life could bring an emotional imbalance to the nurse’s experience, which was harder to resolve and rationalise. 3.4 Ways to break significant news Participants describe working in partnership with the patient to understand what it is that patients want from them by listening carefully to the patient’s needs: you do listen, you do try to understand, then very often you can ‘...if work as a partnership and that’s when best care takes place, because you can, you can work at their pace. You can make plans for how they would like things to be and that empowers them, you know, rather than taking the power away and telling them what’s going to happen.’(7:310-314) The above participant describes the skill of listening to the patient and forming a picture of what is best care for the patient such as not rushing them and working alongside the patient at their pace. To participant 7 knowing how the patient would like their care to be she describes as empowering and enables her to develop a plan of what the patient would like to happen rather than telling them what to do. Participant 5 cited principles of BSN, including giving a warning shot, leaving hope, choosing an appropriate time and trying not to disclose all in one go and especially not lying to the patient. According to participant 5 unexpected, significant news delivered without hope, could lead to severe distress: all know the right ways of doing things, warning shots, and ‘...we giving information but, and not lying to people, but I think sometimes not completely destroying all hope for them.’(5:71-73) Participant 6 identified several qualities and skills that contribute to BSN such as: being compassionate, talking in language”, being human and having a plan: “simple like to think I do it with compassion and I do it sort of slowly but I ‘I speak very clearly about it. ... I’m not sort of wrapping it up in all sorts of words, ... so I think people are able to sort of maybe take it on board as, as much as they possibly can because it’s sort of I put it in a simple language.’(6:49-55) Participant 6 describes being compassionate but also being clear when she delivers the significant news so it is not complicated by too many words and it is presented simply. Most of all she does it slowly so she is not rushed and it gives the
life could bring an emotional imbalance to the nurse’s experience, which was harder to resolve and rationalise. 3.4 Ways to break significant news Participants describe working in partnership with the patient to understand what it is that patients want from them by listening carefully to the patient’s needs: ‘...if you do listen, you do try to understand, then very often you can work as a partnership and that’s when best care takes place, because you can, you can work at their pace. You can make plans for how they would like things to be and that empowers them, you know, rather than taking the power away and telling them what’s going to happen.’(7:310-314) The above participant describes the skill of listening to the patient and forming a picture of what is best care for the patient such as not rushing them and working alongside the patient at their pace. To participant 7 knowing how the patient would like their care to be she describes as empowering and enables her to develop a plan of what the patient would like to happen rather than telling them what to do. Participant 5 cited principles of BSN, including giving a warning shot, leaving hope, choosing an appropriate time and trying not to disclose all in one go and especially not lying to the patient. According to participant 5 unexpected, significant news delivered without hope, could lead to severe distress: ‘...we all know the right ways of doing things, warning shots, and giving information but, and not lying to people, but I think sometimes not completely destroying all hope for them.’(5:71-73) Participant 6 identified several qualities and skills that contribute to BSN such as: being compassionate, talking in “simple language”, being human and having a plan: ‘I like to think I do it with compassion and I do it sort of slowly but I speak very clearly about it. ... I’m not sort of wrapping it up in all sorts of words, ... so I think people are able to sort of maybe take it on board as, as much as they possibly can because it’s sort of I put it in a simple language.’(6:49-55) Participant 6 describes being compassionate but also being clear when she delivers the significant news so it is not complicated by too many words and it is presented simply. Most of all she does it slowly so she is not rushed and it gives the
Breaking%20Significant%20Newsfinal6.docx