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Annotated Bibliography

Brixey, L. (2004, August 1). The difficult task of delivering bad news. Dermatology
This magazine article written by Brixey, an RN, who gives a full explanation of

delivering bad news to patients in a more conservative manner. This text presents how

bad news is a process because it starts before the diagnoses. It mentions how in the end it

is up to the nurses or doctors to communicate efficiently even though sometimes it is

hared on them to deliver the information to the patients without giving them the wrong

idea or impression.

Linda Brixey is an RN, and a Program Manager for Clinical Education, Kelsey-

Seybold Clinic, Houston, TX. She goes on with this study of communicating bad news

first hand because she witnessed such bad news delivery with her friend Jay. I think this

is a creditable source because it is first hand experience with an RN but portrays herself

as a friend when Jay is in need.

This source benefitted me in my letter because I discussed the qualities or aspects

when delivering bad news and how it was approached. I used this as an argument. I

argued how valuable it is to use an approach when communicating information to

patients and how valuable words are and how efficient it is to communicate those words

to patients correctly.

Joekes, K. (2007). Breaking bad news. In et. al. et al. (Eds.), Cambridge Handbook of

psychology, health and medicine. Cambridge, UK: Cambridge University Press.

Retrieved from



In the Cambridge Handbook of Psychology the text addresses what certifies news

to be considered bad news. It also mentions the barriers of breaking bad news because

usually what causes the barriers are the age, gender, social status, and race. In this text it

also mentions a six-step approach, which it comes to breaking bad news so a doctor or a

nurse will not feel at unease when delivering the news to the patient. It also mentions

how there is a workshop when it comes to delivering bad news so medical administers

are not thrown off at the approach.

The Cambridge Handbook of Psychology has done a lot of research on this topic

of breaking bad news. This book offers an update of what clinical psychologist look at in

the medical field. It also gives an insight of both the patient and medical assistant

physiological assets of delivering the bad news.

This source was extremely helpful especially since my main focus is talking about

how to deliver bad news. I can use this source incorporating how delivering bad news

calls for an approach and how delivering bad news can affect a patient psychological.

Also it made me change my opinion on how to deliver the news because after reading the

source I never realized how important it is to choose words wisely especially when

speaking to someone that is not a family member.

Sweeny, K., Shepperd, J. A., & Han, P. K. (2011). The goals of communicating bad news

in health care: do physicians and patients agree? Health Expectations, 16(3), 230-

238. doi:10.1111/j.1369-7625.2011.00709.x

The journal article written by Sweeny, Shepperd, and Han mainly focuses on the

different goals medical assistants try to reach when delivering bad news to patients. The

authors mention how delivering bad news puts doctors, or nurses in an uncomfortable

situation, so theyve created goals for them to reach when delivering the news. Creating

these goals created a better patient to doctor connection when delivering such news.

The article created by Kate Sweeny, James A. Shepperd and Paul K. J. Han all has

PhDs in psychology. Each of these authors works at a medical center where they have

witnessed and studied this topic in particular. They have created a study on the goals of

bad news deliver and came to a conclusion that patients and physicians have related goals

when communicating such news.

This article will benefit me in the letter because I can discuss the goals of

delivering bad news to patients and how they feel it should be taken on. Also, I can

mention how when using these goals how it has benefited patient and physician

relationship because they feel a sense of care in the physician attitude. I can argue how

using this approach can help patients better understand the news.