Interpretation of bad news delivery in medical practice through PRISMA 2020 literature review

Pamela Alexandra Sánchez Sandoval, Libia Karina Reyes Espinoza, Dayanara Cecilia Burbano Pijal
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Abstract

Poor communication of bad news can have a significant negative impact on patients, triggering stress, anxiety and deterioration in their overall health status. The aim of this study was to interpret the delivery of bad news in medical practice through a literature review for the proposal of an approach to improve effective communication skills among health professionals. To achieve this end, a literature review was conducted following the guidelines of the PRISMA 2020 methodology, using sources such as PubMed, Lilacs and Scielo. From this search, 16 articles relevant to the topic of study were selected. The findings underline that the ability to adequately communicate bad news is not optional, but an essential competency within professional practice, thus highlighting the importance of this topic in the medical setting. It is concluded that it is crucial for health professionals to be adequately prepared to communicate bad news, which implies the development of protocols and specific recommendations on prognosis and treatment, and the fostering of a doctor-patient relationship based on trust and mutual respect
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通过 PRISMA 2020 文献综述解读医疗实践中的坏消息传递
坏消息传达不畅可能会对患者产生严重的负面影响,引发压力、焦虑和整体健康状况的恶化。本研究的目的是通过文献综述解读医疗实践中的坏消息传递,从而提出一种提高医疗专业人员有效沟通技巧的方法。为此,我们按照 PRISMA 2020 方法指南,利用 PubMed、Lilacs 和 Scielo 等资料来源进行了文献综述。通过检索,共筛选出 16 篇与研究主题相关的文章。研究结果强调,充分传达坏消息的能力并非可有可无,而是专业实践中的一项基本能力,从而突出了这一主题在医疗环境中的重要性。结论是,医疗专业人员必须为传达坏消息做好充分准备,这意味着要就预后和治疗制定规程和具体建议,并在信任和相互尊重的基础上建立医患关系。
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