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Challenges in delivering bad news in a multi-ethnic intensive care unit: An ethnographic study. / Van Keer, Rose-Lima; Deschepper, Reginald; Huyghens, Luc; Bilsen, Johan.

In: Patient Education and Counseling, Vol. 102, No. 12, 12.2019, p. 2199-2207.

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@article{00f7e2d3874349ad8ff06aa1c2372535,
title = "Challenges in delivering bad news in a multi-ethnic intensive care unit: An ethnographic study",
abstract = "Objective: During critical care, physicians are frequently confronted with bad-news communication because of patients’ frail conditions. Delivering bad news is not easy, certainly not when patients from ethnic minority groups are involved. In this study we investigate the delivery of bad news in a multi-ethnic critical care context. Methods: Ethnographic fieldwork in one intensive care unit of a multi-ethnic urban hospital in Belgium. Data were collected through negotiated interactive observation, in-depth interviews and from reading patients’ medical records. Data were thematically analysed. Results: Bad-news communication was primarily dominated by physicians. Patients’ and relatives’ input and other professionals’ involvement in the communication was limited. Staff encountered ethno-cultural related difficulties, firstly, in choosing suitable conversation partner(s); secondly, in choosing the place of conversations and thirdly, in the information exchange. Staff usually tried to address these problems themselves on the spot in a quick, pragmatic way. Sometimes their approaches seemed to be more emotion-driven than well thought-out. Conclusion: Delivering bad news in a multi-ethnic intensive care unit has a number of specific difficulties. These can have negative consequences for parties involved. Practice implications: The challenges of an adequate delivery of bad news need a team-approach and a well thought-out protocol.",
keywords = "Communication, Communication barriers, Cultural diversity, Delivering bad news, End-of-life communication, End-of-life decision making, Ethnic minorities, Intensive care",
author = "{Van Keer}, Rose-Lima and Reginald Deschepper and Luc Huyghens and Johan Bilsen",
year = "2019",
month = "12",
doi = "https://doi.org/10.1016/j.pec.2019.06.017",
language = "English",
volume = "102",
pages = "2199--2207",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "12",

}

RIS

TY - JOUR

T1 - Challenges in delivering bad news in a multi-ethnic intensive care unit: An ethnographic study

AU - Van Keer, Rose-Lima

AU - Deschepper, Reginald

AU - Huyghens, Luc

AU - Bilsen, Johan

PY - 2019/12

Y1 - 2019/12

N2 - Objective: During critical care, physicians are frequently confronted with bad-news communication because of patients’ frail conditions. Delivering bad news is not easy, certainly not when patients from ethnic minority groups are involved. In this study we investigate the delivery of bad news in a multi-ethnic critical care context. Methods: Ethnographic fieldwork in one intensive care unit of a multi-ethnic urban hospital in Belgium. Data were collected through negotiated interactive observation, in-depth interviews and from reading patients’ medical records. Data were thematically analysed. Results: Bad-news communication was primarily dominated by physicians. Patients’ and relatives’ input and other professionals’ involvement in the communication was limited. Staff encountered ethno-cultural related difficulties, firstly, in choosing suitable conversation partner(s); secondly, in choosing the place of conversations and thirdly, in the information exchange. Staff usually tried to address these problems themselves on the spot in a quick, pragmatic way. Sometimes their approaches seemed to be more emotion-driven than well thought-out. Conclusion: Delivering bad news in a multi-ethnic intensive care unit has a number of specific difficulties. These can have negative consequences for parties involved. Practice implications: The challenges of an adequate delivery of bad news need a team-approach and a well thought-out protocol.

AB - Objective: During critical care, physicians are frequently confronted with bad-news communication because of patients’ frail conditions. Delivering bad news is not easy, certainly not when patients from ethnic minority groups are involved. In this study we investigate the delivery of bad news in a multi-ethnic critical care context. Methods: Ethnographic fieldwork in one intensive care unit of a multi-ethnic urban hospital in Belgium. Data were collected through negotiated interactive observation, in-depth interviews and from reading patients’ medical records. Data were thematically analysed. Results: Bad-news communication was primarily dominated by physicians. Patients’ and relatives’ input and other professionals’ involvement in the communication was limited. Staff encountered ethno-cultural related difficulties, firstly, in choosing suitable conversation partner(s); secondly, in choosing the place of conversations and thirdly, in the information exchange. Staff usually tried to address these problems themselves on the spot in a quick, pragmatic way. Sometimes their approaches seemed to be more emotion-driven than well thought-out. Conclusion: Delivering bad news in a multi-ethnic intensive care unit has a number of specific difficulties. These can have negative consequences for parties involved. Practice implications: The challenges of an adequate delivery of bad news need a team-approach and a well thought-out protocol.

KW - Communication

KW - Communication barriers

KW - Cultural diversity

KW - Delivering bad news

KW - End-of-life communication

KW - End-of-life decision making

KW - Ethnic minorities

KW - Intensive care

UR - http://www.scopus.com/inward/record.url?scp=85068164843&partnerID=8YFLogxK

U2 - https://doi.org/10.1016/j.pec.2019.06.017

DO - https://doi.org/10.1016/j.pec.2019.06.017

M3 - Article

VL - 102

SP - 2199

EP - 2207

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 12

ER -

ID: 46169914