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Breaking bad news revisited: the push for negotiated disclosure and changing practice implications.

Arber, A and Gallagher, A (2003) Breaking bad news revisited: the push for negotiated disclosure and changing practice implications. Int J Palliat Nurs, 9 (4). pp. 166-172.

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Abstract

This article revisits the ethical, legal, professional and emotional issues involved with disclosing bad news. The authors examine the push for disclosure that has come from a number of quarters in the UK, including ethical and legal challenges, in particular the Bristol Royal Inquiry Report, professional codes of conduct, health policy and the expectations of the public. The contribution of nurses to breaking bad news is not widely discussed in the literature. With the development of new nursing roles and evidence-based practice it is timely to consider the role of nurses in this process. The article highlights some limitations with current guidelines for breaking bad news, in particular, that these guidelines tend to be constructed from a professional standpoint and lack patient-centred evidence. The issue of emotional labour and how it relates to giving bad news is discussed with respect to professional staff and patients. The article concludes by raising some practice implications, including: the importance of context and continuity; the significance of information and support; the desirable qualities of the professional; and issues to consider in determining patient preferences.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
AuthorsEmailORCID
Arber, AUNSPECIFIEDUNSPECIFIED
Gallagher, AUNSPECIFIEDUNSPECIFIED
Date : April 2003
Identification Number : 10.12968/ijpn.2003.9.4.11497
Uncontrolled Keywords : Emotions, Ethics, Nursing, Great Britain, Humans, Nurse-Patient Relations, Patient Education as Topic, Terminal Care, Truth Disclosure
Related URLs :
Additional Information : Copyright: Mark Allen Healthcare 2003
Depositing User : Symplectic Elements
Date Deposited : 11 Dec 2013 11:51
Last Modified : 17 Jan 2015 15:00
URI: http://epubs.surrey.ac.uk/id/eprint/804634

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