Medical Environment, Patient and Bad News


Abdolhassan Kazemi 1 , *

1 Iran

How to Cite: Kazemi A. Medical Environment, Patient and Bad News, Strides Dev Med Educ. 2008 ; 4(2):e58528.


Strides in Development of Medical Education: 4 (2); e58528
Published Online: January 25, 2008
Article Type: Research Article
Received: July 23, 2017
Accepted: October 10, 2007




Background & Objective: Patients have the right to be informed about their own health condition
including bad news and sometimes, medical staff has no choice but to give the patients such
information that makes them feel bad and is that’s when it’s evaluated as "bad news".
Unfortunately such kind of news is enormously found in medical environment, for medical staff,
patients and their companies. The responsibility of telling patients the bad news is one of the
hardest tasks in medical career. Patients and their companies’ illogical expectation and
inappropriate behavior add to its difficulty while in this situation medical staff is also responsible
for calming others.
Conclusion: The difficult part of telling bad news is due to physicians’ previous lack of skill, even
the ones with a proven track record, for facing the situation of transferring bad news and further
management and consequences which may end in bringing it out of control and causes patients’ and
their companies’ mistrust in staff or hospital environment. This ends in discontinue of future and
useful necessary plans. This situation causes a faulty circle of unwanted events which are against
the medical affairs. So a thoughtful bad news transfer to patients and their companies may cause
them a relief and makes the control of present and future consequences easier. This important factor
will be gained by practicing and applying the smart strategy of SPIKES by the professional


Bad news Medical environment Patient Medical ethics

© 2008, Medical Education Development Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.


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