title: Breaking bad news issues: a survey among physicians.
abstract: OBJECTIVE
  The aim of this study was to explore the physicians' perspectives and practices in relation to breaking bad news (BBN) to patients.
  
  
  METHODS
  A quantitative survey was performed in the Qassim Region from January to July 2011. A cross-sectional study was conducted using a questionnaire administered to all practicing physicians working in both hospitals and Primary Healthcare centers in the Qassim Region. Anonymity was maintained throughout. The target groups received a self-administered questionnaire with a covering letter introducing the study and explaining their rights.
  
  
  RESULTS
  A total of 458 physicians participated in the study. Physicians with higher qualifications had lower total scores of the mean in BBN skills. The majority (70%) preferred to discuss information with close relatives rather than the patients. In case of serious diseases, only 32% said that they would inform the patient's family without the patient's consent. More than 90% of our study sample did not avoid telling their patients the bad news; however, physicians working in Primary Healthcare centers were less reserved.
  
  
  CONCLUSIONS
  Although most of the participating physicians were keen to help their patients, they lacked the essential knowledge and skills for breaking bad news. Thus, they are in need of specific training in this regard.
authors: Department of Family and Community Medicine, College of Medicine, Qassim University, Saudi Arabia, P.O. Box 6655-51452.
authors: Abdulrahman A
authors: AA
authors: Al-Mohaimeed
authors: Fawzy K
authors: FK
authors: Sharaf
keywords: Breaking bad news; Physician-patient communication; Saudi Arabia
references: N Z Med J. 2008 Nov 28;121(1286):92-9
references: 19098952
references: Ann Saudi Med. 2010 Mar-Apr;30(2):141-4
references: 20220264
references: J Oncol Pract. 2010 Mar;6(2):94-6
references: 20592784
references: BMC Health Serv Res. 2009 Sep 14;9:160
references: 19751504
references: Support Care Cancer. 2004 Mar;12(3):147-54
references: 15074312
references: West J Med. 1999 Oct;171(4):260-3
references: 10578682
references: Oncologist. 2000;5(4):302-11
references: 10964998
references: East Mediterr Health J. 2009 Jan-Feb;15(1):19-24
references: 19469423
references: JAMA. 1996 Aug 14;276(6):496-502
references: 8691562
references: Tumori. 1998 Nov-Dec;84(6):619-23
references: 10080664
references: Palliat Med. 2005 Mar;19(2):93-8
references: 15810746
references: Ochsner J. 2010 Spring;10(1):38-43
references: 21603354
references: Am Fam Physician. 2001 Dec 15;64(12):1975-8
references: 11775763
references: Ann Saudi Med. 1998 Mar-Apr;18(2):187-9
references: 17341959
references: Oman Med J. 2012 Nov;27(6):448-9
references: 23226813
references: Oman Med J. 2009 Apr;24(2):119-27
references: 22334856
references: Int J Health Care Qual Assur Inc Leadersh Health Serv. 2002;15(6-7):324-36
references: 12500657
references: GMS Z Med Ausbild. 2011;28(4):Doc52
references: 22205910
references: J Med Ethics. 1996 Oct;22(5):282-5
references: 8910780
references: Ann N Y Acad Sci. 1997 Feb 20;809:309-16
references: 9103582
references: J Med Ethics. 2008 Apr;34(4):225-9
references: 18375670
references: Lancet. 2004 Jan 24;363(9405):312-9
references: 14751707