Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Contributions of Communication and Management of Bad News in Nursing to the Readaptation Process in Palliative Care: A Scoping Review

Version 1 : Received: 8 July 2024 / Approved: 8 July 2024 / Online: 9 July 2024 (10:26:48 CEST)

How to cite: Moura, T.; Ramos, A.; Sá, E.; Pinho, L.; Fonseca, C. Contributions of Communication and Management of Bad News in Nursing to the Readaptation Process in Palliative Care: A Scoping Review. Preprints 2024, 2024070651. https://doi.org/10.20944/preprints202407.0651.v1 Moura, T.; Ramos, A.; Sá, E.; Pinho, L.; Fonseca, C. Contributions of Communication and Management of Bad News in Nursing to the Readaptation Process in Palliative Care: A Scoping Review. Preprints 2024, 2024070651. https://doi.org/10.20944/preprints202407.0651.v1

Abstract

: Background. Delivering bad news is a sensitive and challenging aspect of nursing healthcare, requiring a holistic approach that respects patients' preferences, cultural values, and religious beliefs to promote adaptation to the state's health. Aim: map the evidence of the dimensions present in the communication and management of bad news by nurses, with the person in a palliative situation, their caregivers, and family members. Methods: Based on Joanna Briggs Institute methodology, the search was conducted through MEDLINE Complete (EBSCOhost), CINAHL Complete (EBSCOhost), SciELO, and Open Access Scientific Repository in Portugal. From a total of 756 articles, 14 were included, published between 2018 and 2023. Results: Structure components in bad news are influenced by the characteristics of the palliative patients, their caregivers, family members; nurses; and the organizational environment. Promoting the quality of the communication process is desirable through continuous and advanced training in end-of-life; training in bad news; religiously and culturally sensitive nursing interventions centered on hope and maintaining faith; emotional management; and utilization of a checklist protocol. Conclusions: Honest communication allows people to actively participate in the decision-making process and in the trajectory of the care plan that is focused on themselves and their preferences, which has outcomes in functional capacity and readaptation.

Keywords

Communication; bad news; nursing; palliative care; Readaptation

Subject

Public Health and Healthcare, Nursing

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