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

Tranberg, Mattias LU orcid and Brodin, Eva LU orcid (2023) In Qualitative Health Research 33(14). p.1349-1359
Abstract
The purpose of this study was to develop deeper knowledge about physicians’ lived experiences of breaking bad news by identifying their common meanings and inter-relatedness 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... (More)
The purpose of this study was to develop deeper knowledge about physicians’ lived experiences of breaking bad news by identifying their common meanings and inter-relatedness 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 badnews. As such, our findings are important to enable broader learning in, for example, medical education and continuing courses for clinical staff. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Communication, Phenomenology, Physicians, Patients, Serious illness communication
in
Qualitative Health Research
volume
33
issue
14
pages
1349 - 1359
publisher
SAGE Publications
external identifiers
  • scopus:85173752346
ISSN
1049-7323
DOI
10.1177/10497323231197534
language
English
LU publication?
yes
id
f9c4a1a4-fd11-45f4-9391-b36154f19069
date added to LUP
2023-10-05 14:43:07
date last changed
2024-01-09 15:45:56
@article{f9c4a1a4-fd11-45f4-9391-b36154f19069,
  abstract     = {{The purpose of this study was to develop deeper knowledge about physicians’ lived experiences of breaking bad news by identifying their common meanings and inter-relatedness 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 badnews. As such, our findings are important to enable broader learning in, for example, medical education and continuing courses for clinical staff.}},
  author       = {{Tranberg, Mattias and Brodin, Eva}},
  issn         = {{1049-7323}},
  keywords     = {{Communication; Phenomenology; Physicians; Patients; Serious illness communication}},
  language     = {{eng}},
  month        = {{10}},
  number       = {{14}},
  pages        = {{1349--1359}},
  publisher    = {{SAGE Publications}},
  series       = {{Qualitative Health Research}},
  title        = {{Physicians’ Lived Experience of Breaking Bad News in Clinical Practice: : Five Essentials of a Relational Process}},
  url          = {{https://lup.lub.lu.se/search/files/160354347/tranberg_brodin_2023_physicians_lived_experience_of_breaking_bad_news_in_clinical_practice_five_essentials_of_a.pdf}},
  doi          = {{10.1177/10497323231197534}},
  volume       = {{33}},
  year         = {{2023}},
}