schlechter Nachrichten

Richtlinien
� Erfahrungsgebundene Entwicklung von Richtlinien
�� Augenscheinvalidität
� Ethisch fundiert
� Praxisorientiert
� Bedürfnisorientiert (Patienten)
� Hoher Konsens zwischen Patienten und
Gesundheitsexperten (Girgis et al., 1999)
� Verschiedene Modelle ähnlichen Inhalts:
� ABCDE (Rabow, 2000)
�� SCOPE (2003)
� SPIKES (Baile et al., 2000)
� etc.
Baile, W. F., Buckman, R., Lenzi, R., Glober, G., Beale, E. A., & Kudelka, A. P. (2000). SPIKES-A six-step
protocol for delivering bad news: application to the patient with cancer. Oncologist, 5(4), 302-311.
Fallowfield, L. & Jenkins (2004). Communicating sad, bad, and difficult news in medicine. Lancet, 363(9405), 312-319.
Girgis, A., & Sanson Fisher, R. W., (1995). Breaking bad news: Consensus guidelines for medical practitioners. Journal of
Clinical Oncology, 13, 2449-56.
Girgis, A., Sanson Fisher, R. W., & Schofield, M. J. (1999). Is there consensus between breast cancer patients and
providers on guidelines for breaking bad news? Behavioral medicine, 25(2), 69-77.
Rabow, M. W. (2000). What cancer patients want to know: national strategies and individual needs. Western Journal of
Medicine, 173, 31-32.
SCOPE (2003). Right from the start template: Good practice in sharing the news. London, UK: Department of Health, 8.