WELLCOME

TOPICS OF PRESENTATION
Abstract
1 PRESENTED BY: RIMSHA JABEEN (BS MLT)
NOOR FATIMA (BS MLT)

Introduction
2 PRESENTED BY: ZAHRA PARVEEN (BS MIT)
ROHAIT (BS MLT)

Literature Review
3 PRESENTED BY :RIMSHA JABEEN (BS MLT)
NOOR FATIMA (BS MLT)

Discussions & Conclusion:

4 PRESENTED BY: SADIA ABBAS (BS MIT)
 questionnaire to gauge the significance of addressing emotions for patients and their attendants.

ABSTRACT

Introduction & Background: Mmethodology:

• Importance of breaking bad news • quantitative approach
in healthcare. • PANAS
• Impact on patients' emotional
well-being and trust.

Results: Significance:
• ESSENTIAL TO PRIORITIZE EMPATHETIC • Implications for healthcare providers
AND INFORMATIVE COMMUNICATION. and policymakers both practical and
theoretical.
• Need for effective communication
strategies when breaking bad news.

Keywords:
BREAKING BAD NEWS, COMMUNICATION, TRUST, EMOTIONS, HEALTHCARE PROVIDERS, PATIENT CARE, EMPATHETIC COMMUNICATION, INFORMATIVE
COMMUNICATION.
 INTRODUCTIO
N
Background Information:
EFFECTIVE COMMUNICATION IN HEALTHCARE IS CRUCIAL.
SIGNIFICANTLY INFLUENCES PATIENT TRUST AND EMOTIONS.
IMPACTS PATIENT EXPERIENCES AND EMOTIONAL WELL-BEING.
CAUSES PSYCHOLOGICAL DISTRESS FOR HEALTHCARE
PROFESSIONALS.
Research Problem or Question:
EXPLORES THE RELATIONSHIP BETWEEN COMMUNICATION,
PATIENT TRUST, AND EMOTIONS.
FOCUSES ON DELIVERING BAD NEWS IN HEALTHCARE
SETTINGS.
Rationale and Justification:
GUIDE HEALTHCARE PROVIDERS, POLICYMAKERS,
AND EDUCATORS.
IMPROVE COMMUNICATION SKILLS, BUILD TRUST,
AND SUPPORT PATIENTS EFFECTIVELY.
Literature Review:
DELIVERY OF BAD NEWS IS CRITICAL.
AFFECTS PATIENT'S EMOTIONAL RESPONSE AND TRUST.
REQUIRES EMPATHY, SUPPORT, AND CLEAR
COMMUNICATION.
Objectives of the Study:
IDENTIFY BEST PRACTICES FOR COMMUNICATION
DURING DIFFICULT TIMES.
ENHANCE PATIENT EXPERIENCES BY EXAMINING
DIFFERENT COMMUNICATION STYLES AND
STRATEGIES.
Conclusion:
THE STUDY CONTRIBUTES TO HEALTHCARE
COMMUNICATION.
PROMOTES UNDERSTANDING OF EFFECTIVE
COMMUNICATION TO FOSTER TRUST, MANAGE
EMOTIONS, AND IMPROVE PATIENT OUTCOMES.
PROVIDES PRACTICAL GUIDANCE FOR HEALTHCARE
PROFESSIONALS.
 LITERATURE REVIEW

Introduction:

THE PROCESS OF BREAKING BAD NEWS TO PATIENTS INVOLVES DELIVERING INFORMATION ABOUT A DIAGNOSIS, PROGNOSIS, OR
TREATMENT THAT SIGNIFICANTLY IMPACTS THE PATIENT'S LIFE AND EMOTIONAL WELL-BEING.
THIS LITERATURE REVIEW EXPLORES EXISTING RESEARCH ON THE IMPACT OF COMMUNICATION STRATEGIES ON PATIENTS' TRUST AND
EMOTIONS WHEN RECEIVING BAD NEWS, IDENTIFIES KEY FINDINGS, AND HIGHLIGHTS RESEARCH GAPS THAT WARRANT FURTHER
INVESTIGATION.

Body:
Defining Bad News:

DEFINITION BY BUCKMAN (1984) :

ANY INFORMATION THAT NEGATIVELY ALTERS A PATIENT'S PERCEPTION OF THEIR FUTURE.

SCHOFIELD 2003 & VOS AND DE HAES 2007 :

THEY NOTED THAT SUCH NEWS OFTEN EVOKES EMOTIONS LIKE SHOCK, FRIGHT, AND SADNESS.
 THE ROLE OF COMMUNICATION IN
01
Baile (2000)
EMPHASIZE THE IMPORTANCE
OF EMPATHY, CLARITY, AND
HONESTY IN COMMUNICATION,
SUGGESTING THAT THESE
ELEMENTS HELP BUILD AND
MAINTAIN TRUST EVEN IN
DIFFICULT CONVERSATIONS.
PATIENT TRUST
02
Buckman (2005)
PATIENTS ARE MORE LIKELY TO
TRUST PHYSICIANS WHO
DEMONSTRATE GENUINE CONCERN
AND PROVIDE INFORMATION IN A
COMPASSIONATE AND
UNDERSTANDABLE MANNER.
03
Ptacek and Eberhardt
(1996)
PATIENTS WHO PERCEIVE
THEIR PHYSICIANS AS
EMPATHETIC AND
TRANSPARENT DURING BAD
NEWS DISCUSSIONS ARE
MORE LIKELY TO MAINTAIN
TRUST.
 EMOTIONAL IMPACT ON
PATIENTS

Fallowfield and Jenkins SPIKES protocol (2000) Butow (1996) Parker (2001)
BREAKS protocol
(2004)
2010
HIGHLIGHT THAT USING A PROVIDES A STRUCTURED PATIENTS WHO RECEIVED PATIENTS WHO SYSTEMATIC AND EASY
PATIENT-CENTERED APPROACH TO BREAKING BAD NEWS FROM EXPERIENCED COMMUNICATION
APPROACH, WHERE THE BAD NEWS THAT PHYSICIANS TRAINED IN COMPASSIONATE AND STRATEGY FOR BREAKING
HEALTHCARE PROVIDER ADDRESSES EMOTIONAL EMPATHETIC CLEAR COMMUNICATION BAD NEWS.
ACTIVELY LISTENS AND NEEDS AND HAS BEEN COMMUNICATION REPORTED BETTER
RESPONDS TO PATIENTS' SHOWN TO IMPROVE REPORTED LOWER LEVELS EMOTIONAL ADJUSTMENT
CONCERNS, CAN PATIENTS' EMOTIONAL OF ANXIETY AND AND WERE MORE LIKELY
SIGNIFICANTLY REDUCE OUTCOMES. DEPRESSION. TO ENGAGE IN FUTURE
ANXIETY AND EMOTIONAL HEALTHCARE
 RESEARCH GAPS AND FUTURE
DIRECTIONS
01 02
EXAMINING THE INVESTIGATING THE
COMPARATIVE INTERPLAY BETWEEN
EFFECTIVENESS OF VARIOUS EMPATHY, INFORMATION
RESPONSE STRATEGIES IN DELIVERY, AND AUTHORITY
DIFFERENT MEDICAL IN INFLUENCING PATIENT
SCENARIOS. TRUST AND EMOTIONS.
03
DEVELOPING GUIDELINES
TO HELP PHYSICIANS
TAILOR THEIR
COMMUNICATION
STRATEGIES TO
INDIVIDUAL PATIENT
NEEDS AND SCENARIOS.
 Conclusion:

THE REVIEWED LITERATURE UNDERSCORES THE PIVOTAL ROLE OF EFFECTIVE COMMUNICATION IN

SHAPING PATIENT TRUST AND EMOTIONS, ESPECIALLY DURING THE DELIVERY OF CHALLENGING
NEWS.

ADDRESSING THE IDENTIFIED RESEARCH GAPS BY EXPLORING SPECIFIC COMMUNICATION

STRATEGIES, NON-VERBAL CUES, AND CULTURAL CONSIDERATIONS WILL ENHANCE THE ABILITY
OF HEALTHCARE PROVIDERS TO NAVIGATE SENSITIVE SITUATIONS WITH PROFESSIONALISM AND
EMPATHY.

FUTURE RESEARCH IN THESE AREAS WILL CONTRIBUTE TO A MORE COMPREHENSIVE

UNDERSTANDING OF EFFECTIVE COMMUNICATION IN HEALTHCARE, ULTIMATELY IMPROVING
PATIENT OUTCOMES.
 DISCUSSIONS & CONCLUSION
Summary of Key Findings
1 POOR COMMUNICATION SIGNIFICANTLY DIMINISHES PATIENT TRUST AND
INCREASES ANXIETY, STRESS, AND FEELINGS OF HOPELESSNESS.
Importance of enhancing communication skills among healthcare providers

Interpretation of Results
2 COMMUNICATION'S CRITICAL ROLE IN PATIENT TRUST.
Emotional responses shaped by communication style.
Comparison with previous studies: consistency in findings

Implications of the Study

3 • THEORETICAL IMPLICATIONS:
CONTRIBUTION TO UNDERSTANDING THE IMPACT OF COMMUNICATION
• PRACTICAL IMPLICATIONS:
NEED FOR IMPROVED COMMUNICATION TRAINING
ENHANCING PATIENT CARE
REDUCING EMOTIONAL DISTRESS

4 Limitations:
SAMPLE SIZE AND METHODOLOGICAL CONSTRAINTS.
Subjectivity in measuring emotional responses.

5 Recommendations for Future Research

CONDUCT LONGITUDINAL STUDIES.
01 02 03 04 05
Expand research to multiple healthcare settings.
Include diverse patient populations.

Infographic
 SPIKES PROTOCOL
S - Setting
Choose a private and quiet setting-
Ensure adequate time and minimal K – Knowledge
interruptions.
Sit down with the patient and maintain DELIVER THE NEWS CLEARLY AND HONESTLY,
eye contact. AVOIDING JARGON AND EUPHEMISMS- USE
SIMPLE LANGUAGE AND AVOID LEADING WITH
FALSE HOPE- BE SPECIFIC AND DIRECT, BUT
ALSO EMPATHETIC AND COMPASSIONATE.

P - Perception E – Empathy
ASSESS THE PATIENT'S UNDERSTANDING EXPRESS UNDERSTANDING AND VALIDATION OF
AND PERCEPTION OF THEIR SITUATION- THE PATIENT'S EMOTIONS- USE EMPATHETIC
Ask open-ended questions to clarify their PHRASES LIKE "I CAN IMAGINE HOW DIFFICULT
knowledge and concerns THIS MUST BE FOR YOU" OR "THAT MUST BE
VERY TOUGH FOR YOU"- SHOW EMOTIONAL
SUPPORT AND CONCERN.
I - Invitation S - Support
ASK PERMISSION TO SHARE NEWS OR OFFER SUPPORT AND RESOURCES, SUCH AS
INFORMATION- COUNSELING OR SOCIAL SERVICES- DISCUSS
Use phrases like "May I share some information NEXT STEPS AND FOLLOW-UP CARE-
with you?" or "Is it okay if I tell you what's ENCOURAGE QUESTIONS AND PROVIDE
going on?" CLEAR INSTRUCTIONS.