Communicating bad news: an integrative review of the nursing literature - Revista Brasileira de Enfermagem

ABSTRACT

Objectives:

describe how the process of breaking bad news is established and identify how nurses approach the task of giving bad news.

Method:

integrative review of the literature for articles in Portuguese and English published between 1993-2014, in the databases: Bireme, PubMed, Scopus, Web of Science, CINAHL and Embase. Nine articles were included using the selection flow chart. A digital form was completed for each article according to the Consolidated Criteria for Reporting Qualitative Research checklist and the level of scientific evidence was determined.

Results:

Of the 99 articles in identified, nine were included after applying the selection flowchart.

Discussion:

breaking bad news is frequent in the area of oncology and palliative care, with a strong cultural influence on the autonomy of nurses in this process.

Conclusion:

the approach and skills of the nurse during this task influences the patient’s reaction to the message. The theme is scarce in the literature and merits further investigation.