Communication of bad news in pediatrics: integrative review

Comunicación de malas noticias en pediatría: revisión integrativa

ABSTRACT

Objectives:

to identify the scientific evidence of the elements of communication in the process of communicating bad news in pediatrics.

Methods:

integrative review searched in the LILACS, PubMed and WoS databases. Primary studies in Portuguese, Spanish or English were included.

Results:

the evidence from the 40 studies were organized according to the elements of communication: sender (family and/or professional), receiver (family and/or child), message (bad or difficult news about diagnosis/prognosis; empathetically, honestly, objective, hopeful and available), channel (materials, quality, quantity and pace), context and effects (social and emotional changes), noise (feelings and language) and failures (silencing and misleading information).

Conclusions:

there is a need to prepare the institution and team, as well as the family and the child, in order to promote co-responsibility in this process, to minimize suffering and communication noise and to avoid failures, recognizing the child’s right to know their condition.

Descriptors:
Truth Disclosure; Health Communication; Diagnosis; Child Health; Pediatrics