadi-shahboulaghi F, Can G, Hosseini M A. A Comprehensive Practical guideline for Breaking Bad News to Patients and Their Families in Intensive Care Units: A Qualitative Study. IJMEHM 2024; 17 (1) : 28
URL: http://ijme.tums.ac.ir/article-1-6759-en.html
URL: http://ijme.tums.ac.ir/article-1-6759-en.html
Sooreh Khaki1 
, Masoud Fallahi -Khoshknab2 , Farahnaz Mohammadi-shahboulaghi3 , Gülbeyaz Can4 , Mohammad Ali Hosseini * 5
, Masoud Fallahi -Khoshknab2 , Farahnaz Mohammadi-shahboulaghi3 , Gülbeyaz Can4 , Mohammad Ali Hosseini * 5
1- Instructor, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3- Professor, Iranian Research Center on Aging, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
4- Professor, Department of Medical Nursing, Florence Nightingale Faculty of Nursing, Istanbul University – Cerrahpasa, Istanbul, Turkey
5- Associate Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2- Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3- Professor, Iranian Research Center on Aging, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
4- Professor, Department of Medical Nursing, Florence Nightingale Faculty of Nursing, Istanbul University – Cerrahpasa, Istanbul, Turkey
5- Associate Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Abstract: (125 Views)
Conveying bad news to patients and their families is a process that requires team collaboration. Different countries have taken into consideration providing suitable solutions. This study aimed to develop an practical guideline, according to the experiences of patients, families, and healthcare providers in intensive care units across three phases. In the first phase, in-depth interviews were conducted with 31 participants selected through purposive sampling, and the initial draft of the practical guideline was created. In the second phase, the initial draft was discussed and reviewed by experts in two focus group meetings, and a secondary draft was developed. In the third phase, the practical guideline compiled by the Delphi method was validated by 43 experts in policymaking and decision-making. Finally, an practical guideline to deliver bad news to patients and their families was developed with 8 main steps and 43 sub-steps. The main steps included before delivering bad news (assessment, planning and preparation, coordination), during delivering bad news (announcing bad news, emotional support, summary and documentation), and after delivering bad news (referral, follow-up). This practical guideline is intended to facilitate the process of delivering bad news in intensive care units to achieve the desired outcomes and reduce the resulting consequences and harms. Accordingly, healthcare providers are recommended to consider the importance of patient and family preferences, adhering to scientific and standard methods for delivering bad news, and upholding the principles of professional ethics.
Article number: 28
Type of Study: Research |
Subject:
Medical Ethics
Received: 2024/07/21 | Accepted: 2025/01/19 | Published: 2024/03/20
Received: 2024/07/21 | Accepted: 2025/01/19 | Published: 2024/03/20
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