Scientific Journal of Nursing, Midwifery and Paramedical Faculty
فصلنامه پرستاری، مامایی و پیراپزشکی
SJNMP
Medical Sciences
http://sjnmp.muk.ac.ir
1
admin
2476-4841
2476-4841
10.29252/sjnmp
48604
fa
jalali
1404
10
1
gregorian
2026
1
1
11
2
online
1
fulltext
fa
مهارت اعلام خبر بد و عوامل مرتبط در پرستاران: یک مطالعه مقطعی
Nurses’ Skills in Breaking Bad News and Related Factors: A Cross-Sectional Study
تخصصي
Special
پژوهشي
Research
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:"Aptos",sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">زمینه و اهداف: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">ارائه خبر بد یکی از چالشبرانگیزترین وظایف در مراقبت سلامت است، بهویژه برای پرستارانی که نقطه تماس اصلی بیماران و خانوادهها هستند. با وجود اهمیت این مسئولیت، آموزش ساختاریافته و دستورالعملهای استاندارد برای پرستاران محدود است. این مطالعه مهارت پرستاران در ارائه خبر بد و عوامل مرتبط با آن را در بیمارستانهای آموزشی دانشگاه علوم پزشکی کردستان بررسی کرد</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:"Aptos",sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">مواد و روشها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar""> این مطالعه مقطعی در سال </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">۱۴۰۱</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar""> انجام شد. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">۱۵۰</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar""> پرستار دارای حداقل یک سال سابقه کار و مدرک کارشناسی یا بالاتر، با استفاده از نمونهگیری چندمرحلهای شامل نمونهگیری طبقهای و در دسترس انتخاب شدند. دادهها با پرسشنامهای شامل ویژگیهای فردی، انواع اخبار بد، مشارکت در ارائه خبر بد و مهارت ارائه خبر بد جمعآوری شد. روایی ابزار با نظر کارشناسان و پایایی آن با آلفای کرونباخ </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">0.71 ت</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">أیید شد. دادهها با نرمافزار </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">STATA</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar""> نسخه </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">۱۲</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar""> و آزمونهای همبستگی اسپیرمن، منویتنی </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">U</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar""> و کروسکال</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">–</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">والیس تحلیل شدند (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">P<0.05</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:"Aptos",sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">یافتهها: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">شایعترین نوع خبر بد، اعلام کد احیا (76.67</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">٪</span><span style="font-family:"B Zar"">) بود. میانگین نمره مشارکت 5.85</span><span style="font-family:"Cambria",serif">±</span><span style="font-family:"B Zar"">17.68 و میانگین نمره مهارت ارائه خبر بد5.10 </span><span style="font-family:"Cambria",serif">±</span><span style="font-family:"B Zar""> 54.30 بود. مهارت ارائه خبر بد با شیفت کاری (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">P=0.026</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">)، آشنایی با دستورالعمل اطلاعرسانی خبر بد (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">P=0.040</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">)، بخش خدمت (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">P=0.009</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">)، تعداد خبر بد (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">P=0.012</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">) و نوع خبر بد (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">P=0.014</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">) ارتباط معنادار داشت. ارتباط با پست سازمانی مرزی بود (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">P=0.055</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:"Aptos",sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">نتیجه گیری: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar"">پرستاران مهارت متوسطی در ارائه خبر بد داشتند. اجرای برنامههای آموزشی ساختاریافته و کارگاههای مهارت ارتباطی برای بهبود شایستگی پرستاران و کیفیت مراقبت از بیماران و خانوادهها توصیه میشود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:"Aptos",sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">Background & Aim:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"> Delivering bad news is a challenging healthcare task, particularly for nurses who are primary points of contact for patients and families. Despite its importance, structured training and standardised guidelines for nurses remain limited. This study assessed nurses’ skills in delivering bad news and related factors in teaching hospitals affiliated with Kurdistan University of Medical Sciences.</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:"Aptos",sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">Materials & Methods:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"> This cross-sectional study was conducted in 2022. A total of 150 nurses with at least one year of experience and a bachelor’s degree or higher were selected using multistage sampling, including stratified and convenience sampling. Data were collected using a four-part questionnaire addressing demographic characteristics, types of bad news, involvement in delivery, and delivery skills. Validity was confirmed by experts, and reliability was supported by a Cronbach’s alpha of 0.71. Data were analysed using STATA version 12, Spearman’s correlation, Mann–Whitney U, and Kruskal–Wallis tests (P<0.05).</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:"Aptos",sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">Results:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"> The most common bad news was announcing a resuscitation code (76.67%). The mean participation score was 17.68±5.85, and the mean delivery-skill score was 54.30±5.10. Delivery skills were significantly associated with work shift (P=0.026), familiarity with bad-news disclosure guidelines (P=0.040), clinical department (P=0.009), number of bad-news events delivered (P=0.012), and type of bad news (P=0.014). The association with organisational position was borderline (P=0.055).</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:"Aptos",sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"> Nurses demonstrated moderate skills in delivering bad news. Structured educational programmes and communication workshops are recommended to improve competence and the quality of patient and family care.</span></span></span></span></span></span>
مهارت, اعلام خبر بد, عوامل مرتبط, پرستاران
Skill, Delivering Bad News, Related Factors, Nurse
1
20
http://sjnmp.muk.ac.ir/browse.php?a_code=A-10-752-1&slc_lang=fa&sid=1
esrin
lotfi
اسرین
لطفی
asrinlotfi25@gmail.com
10031947532846008081
10031947532846008081
Yes
Clinical Research Center, Health Development Research Institute, Kurdistan University of Medical Sciences, Sanandaj, Iran
مرکز تحقیقات بالینی، پژوهشکده توسعه سلامت، دانشگاه علوم پزشکی کردستان، سنندج، ایران
Bijan
Nouri
بیژن
نوری
bijannuri@gmail.com
10031947532846008082
10031947532846008082
No
Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی کردستان، سنندج، ایران
Mohammad
Fathi
محمد
فتحی
Fathi_sanan@yahoo.com
10031947532846008083
10031947532846008083
No
School of Medicine, Islamic Azad University, Sanandaj Branch, Sanandaj, Iran
دانشکده پزشکی دانشگاه آزاد اسلامی واحد سنندج، سنندج، ایران