title: Caregivers' role in breaking bad news: patients, doctors, and nurses' points of view.
abstract: The aim of the research was to identify the caregivers' response patterns when breaking bad news at the first time of cancer diagnosis and their affect on the patient. These issues were examined from 3 points of view: patients, doctors, and nurses. A total of 152 Israelis subjects participated in the research: 51 patients with cancer, 51 nurses, and 50 doctors. They filled out a questionnaire developed for the research that included 35 items. Support patterns identified as effective were as follows: allowing for the expression of emotions, empathetic silence, support through touch, and the use of participatory, commendation, and encouragement statements. The research findings indicate the crucial need in the involvement of a family member and a nurse in the process and in supplying written information for the receiver of the news. Significant differences (P < .05) between patients and caregivers were found in the type of information given, in the timing and quantity, and in the support and communication patterns. The principal emotions professional caregivers experienced were identification and helplessness. Most of them were not trained in this field. The research findings could bridge the gap between what patients want and what caregivers do and would benefit in designing guidelines for breaking bad news and formulating a workshop program for furthering the team skills.
authors.affiliation: Nursing Research Unit, Assaf Harofeh Medical Center, Zrifinn, Israel. rasinm@asaf.health.gov.il
authors.forename: Michal
authors.initials: M
authors.lastname: Rassin
authors.forename: Orna
authors.initials: O
authors.lastname: Levy
authors.forename: Tirza
authors.initials: T
authors.lastname: Schwartz
authors.forename: Dina
authors.initials: D
authors.lastname: Silner
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003142:Communication; D004644:Emotions; D005260:Female; D006801:Humans; D007557:Israel; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing / Q000523:psychology*; D024802:Nurse's Role; D010819:Physician's Role; D011369:Professional-Patient Relations; D014342:Truth Disclosure