Walker, Louise and Sivell, Stephanie ![]() |
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Abstract
Objective Breaking bad news (BBN) in healthcare is common. Guidelines abound but little is documented in an African context. We wanted to describe Zulu speaking patients’ BBN experience and assess their opinions of internationally recommended techniques. Methods BBN techniques were highlighted from the literature using systematic review methods. Semi-structured focus group interviews with Zulu speaking cancer patients were conducted. Data were analysed using Framework Analysis. Results Language concordance was central – regardless of whether this necessitated a nurse acting as translator. While non-abandonment, empathy and maintenance of hope was valued by participants, an oft-expressed belief in positive outcomes accounted for mixed responses to phrases implying ambiguity. In contrast, “I wish” phrases were appreciated. Silence received mixed responses with a strong dislike for silence as a front for non-disclosure. Conclusion Language-related concerns dictated the bulk of participants BBN perspectives. While cultural and linguistic differences exist, good communication skills, empathy and the maintenance of hope remain central. Practice Implications BBN in a language in which the patient is fluent, whether mediated or not, should be the standard of care. Cultural and linguistic variance must be born in mind and clinicians should become familiar with the preferences of the communities they serve.
Item Type: | Article |
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Date Type: | Publication |
Status: | Published |
Schools: | Medicine |
Publisher: | Elsevier |
ISSN: | 0738-3991 |
Date of First Compliant Deposit: | 26 January 2022 |
Date of Acceptance: | 17 January 2022 |
Last Modified: | 07 Nov 2023 06:41 |
URI: | https://orca.cardiff.ac.uk/id/eprint/146942 |
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