KNOWLEDGE AND AWARENESS OF PALESTINIAN CRITICAL CARE NURSES ABOUT COMMUNICATING BAD NEWS
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Date
2022-10-05
Authors
Moath Rayyan
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Abstract
Abstract
"Bad news" refers to any information provided to patients and their families that suggests, directly or indirectly, any undesirable or severe disorder that could affect their views and attitude on life in the future. Communicating bad news is now widely recognized as a phase and it refers to any unpleasant, upsetting, or challenging information that affects patients' perceptions of their present and future.
Aim: This study aims to evaluate the level of critical nurses' knowledge and awareness about breaking bad news.
Methods: To explore how critical care nurses communicate bad news, a quantitative, cross-sectional design was used. A validated questionnaire containing questions was used to evaluate the critical care nurses awareness and knowledge of communicating bad news to patients and their families in hospitals in the North West Bank (Nablus, Ramallah, Salfeet, and Qalqilia). All the nurses who work in intensive care units of the hospitals in Nablus and Ramallah were recruited from different ICU and CCU units.
Results: One hundred seventy-seven nurses participated in this research. The findings have shown that the average knowledge level of the critical care nurses participating in the study was poor (62.3%). There is no difference in the average knowledge level on communicating bad news among nurses that can be attributed to the demographic characteristics of the nurses participating in the study, that the average awareness level of the nurses participating in the study on the issue of communicating bad news was poor (58.2%), and that there is no difference in the average awareness level on communicating bad news among nurses that can be attributed to the demographic characteristics of the nurses participating in the study.
Conclusion: The study found that the nurses' knowledge and awareness of how to communicate bad news were poor. The most important predictors of practice were the nurse's knowledge and awareness of bad news communication in the ICU and protocol or policy. Additionally, the biggest obstacle to communicating bad news among nurses was their lack of knowledge.
Keywords: Awareness; Bad news; Knowledge; Nursing; Cardiac Care Unit; Intensive Care Unit.