Breaking bad news in prenatal medicine: a literature review
| Autor: | Rachel Vieux, Elisabeth Spitz, R. Luz, A. George |
|---|---|
| Přispěvatelé: | Université de Lorraine (UL), Maternité Régionale Adolphe Pinard [Nancy], Centre pluridisciplinaire de diagnostic prénatal [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Service de pédiatrie [CHRU Besançon], Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC) |
| Rok vydání: | 2016 |
| Předmět: |
Parents
medicine.medical_specialty education Exploratory search Context (language use) Prenatal diagnosis PsycINFO Truth Disclosure Fetal anomaly [SHS]Humanities and Social Sciences 03 medical and health sciences 0302 clinical medicine Pregnancy Physicians Prenatal Diagnosis Adaptation Psychological Humans Medicine 030212 general & internal medicine Psychiatry General Psychology Physician-Patient Relations 030219 obstetrics & reproductive medicine business.industry Fetal abnormality Obstetrics and Gynecology Prenatal Care 3. Good health Search terms Reproductive Medicine Content analysis Pediatrics Perinatology and Child Health Female business Stress Psychological |
| Zdroj: | Journal of Reproductive and Infant Psychology Journal of Reproductive and Infant Psychology, Taylor & Francis (Routledge), 2017, 35 (1), pp.14-31. ⟨10.1080/02646838.2016.1253052⟩ |
| ISSN: | 1469-672X 0264-6838 |
| DOI: | 10.1080/02646838.2016.1253052 |
| Popis: | International audience; Background: The diagnosis of a fetal anomaly in perinatal medicine forces expectant parents and healthcare providers to face the difficult process of breaking bad news.Objectives: This exploratory literature review was aimed at providing a medical and psychological view of the psychological experience in expectant parents and physicians in the context of prenatal diagnosis of a fetal anomaly.Method: An exploratory search of PubMed and PsycINFO/PsycARTICLES databases performed by an interdisciplinary team composed of a physician and psychologists. Search terms were: prenatal diagnosis AND bad news; prenatal diagnosis AND psychological consequences; prenatal diagnosis AND psychological sequelae; prenatal diagnosis AND fetal abnormality. The processing of selected articles followed a standardised five-step procedure.Results: A total of 860 articles were screened of which 32 were retained for analysis. Four main themes emerged from the explanatory content analysis: (1) parents' subjective experience; (2) physicians' subjective experience; (3) encounters between expectant parents and professionals; and (4) ethical challenges in breaking bad news in prenatal medicine.Conclusion: Expectant parents go through a complex and multidimensional experience when the diagnosis of a fetal anomaly is disclosed. Simultaneously, physicians consider breaking bad news as a very stressful event and are poorly prepared in this regard. A better knowledge of factors underlying psychological adjustment of the parental dyad and on the subjective experience of physicians delivering these diagnoses could enable better adaptation for both patients and professionals.Keywords: Prenatal diagnosis; bad news disclosure; healthcare professional’s subjective experience; interdisciplinary perspective; psychological consequences. |
| Databáze: | OpenAIRE |
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