Showing 3 results for Truth Telling
Ahmad Ezadi, Esmaeil Mohammadnejad, Seyedeh Roghayeh Ehsani,
Volume 6, Issue 1 (4-2013)
Abstract
Truth telling is relaying the appropriate information to patients so that they can make informed decisions about their care and treatment. Truth encompasses all aspects of personal health. Due to inadequacy of research on the subject, the present study was conducted aiming to examine the phenomenology of truth telling based on nurses’ experiences.
A phenomenological qualitative approach was used in the year 2011-12 in a teaching hospital in Tehran. A sample of nurses was chosen based on the purposeful sampling method. Sample size was dependent on the data saturation with a total of 14 participants at the end. Data gathering was done using deep interviews, and the data was later analyzed through Celasi method.
Findings based on the nurses’ experiences of truth telling were extracted in 12 sub concepts and two main themes of reinforcing factors and obstacles to truth telling. According to these findings, nurses need to be informed of the patients’ conditions and be familiar with the appropriate methods and techniques for communication and transmission of bad news to patients in order to provide the best care, and this contributes to improvement of the performance of nurses.
Ali Labaf, Amirhossein Jahanshir, Amir Amir Shahvaraninasab,
Volume 7, Issue 1 (5-2014)
Abstract
Breaking bad news is one of the most difficult tasks an emergency physician has to perform and unfortunately it is not well studied. Almost all of the original studies for compilation of the guidelines of breaking bad news have been conducted in a non-emergent situation and were physician-oriented. In this study and by reviewing related articles in medical databases, the authors try to show the necessity of adapting these guidelines into the situation of the emergency departments and indigenizing them for non-Western countries. This can be the first step to design a guideline for the emergency department.The different nature of bad news and the chaotic situation in the emergency departments are the two most important points that may prevent using these guidelines in the emergency departments.
On the other hand, breaking bad news guidelines are designed based on Western cultures and their application in a non-Western country may decrease their effectiveness.To the best of our knowledge, there is no national guideline for breaking bad news in Iran. There is a long way to go before we can suggest a national guideline for emergency departments, so we recommend using one of the Western guidelines and indigenizing it according to the Iranian culture and emergency situations.
Bentolhoda Shirazi Sader , Siamak Afahin Majd , Shiva Rafati, Zahra Poshtchaman, Nahid Rejeh,
Volume 11, Issue 0 (3-2018)
Abstract
Considering the increasing prevalence of the malignant diseases and their great effects on the different aspects of the patients’ life and even their family, the disclosure of its diagnosis and trust telling to the patients have been changed to one of the main medical ethics challenges. This study aimed for the evaluation of patient’s tendency and their family to disclosure of malignant disease. This study was a cross-sectional research. It has been done with a questionnaire on the 270 people. The sample consisted of three groups: 100 patients without cancer disease, 100 patients’ family members, and 70 patients with cancer disease, who referred to Mustafa Khomeini Hospital. The data were analyzed through SPSS-16 software in this study, 74% of the patients with cancer and 85% of patients without cancer and 50% of patients’ families had tendency to know the diagnosis of malignant disease. In the case of prognosis, 39% of cancer patients and 75% of without cancer patients, were agreed to complete knowledge, and 42% of cancer patients and 22% of without cancer patients, agreed on relative knowledge. Regarding the result of this study and respecting the individuals' rights, it seems better for the patients with malignant disease to be informed of their diagnosis and prognosis by the health care workers. Furthermore, it would be better to implement strategies for improvement of patient-physician relationship through physicians' communication skills with patients.
