Journal of Nursing Theory and Practice

[How to break medical bad news? The importance of the course for breaking medical bad news and an evaluation of his curriculum]


AUGUST 30, 2017

Journal of Nursing Theory and Practice - 2017;30(04)

[Breaking bad news to patients is a difficult task for health care professionals and there are many unsolved issues in this area. There are several ways of delivering bad news and the quality of the communication could affect the whole life of the patient. However the wrongly delivered bit of bad news could not only cause a crisis for the recipient but will create a stressful situation for the communicator. The course created at the University of Pécs, Faculty of Health Sciences is specified to the delivery of bad news with modern communication methods, which uses video feedback method to analyse and develop the participants’ communicational attitude, thus providing potent aid for the acquisition of the proper communicational techniques, from which both the patient and the care giver can profit.]



Further articles in this publication

Journal of Nursing Theory and Practice

[Workplace conflicts in health care]


[Health care requires the cooperation of many professions and often comes with stressful situations. Therefore conflicts might develop among health care providers more frequently. Moreover the staff is interdependent, which might be another source of conflicts. This phenomenon not only affects the crossing parties, but also triggers emotional changes in the individuals (anger, stress and negative emotions) and has long term consequences, too (medical malpractice, fluctuation, sick leaves, discontent patients and bad reputation of the institution). All these can have financial effects, e.g. law costs. The present publication discusses the different definitions of conflicts and explains their reasons and types. This article has a special focus on health-care team conflicts, their consequences and the possible management methods.]

Journal of Nursing Theory and Practice

[The importance of serum albumin level in patients with chronic renal disease on maintenance dialysis]

TÓTH Csitkovicsné Tünde, SZAKÁCS Gyuláné, KULCSÁR Imre

[The aim of the study: Evaluation of changes in serum albumin levels and their effects on mortality in chronic haemodialyzed (HD) population. Material and Methods: We analysed the serum albumin values and survival in 253 HD patients, in a retrospective observational study. Data were analyzed using Spearman-correlation, Cox-modell, endpoint analysis and Kaplan-meier analysis. Results: We did not find any significant correlation between serum albumin levels and gender or basic diseases, but the median serum albumin level was lower in patients with ages 65 years or older than in younger ones, and had decreased until observational period (5.4±3.0 years). Lower the serum albumin level the risk of mortality was higher (if the serum albumin level was <35 g/L versus >40 g/L), the HR was 5.69. Conclusions: The serum albumin level is a main indicator of the nutrition in dialyzed patients, but the target level would be different in older and younger patients. The serious malnutrition (lower serum albumin level) increases the risk of mortality in haemodialyzed patients.]

Journal of Nursing Theory and Practice

[Report of the 5th ETNA Conference]

PAPP Katalin

Journal of Nursing Theory and Practice

[Pearls of Nursing History: Remembering Mary Seacole]

VITTAY Fedineczné Katalin, PERKÓ Magdolna, SÖVÉNYI Ferencné

Journal of Nursing Theory and Practice

[The role of a weekly geriatric exercise programme in successful aging]

KOVÁCS Éva, VIRÁG Anikó, DUDÁS Flóra, ERDŐS Réka, PETRIDISZ Anna Niké, ROZS Franciska

[Objective: The aim of this retrospective study was to examine the effects of a weekly held group multicomponent exercise programme (consisting of aerobic, strengthening, flexibiliy, and balance exercises) on the functional abilities (muscle strength, walking speed, and static balance) among elderly people. Methods: Thirty eight older people were divided into two groups: the active group for those elderly who took part is the training for at least 2 years, and the inactive group for those who did not take part in the training before. The global muscle strength in the lower extremity was measured with the 5 sit-to-tand test, the walking speed was measured with the 4 meters walking test. To examine the static balance, we used the one-leg stance test. To determine the subjective well-being, a Visual Analog Scale was used. Results: The Active group was significantly better in 5 sit-to-tand test (t(36)=2,602; p=0,013; Cohen’d=0,99), and marginally significant difference was found in the 4 meters walking test (t(36)= 1,769; p=0,085; Cohen’d=0,66) to the benefit of the Active group. In the term of static balance, we could not find significant difference. Conclusions: This programme for elderly people is effective to improve the global lower limb muscle strenght and walking speed of the elderly, but not very effective in improving static balance.]

All articles in the issue

Related contents

Lege Artis Medicinae

[Education and psychological support of parents in cases of postnatally detected Down syndrome]

MÁTÉ Orsolya, KÍVÉS Zsuzsanna, OLÁH András, FULLÉR Noémi, PAKAI Annamária

[OBJECTIVE - Since the 60’s several publications dealt with the phenomenon how physicians inform parents of newborns about postnatal recognition of Down’s syndrome and the support they receive right after breaking the bad news. Howe - ver, the rest of these studies concentrated on surveying parental satisfaction, while relatively few international studies deal with the other side of the communicational situation, the opinion of the informer. Our study focused on the circumstances of parental information in Hungarian institutions of obstetrics in order to evaluate the possibilities for interventions. METHODS - The Down’s team operating at the University of Pécs Faculty of Health Sciences carried out a national survey in 2005 - an interview-based questionnaire filled by physicians of institutions of obstetrics - with the help of the National Register for Congenital Diseases of the National Centre for Epidemiology and Down’s Foun dation. RESULTS - The coverage of the survey reached 74%. Rest of the surveyed institutions did not have information protocol, however, 70% of them believes it would be necessary. Only 44% of the physicians received communication training and 81% of them believe they can manage communication, 33% have felt that the mother of a newborn with Down’s syndrome would expect special help that the institutions are unable to provide. CONCLUSION - There are serious problems with the circumstances of parental informing in Hungarian institutions of obstetrics. This situation would obviously require intervention. An aimed communicational training based on international experience and exploiting the openness of physicians, as well as the establishment of information protocol could be elements of such intervention.]

Journal of Nursing Theory and Practice

[Nursing Aspects of Communication with Conscious Patients Receiving Mechanical Ventilation]


[Aim of the study: The authors aimed to represent the verbal and non-verbal communication of intensive care unit nurses and reveal the difficulties they face when communicating with conscious patients receiving mechanical ventilation. Sample and methods: The study was conducted with the participation of nurses working in three intensive care units of Semmelweis University, with the use of a questionnaire that was filled in by 59 nurses. Results: There was a significant difference in the quality of communication between the day shift and the night shift (p<0.001). The workload of nurses has an impact on the effectiveness of their communication. The number of patients in the day shift (p=0.016) is also crucial and having a part-time job is determinant in the night shift (p=0,026). In both shifts, burnout of nurses had considerable effect on their communication with conscious patients who receive mechanical ventilation (day shift p=0.007; night shift=0.030), while their empathy did not. Conclusions: The environmental factors influenced the effectiveness of communication. Establishing contact with patients receiving mechanical ventilation can be improved by appropriate education of nurses, thus, the authors put forward a proposal for trainings on the subjects of communication and counselling.]

Journal of Nursing Theory and Practice

[Scientific reporting in health science]

BETLEHEM József, BONCZ Imre, OLÁH András

[Health science professionals are increasingly expected to addressing professional problems to scientifi c standards, and to present the results to the professional community. Specialists with higher-education qualifi cations must not only be capable of reading scientific papers, but must also be capable of carrying out studies of this type themselves, and communicate the results. The purpose of this essay is to describe the historical antecedents to medical and health science papers, the milestones in the evolution of the scientifi c essay, and today’s observable trends in the writing of professional papers. The authors, with a review of specialist literature, summarise the main genre-specifi c features of today’s publications, and also make reference to their suitability for use in health science papers. In addition to written papers they also touch on the fi ner points of lecturing and poster design, with the aim of facilitating the presentation, both at home and abroad, of scientifi cally studied practical healthcare problems.]

Journal of Nursing Theory and Practice

[How to break sensitive news in the Ophthalmology, specifically at diabetic retinopathy ]

TÓTH Lívia, BÁLINT Zsófia, MÁTÉ Orsolya

[The aim of the study: To investigate the circumstances of breaking bad news by health care professionals and the conditions of communication at the Ophthalmology Clinic of the University of Pécs, among diabetic retinopathy patients. Material and method: Quantitative and cross-sectional examination, February-December 2018. Statistical methods: descriptive and mathematical statistics (χ2-test), SPSSv22, (p<0,05). Results: Most of the examined medical professionals working at the clinic (20 persons/90.90%) can’t be supported by a protocol for breaking bad news, however, the need for a protocol is formulated as more than half of the respondents (11 persons/59.09%). Conclusions: Health care professionals would need to develop a protocol to break bad news in health care institutions, also in the Clinic of Ophthalmology, furthermore, attention should be paid to improving the circumstances during providing information to patients.]

Lege Artis Medicinae

[Assessment of multidisciplinary teams in psychiatric care – Lessons of three focus groups ]

MOLNÁR László, ZANA Ágnes, GYŐRFFY Zsuzsa, SZVATH Petra

[Our research group, has studied psychiatric and psycho­the­ra­peutic teams since 2015. The aim of the present research was to identify the Hun­garian characteristics of team composition and operation. Qualitative focus group survey has been conducted on the operation of multidisciplinary teams at the annual conferences of the Hungarian Psychiatric Society in 2017, 2018 and 2019. These three groups focused on the issues of leadership, communication within the team, and competencies. The groups of an average of 17 people formed spontaneously by participation of professionals with different qualifications. The main results of the focus groups were as follows: 1. The various ty­pes of leadership within the team require the distribution and allocation of res­pon­si­bilities and roles and stop the dest­­ruc­tions. 2. Wi­thin the teams there are pre­vai­ling the informal channels of communication. 3. It is im­portant to clarify com­petencies and responsibilities. 'Actually, psy­chiat­ric spe­cia­lists' list of competencies there is not available in Hungary. It seems necessary to define more precisely and reconsider the professional competences of the specialized training in psychiatry and integrating these in the education, further promote the development of „list of competences in psychiatric specialization” by the legislators. The second phase of the research continues as a quantitative study based on the foregoing results gained by questionnaires. ]