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Physicians’ Lived Experience of Breaking Bad News in Clinical Practice: Five Essentials of a Relational Process

Qualitative health research, 2023-12, Vol.33 (14), p.1349-1359 [Peer Reviewed Journal]

The Author(s) 2023 ;ISSN: 1049-7323 ;EISSN: 1552-7557 ;DOI: 10.1177/10497323231197534

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  • Title:
    Physicians’ Lived Experience of Breaking Bad News in Clinical Practice: Five Essentials of a Relational Process
  • Author: Tranberg, Mattias ; Brodin, Eva M.
  • Subjects: Annan klinisk medicin ; Clinical Medicine ; Communication ; Educational Sciences ; Klinisk medicin ; Learning ; Lärande ; Medical and Health Sciences ; Medicin och hälsovetenskap ; Other Clinical Medicine ; Patients ; Phenomenology ; Physicians ; Samhällsvetenskap ; Serious illness communication ; Social Sciences ; Utbildningsvetenskap
  • Is Part Of: Qualitative health research, 2023-12, Vol.33 (14), p.1349-1359
  • Description: The purpose of this study was to develop deeper knowledge about physicians’ lived experiences of breaking bad news by identifying their common meanings and interrelatedness along with their potential alignment with process-oriented and relational aspects. Based on the methodology of descriptive phenomenology, in-depth interviews were conducted with 22 physicians from a wide variety of specialties. The participants were invited to freely reflect upon their experiences of breaking bad news by describing situations that had worked well and less well. Results showed that breaking bad news was fundamentally experienced as a relational process constituted by the five essentials of Becoming the bad messenger, Expecting the unpredictable, Being on stage, Professionally managing hope, and Mindfulness of the emotional relationship. In line with recent research, this study confirms that clinical communication involves much more than just delivering the message. However, it also contributes to existing knowledge by focusing on the phenomenology of physicians’ experiences, which enables deeper understanding of the medical profession and the relational process of breaking bad news. As such, our findings are important to enable broader learning in, for example, medical education and continuing courses for clinical staff.
  • Publisher: Los Angeles, CA: SAGE Publications
  • Language: English
  • Identifier: ISSN: 1049-7323
    EISSN: 1552-7557
    DOI: 10.1177/10497323231197534
  • Source: SAGE Open Access
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