Breaking bad news: consensus guidelines for medical practitioners
One of the more difficult tasks that clinicians must perform as part of their care of patients is that of conveying bad news, such as a severe diagnosis or death. However, there is a paucity of empirically founded information that relates to the specific steps for breaking bad news. We report on a s...
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| Veröffentlicht in: | Journal of clinical oncology 1995-09, Vol.13 (9), p.2449-2456 |
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| container_end_page | 2456 |
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| container_title | Journal of clinical oncology |
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| creator | Girgis, A Sanson-Fisher, R W |
| description | One of the more difficult tasks that clinicians must perform as part of their care of patients is that of conveying bad news, such as a severe diagnosis or death. However, there is a paucity of empirically founded information that relates to the specific steps for breaking bad news. We report on a set of guidelines for breaking bad news that was developed using a consensus process and incorporates the views of medical oncologists, general practitioners, surgeons, nurse consultants, social workers, clergy, human rights representatives, cancer patients, hospital interns, and clinical directors of medical schools in Australia.
It is recommended that further research be undertaken in a number of areas. First, there is a need to assess patients' versus providers' perceptions of the importance of each of the steps in breaking bad news, in order to define criteria for minimal levels of competence in this area. Second, controlled trials are needed to assess the effectiveness of the guidelines in changing clinical practice, and to identify the most effective strategies for breaking bad news to patients. |
| doi_str_mv | 10.1200/jco.1995.13.9.2449 |
| format | Article |
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It is recommended that further research be undertaken in a number of areas. First, there is a need to assess patients' versus providers' perceptions of the importance of each of the steps in breaking bad news, in order to define criteria for minimal levels of competence in this area. Second, controlled trials are needed to assess the effectiveness of the guidelines in changing clinical practice, and to identify the most effective strategies for breaking bad news to patients.</description><identifier>ISSN: 0732-183X</identifier><identifier>EISSN: 1527-7755</identifier><identifier>DOI: 10.1200/jco.1995.13.9.2449</identifier><identifier>PMID: 7666105</identifier><language>eng</language><publisher>Baltimore, MD: American Society of Clinical Oncology</publisher><subject>Attitude of Health Personnel ; Bioethics ; Biological and medical sciences ; Comprehension ; Confidentiality ; Fundamental and applied biological sciences. Psychology ; Humans ; Illness and personality ; Illness, stress and coping ; Medical Oncology - methods ; Practice Guidelines as Topic ; Practice Patterns, Physicians ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Truth Disclosure</subject><ispartof>Journal of clinical oncology, 1995-09, Vol.13 (9), p.2449-2456</ispartof><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-60470709f31d3db65d182c7f9339fce452b870ce184035e59be1963cdf0064c83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3716,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3649475$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7666105$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Girgis, A</creatorcontrib><creatorcontrib>Sanson-Fisher, R W</creatorcontrib><title>Breaking bad news: consensus guidelines for medical practitioners</title><title>Journal of clinical oncology</title><addtitle>J Clin Oncol</addtitle><description>One of the more difficult tasks that clinicians must perform as part of their care of patients is that of conveying bad news, such as a severe diagnosis or death. However, there is a paucity of empirically founded information that relates to the specific steps for breaking bad news. We report on a set of guidelines for breaking bad news that was developed using a consensus process and incorporates the views of medical oncologists, general practitioners, surgeons, nurse consultants, social workers, clergy, human rights representatives, cancer patients, hospital interns, and clinical directors of medical schools in Australia.
It is recommended that further research be undertaken in a number of areas. First, there is a need to assess patients' versus providers' perceptions of the importance of each of the steps in breaking bad news, in order to define criteria for minimal levels of competence in this area. Second, controlled trials are needed to assess the effectiveness of the guidelines in changing clinical practice, and to identify the most effective strategies for breaking bad news to patients.</description><subject>Attitude of Health Personnel</subject><subject>Bioethics</subject><subject>Biological and medical sciences</subject><subject>Comprehension</subject><subject>Confidentiality</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Medical Oncology - methods</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. 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Psychophysiology</topic><topic>Truth Disclosure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Girgis, A</creatorcontrib><creatorcontrib>Sanson-Fisher, R W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Girgis, A</au><au>Sanson-Fisher, R W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Breaking bad news: consensus guidelines for medical practitioners</atitle><jtitle>Journal of clinical oncology</jtitle><addtitle>J Clin Oncol</addtitle><date>1995-09-01</date><risdate>1995</risdate><volume>13</volume><issue>9</issue><spage>2449</spage><epage>2456</epage><pages>2449-2456</pages><issn>0732-183X</issn><eissn>1527-7755</eissn><abstract>One of the more difficult tasks that clinicians must perform as part of their care of patients is that of conveying bad news, such as a severe diagnosis or death. However, there is a paucity of empirically founded information that relates to the specific steps for breaking bad news. We report on a set of guidelines for breaking bad news that was developed using a consensus process and incorporates the views of medical oncologists, general practitioners, surgeons, nurse consultants, social workers, clergy, human rights representatives, cancer patients, hospital interns, and clinical directors of medical schools in Australia.
It is recommended that further research be undertaken in a number of areas. First, there is a need to assess patients' versus providers' perceptions of the importance of each of the steps in breaking bad news, in order to define criteria for minimal levels of competence in this area. Second, controlled trials are needed to assess the effectiveness of the guidelines in changing clinical practice, and to identify the most effective strategies for breaking bad news to patients.</abstract><cop>Baltimore, MD</cop><pub>American Society of Clinical Oncology</pub><pmid>7666105</pmid><doi>10.1200/jco.1995.13.9.2449</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0732-183X |
| ispartof | Journal of clinical oncology, 1995-09, Vol.13 (9), p.2449-2456 |
| issn | 0732-183X 1527-7755 |
| language | eng |
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| source | MEDLINE; American Society of Clinical Oncology Online Journals; Journals@Ovid Complete |
| subjects | Attitude of Health Personnel Bioethics Biological and medical sciences Comprehension Confidentiality Fundamental and applied biological sciences. Psychology Humans Illness and personality Illness, stress and coping Medical Oncology - methods Practice Guidelines as Topic Practice Patterns, Physicians Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Truth Disclosure |
| title | Breaking bad news: consensus guidelines for medical practitioners |
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