The use of protocol in breaking bad news: evidence and ethos

DEAN, Antonia and WILLIS, Susan (2016). The use of protocol in breaking bad news: evidence and ethos. International Journal of Palliative Nursing, 22 (6), 265-271.

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This article discusses health professionals use of protocol in the breaking of bad news, focusing particularly on the well-known SPIKES framework. The evidence of impact on the patient experience is examined and recommendations are made for further outcome-based research. Existing evidence suggests that the model as commonly interpreted may not fully meet the needs of patients or reflect the clinical experience of breaking bad news for some professionals and further guidance may be needed to support them in their practice. The ethos of the step-wise protocol is debated, questioning whether it helps or hinders individualised care and the formation of a genuine relationship between patient and professional. Finally, recommendations for practice are offered.

Item Type: Article
Research Institute, Centre or Group: Centre for Health and Social Care Research
Identification Number: 10.12968/ijpn.2016.22.6.265
Depositing User: Ann Betterton
Date Deposited: 29 Jul 2016 11:10
Last Modified: 26 Jan 2018 20:09

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