Attitude of doctors regarding Breaking Bad News to patients in Iraq

Authors

  • Ahmed Juwameer Khairo Al-khashmani Salahaddin Health Directorate, Ministry of Health, Salahaddin, Tikrit, Iraq.
  • Wafaa Hamad Mohammed Al-Sabaawi Salahaddin Health Directorate, Ministry of Health, Salahaddin, Tikrit, Iraq.
  • Nisreen Mohammed Ibraheem Department of Community and Family Medicine, College of Medicine, University of Tikrit, Tikrit, Iraq.

DOI:

https://doi.org/10.22317/imj.v6i4.1214

Keywords:

Attitude, Physicians, News, Patients, Iraq

Abstract

Objectives: To assess the attitude of doctors with regard delivering bad news to patients and breaking bad news protocols.

Methods: This is a cross sectional (descriptive study) done in Iraq from first of November 2020 to end of May 2021 involved 500 doctors ( periodic resident, senior resident, general practitioner and specialist doctors in different specialties ) working in different hospitals, primary health care centers and private clinics in Iraq, they are selected randomly. A self – administered questionnaire design in addition to online data collection, by using modified questionnaire and link sent to different online ways (whats app, viber, facebook, telegram ).

Results: Out of 500 respondents doctors there were 329 (65.8%) females, 171 (34.2%) males. Regarding to attitude of doctors in breaking bad news 268 (53.6%) of doctors were need a structured protocol in breaking bad news and 280 (56%) doctors need training for breaking bad news. The SPIKES protocol is the most preferred protocol by doctors about (75.6%).

Conclusion: High percentage of  participants doctors(63%) did not know any protocol in breaking bad news and about (43%) of them rated themselves had good ability in delivering bad news. The SPIKES protocol is the preferred protocol by doctors.

References

-Sehouli J. The art of breaking bad news well. Boca Raton, CRC Press;2019:3-4.

- Buckman R. Breaking bad news: A guide for health care professionals. University of Toronto Press. 1992.4

- Hulsman RL, Pranger S, Koot S, Fabriek M, Karemaker JM, and Smets EM. How stressful is doctor-patient communication? Physiological and psychological stress of medical students in simulated history taking and bad-news consultations. Int J Psychophysiol.2010;77(1):26.

- Schildmann J, Cushing A , Doyal L ,and Vollmann J. Breaking bad news: experiences , views and difficulties of pre – registration house officers . palliate Med.2005; 19(2) : 94 .

- ALrukban MO., AL badr BO.,AL Mansour M. et al. Preferences and attitudes of the Saudi population toward receiving bad news : A primary study from Riadh city . Journal of Family and CommunityMedicine.2014;21(2):85.

- Dickson D, Hargie O, Brunger K, and Stapleton K. Health professionals, perceptions of breaking bad news. Int J Health Care Qual Assur Inc leadersh Health Serv. 2002;15(6-7): 324-325.

- Burn CL., Hurst SA., Ummel M ,CeruttI B. and Baroffio A. Telling the truth ; medical student s progress with an ethical skill . Medical Teacher.2014; 36 (3):251.

- Zolnieric KB and Dimatteo MR. Physician communication and patient adherence to treatment : a meta- analysis. Med Care.2009;47 (8): 827.

- Iraqi Health Statistics annual reports 2009;13.

-Alkhuzai AH, Ahmad IJ, Hweel MJ, Ismail TW, et al. "Violence-Related Mortality in Iraq from 2002 to 2006". New England Journal of Medicine2008; 358 (2): 485–486 .

- Fisseha H, Mulugeta W, Kassu RA, and Geleta T. perspectives of protocol based breaking bad news among medical patients and physicians in a Teaching Hospital Ethiopia. Ethiopia Journal Health Science. 2020;30(6):1018.

- Bousquet G, Orri M, Winterman S, and Bruquiere Ch. Breaking bad news in oncology a meta- synthesis. Journal of Clinical Oncology.2014;33(22): 2438.

- Hollyday SL, and Buonocore D. Breaking bad news and discussion goals in the intensive care unit. AACN. Advanced Critical Care. 2015;26(2);132.

- AL- Mohaimeed AA and Sharaf FK. Breaking bad news issues: A survey among physicians. Oman Medical Journal.2013;28(1): 3.

- Ferreira da Silveira FJ, Botelho CC, Valadao CC and Botelho C. Breaking bad news: doctors skills in communicating with patients. Sao Paulo Medical Journal.2017;135(4): 3.

- Goncalves JA, Almeida C, Amorim J, and Baltasar R. Family physicians opinions on and difficulties with breaking bad news. Porto Biomedical Journal. 2017;2(6): 279.

- Bor Jalilo S, Karbakhsh M, Hosseini M, Kaviani A and Sadiahi S. Clinician practice and perception of disclosure model for breaking bad news to breast cancer patient. Archives of Breast Cancer.2018;5(1): 22.

- Biazar G, Delpasand K, Farzi F, Sediqhineiad A, and Mirmansouri A. breaking bad news: A valid concern among clinicians. Iran Journal Psychiatry. 2019;14(3):199.

- Mostafavian Z and Shaye ZA. Evaluation of physicians skills in breaking bad news to cancer patients. Journal of Family Medicine Primary Care.2018 ;7(3); 604- 605.

- Sarwar MZ, Rehman F, and Fatema SM. Breaking bad news skill of post graduate residents of tertiary care hospital of Lahore, Pakistan: A cross sectional survey. Journal of Pakistan Medical Association.2019;69(5): 6.

- Geeta MG and Krishnakumar P. Breaking bad news. Perceptions of pediatric residents. Indian Pediatrics Journal.2017;54:685.

- Kiluk JV, Dessureault S, and Quinn G. Teaching medical students how to breaking bad news with standardized patients. Journal of Cancer Education. 2012;27:279.

-Dafallah MA, Ragab EA, Salih MH, and Nori W. Breaking bad news: Awareness and practice among Sudanese doctors. AIMS Public Health.2020 ; 7(4) :765.

- Payan EC, Montoya DA, Vargas JJ, and Alfonso MC. Barriers and facilitating communication skills of breaking bad news: from the specialists, practice perspective. Colombia Medica.2009;4o(2):164.

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Published

2022-12-26

How to Cite

1.
Juwameer Khairo Al-khashmani A, Hamad Mohammed Al-Sabaawi W, Mohammed Ibraheem N. Attitude of doctors regarding Breaking Bad News to patients in Iraq. Iraq Med J [Internet]. 2022 Dec. 26 [cited 2024 Nov. 21];6(4). Available from: https://iraqmedj.org/index.php/imj/article/view/1214

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