Is It Appropriate to Use Western Guidelines for Breaking Bad News in Non-Western Emergency Departments? a Patients’ Perspective

Is It Appropriate to Use Western Guidelines for Breaking Bad News in Non-Western Emergency Departments? a Patients’ Perspective Publisher

Labaf A¹ ; Jahanshir A¹ ; Baradaran H² ; Shahvaraninasab A³

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1. Department of Emergency medicine, Tehran University of Medical Sciences, Tehran, Iran
2. Department of Epidemiology and Evidence Based Health Care, Iran University of Medical Sciences, Tehran, Iran
3. Department of Emergency medicine, Aja University of Medical Sciences, Tehran, Iran

Source: Clinical Ethics Published:2015

Abstract

Objective: To find whether Western guidelines on breaking bad news in a nonemergency department are appropriate for an emergency department of a non-Western country; according to patients’ preferences. Method: We designed a 19 items questionnaire of Likert-type scale and interviewed 156 patients in the emergency department of a referral hospital in Iran. Results: The patients’ preferences in 9 out of 19 statements were similar to the guidelines. “Using the maternal language” received the strongest agreement. The strongest disagreement was on “encouraging the patients to talk after receiving bad news.” The summative scores of subsection indicated strong agreement for cultural issues, followed by communication skills, breaking bad news session, and privacy. Conclusion: The patients’ preferences were not completely consistent with the guidelines.We could not determine if it was a situational or cultural issue. However, it is reasonable to design a new guideline for breaking bad news, considering these factors. © The Author(s) 2015.

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Style	Citing Format
MLA	Labaf A, et al.. "Is It Appropriate to Use Western Guidelines for Breaking Bad News in Non-Western Emergency Departments? a Patients’ Perspective." Clinical Ethics, vol. 10, no. 1-2, 2015, pp. 13-21.
APA	Labaf A, Jahanshir A, Baradaran H, Shahvaraninasab A (2015). Is It Appropriate to Use Western Guidelines for Breaking Bad News in Non-Western Emergency Departments? a Patients’ Perspective. Clinical Ethics, 10(1-2), 13-21.
Chicago	Labaf A, Jahanshir A, Baradaran H, Shahvaraninasab A. "Is It Appropriate to Use Western Guidelines for Breaking Bad News in Non-Western Emergency Departments? a Patients’ Perspective." Clinical Ethics 10, no. 1-2 (2015): 13-21.
Harvard	Labaf A et al. (2015) 'Is It Appropriate to Use Western Guidelines for Breaking Bad News in Non-Western Emergency Departments? a Patients’ Perspective', Clinical Ethics, 10(1-2), pp. 13-21.
Vancouver	Labaf A, Jahanshir A, Baradaran H, Shahvaraninasab A. Is It Appropriate to Use Western Guidelines for Breaking Bad News in Non-Western Emergency Departments? a Patients’ Perspective. Clinical Ethics. 2015;10(1-2):13-21.
BibTex	@article{ author = {Labaf A and Jahanshir A and Baradaran H and Shahvaraninasab A}, title = {Is It Appropriate to Use Western Guidelines for Breaking Bad News in Non-Western Emergency Departments? a Patients’ Perspective}, journal = {Clinical Ethics}, volume = {10}, number = {1-2}, pages = {13-21}, year = {2015} }
RIS	TY - JOUR AU - Labaf A AU - Jahanshir A AU - Baradaran H AU - Shahvaraninasab A TI - Is It Appropriate to Use Western Guidelines for Breaking Bad News in Non-Western Emergency Departments? a Patients’ Perspective JO - Clinical Ethics VL - 10 IS - 1-2 SP - 13 EP - 21 PY - 2015 ER -

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