Examining patient experiences and preferences in receiving bad news in Ethiopian state hospitals

Abstract

This study aimed to explore patients’ experiences and preferences while receiving bad news in Ethiopian state hospitals. This qualitative study involved thematic analysis of in-depth interviews. Physicians and patients from two comprehensive hospitals with large patient populations were selected using snowball sampling techniques to identify those who had received bad news. Major findings on patients’ preferences for receiving bad news include: patients want their physicians to be honest and provide clear, straightforward information when delivering bad news, patients appreciate it when their physician shows empathy and compassion, patients prefer to received bad news alone or without a family member, and patients want their physician to give them enough time to process the information and ask questions. Patients value follow-up communication from their physician after delivering bad news to address any concerns or questions they may have. The study’s findings shed light on patients’ preferences and coping strategies when receiving bad news. Patients strongly advocate for face-to-face discussions in a private and calm environment, where physicians can effectively communicate their diagnosis, prognosis, and treatment options. Patients highly value physicians who are honesty, and provide clear information. Additionally, patients greatly appreciate empathy and compassion from their physicians, as it contributes to their overall experience.