Author:
Safari Reza,Khashmin Mohammad Mehdi,Abdi Alireza
Abstract
Abstract
Background
Today, breaking the death of patients to their families has become one of the challenges for medical staff. Considering the lack of study in the pre-hospital emergency, the present study aimed to explore the experience of pre-hospital emergency personnel regarding the breaking death news to families.
Method
In this qualitative study with a descriptive phenomenological method, data were collected by purposeful sampling method through in-depth interviews with thirteen pre-hospital emergency personnel in Kermanshah and Kurdistan provinces. After recording and writing the interviews, the data were managed by MAQUDA-10 software and analyzed using the Collaizi approach.
Results
Of 13 participants, five from Kermanshah, eight from Kurdistan, and 12 (92%) were married. The mean age and work experience were 34.38 and 10.38 years, respectively. Five main extracted themes were 1) perceived stress, 2) challenge factors of breaking death news, 3) unnecessary actions, 4) death breaking precautions, and 5) BDN requirements. They were covered fifteen sub-themes.
Conclusion
In this study, emergency medical employees were always faced with stress and challenges to announce the patient's death to families, including the stress of violence against employees. Hereof, personnel had to take unnecessary care actions such as slow resuscitation to transfer the patient to the hospital.
Publisher
Springer Science and Business Media LLC
Reference52 articles.
1. Karimi Rahjerdi A, Nasiri B, Shamshiri AR. Study on Attitudes of Cancer Patients about Breaking Ways of Bad News. Bioethics Health Law J (BHL). 2017;1(2):49–54.
2. Back AL, Curtis JR. Communicating bad news. West J Med. 2002;176(3):177–80.
3. Labaf A, Jahanshir A, Amir Shahvaraninasab A. Difficulties in using Western guidelines for breaking bad news in the emergency department: the necessity of indigenizing guidelines for non-Western countries. Iran J Med Ethics History Med. 2014;7(1):4–11.
4. Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. SPIKES—a six-step protocol for delivering bad news: application to the patient with cancer. Oncologist. 2000;5(4):302–11.
5. Kazemi A. Medical environment, patient, and bad news. Strides Develop Med Educ. 2008;4(2):133–9.
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