4.2 Article

I'm sorry to tell you ... - Physicians' reports of breaking bad news

期刊

JOURNAL OF BEHAVIORAL MEDICINE
卷 24, 期 2, 页码 205-217

出版社

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1023/A:1010766732373

关键词

bad news; communication; patient-physician relations

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\In this investigation the authors assessed what physicians do when planning for and delivering bad news to patients Seventy-three physicians responded to a series of statements about the behaviors, thoughts, and feelings they might have had while preparing for and delivering bad medically-related news Data were also obtained about how well they thought the transaction had gone, how much stress they had experienced and what they thought the experience was like from the patient's perspective. Physicians reported that these transactions M,ere only moderately stressful, with 18.1% and 18.7% indicating that preparation stress or delivery stress, respectively, were above the midpoint on the scale. Slightly over 42% of the sample indicated that the stress they experienced lasted from several hours to three or more days Thirty-six delivery-related statements were typical (with endorsement rates of at least 80% in a given direction) for at least one of the two recall groups.

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