Knowledge And Attitude Of A Sample Of Iraqi Doctors About Breaking Bad News To Patients In Baghdad Teaching Hospital And Specialized Surgical Hospital In Medical City

Authors

  • Shahad Hussein Kadhim Diploma of respiratory medicine, Babylon health directorate, Babylon province, Iraq.
  • Nibras Salih Ismael Diploma of respiratory medicine, Babylon health directorate, Babylon province, Iraq

DOI:

https://doi.org/10.48165/sajssh.2024.6409

Keywords:

Knowledge, Attitude, Iraqi doctors, breaking bad news, Baghdad Teaching Hospital.

Abstract

Background: Bad news is any bad, sad, or significant information that negatively alters people’s expectations or perceptions of their present or Future. Objectives: to explore the level  of knowledge and attitude toward Break bad news to patients among sample of Iraqi doctors. Methods: A cross-sectional study was conducted at Baghdad teaching hospital and specialized  surgical hospital in Baghdad Medical City from first of January 2019 till end of July 2019. A  convenient sample of 300 Iraqi doctors (resident, specialists, and consultants) participated; they were selected through random sampling, and data were collected by using a self administered questionnaire adopted from a previous study with some modifications. Results: A total of 300 doctors included in this study, males were 158 (52.7%) while females were  142(47.3). The majority of participants were resident form 194(64.7%). The training status of  doctors revealed that the majority of them 204(68.0%) had not been trained about breaking bad  news while only 96(32%) of doctors included in a training course, about 28(29.2%) received  the course during undergraduate while the rest 68(70.8%) received it during postgraduate.  Conclusion and Recommendations: Only one third of them participate in training course  about it. Doctors who received training course undergraduate have better score. The overall  attitude score was fair and its associated with medical degree, consultant doctors get better  attitude score. The study recommends that the Medical College should present educational  courses on how to break bad news to undergraduate students during clinical years. 

References

Alelwani, S. M., & Ahmed, Y. A. (2014). Medical training for communication of bad news: A literature review. Journal of Education and Health Promotion, 3, 51. https://doi.org/10.4103/2277-9531.134737

Alghidany, A., Aboalshamat, A., Alghamdi, H., Qamloo, L., & Karam, W. (2017). Assessment of attitude of breaking bad news among physician and interns in Jeddah, Saudi Arabia. International Journal of Management and Applied Science, 3.

Aljubran, A. H. (2010). The attitude towards disclosure of bad news to cancer patients in Saudi Arabia. Annals of Saudi Medicine, 30(2), 141–144. https://doi.org/10.4103/0256-4947.60520

Al-Mohaimeed, A. A., & Sharaf, F. K. (2013). Breaking bad news issues: A survey among physicians. Oman Medical Journal, 28(1), 20–25. https://doi.org/10.5001/omj.2013.05

Alsaad, S., & AlShammari, O. (2017). Breaking bad news: Knowledge, attitude and practice of physicians at King Fahad Specialist Hospital-Dammam, Saudi Arabia. International Journal of Scientific Research. https://www.worldwidejournals.com/international-journal-of-scientific-research

Alshammary, S. A., Hamdan, A. B., Saleem, L. M., Ratnapalan, S., & Duraisamy, B. Physicians' perceptions of breaking bad news to cancer patients and family. Journal of Health Specialties, 1(5):192–198. https://doi.org/10.4103/jhs.JHS_57_17

Arbabi, M., Roozdar, A., Taher, M., Shirzad, S., Arjmand, M., Mohammadi, M. R., Nejatisafa, A. A., Tahmasebi, M., & Roozdar, A. (2010). How to break bad news: Physicians' and nurses' attitudes. Iranian Journal of Psychiatry, 5(4), 128–133.

Arnold, S. J., & Koczwara, B. (2006). Breaking bad news: Learning through experience. Journal of Clinical Oncology, 24(31), 5098–5100. https://doi.org/10.1200/JCO.2006.08.6355

Bukhari, A. (2018). Breaking bad news: Current practices in hospitals. Orthopedics and Rheumatology Open Access Journal. https://doi.org/10.19080/OROAJ.2018.11.555808

Chan, D., & Goh, L. G. (2000). The doctor-patient relationship: A survey of attitudes and practices of doctors in Singapore. Bioethics, 14(1), 58–76. https://doi.org/10.1111/1467-8519.00180

Del Pozo, P. R., Fins, J. J., Helmy, I., El Chaki, R., El Shazly, T., Wafadari, D., & Mahfoud, Z. (2012). Truth-telling and cancer diagnoses: Physician attitudes and practices in Qatar. The Oncologist, 17(11), 1469–1474.

Ferine, M., Rahayu, G., & Claramita, M. (2017). Identifying doctors' problems in breaking bad news: An initial step in developing recommendations for the curriculum. Jurnal Pendidikan Kedokteran Indonesia, 6(2), 108–115. https://doi.org/10.22146/jpki.32255

Ferreira da Silveira, F. J., Botelho, C. C., & Valadão, C. C. (2017). Breaking bad news: Doctors’ skills in communicating with patients. São Paulo Medical Journal, 135(4), 323–331.

Hagerty, R. G., Butow, P. N., Ellis, P. M., Lobb, E. A., Pendlebury, S. C., Leighl, N., MacLeod, C., & Tattersall, M. H. (2005). Communicating with realism and hope: Incurable cancer patients' views on the disclosure of prognosis. Journal of Clinical Oncology, 23(6), 1278–1288. https://doi.org/10.1200/JCO.2005.11.138

Jassim, G., Alakri, A., Alsayegh, R., & Misselbrook, D. (2019). Practice and attitudes of physicians regarding disclosure of information to patients with serious illness. Global Journal of Health Science, 11(5), 33. https://doi.org/10.5539/gjhs.v11n5p33

Kazdaglis, G. A., Arnaoutoglou, C., Karypidis, D., Memekidou, G., Spanos, G., & Papadopoulos, O. (2010). Disclosing the truth to terminal cancer patients: A discussion of ethical and cultural issues. Eastern Mediterranean Health Journal, 16(4), 442–447.

Kleisiaris, C. F., Sfakianakis, C., & Papathanasiou, I. V. (2014). Health care practices in ancient Greece: The Hippocratic ideal. Journal of Medical Ethics and History of Medicine, 7, 6.

Konstantis, A., & Exiara, T. (2015). Breaking bad news in cancer patients. Indian Journal of Palliative Care, 21(1), 35.

Mostafavian, Z., & Shaye, Z. A. (2018). Evaluation of physicians’ skills in breaking bad news to cancer patients. Journal of Family Medicine and Primary Care, 7(3), 601.

Mobeireek, A. F., Al-Kassimi, F., Al-Zahrani, K., Al-Shimemeri, A., Al-Damegh, S., Al-Amoudi, O., Al-Eithan, S., Al-Ghamdi, B., & Gamal-Eldin, M. (2008). Information disclosure and decision-making: The Middle East versus the Far East and the West. Journal of Medical Ethics, 34(4), 225–229.

Ptacek, J. T., & Ptacek, J. J. (2001). Patients’ perceptions of receiving bad news about cancer. Journal of Clinical Oncology, 19(21), 4160–4164.

Searight, H. R., & Gafford, J. (2005). Cultural diversity at the end of life: Issues and guidelines for family physicians. American Family Physician, February 2005.

Shirazi, M., Kachoie, A., Khalajinia, Z., & Nodoushan, K. A. (2017). Evaluation of general physicians' skills in breaking bad news to the patient based on the SPIKES questionnaire in Qom, 2016. Electronic Journal of General Medicine, 16(1).

Sultan, A. S., & Ahmed, S. (2013). KAP study of Iraqi health professionals regarding the breaking of bad news at Medical City teaching hospitals in Baghdad. The International Forum on Quality and Safety in Health Care, April. https://www.researchgate.net/publication/313242263

Yousuf, R. M., Fauzi, A. R., How, S. H., Rasool, A. G., & Rehana, K. (2007). Awareness, knowledge and attitude towards informed consent among doctors in two different cultures in Asia: A cross-sectional comparative study in Malaysia and Kashmir, India. Singapore Medical Journal, 48(6), 559.

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Published

2025-08-02

How to Cite

Hussein Kadhim, S., & Salih Ismael, N. (2025). Knowledge And Attitude Of A Sample Of Iraqi Doctors About Breaking Bad News To Patients In Baghdad Teaching Hospital And Specialized Surgical Hospital In Medical City . South Asian Journal of Social Sciences and Humanities, 6(4), 138-156. https://doi.org/10.48165/sajssh.2024.6409