Level of knowledge about breaking bad news among healthcare professionals in India

Background: Breaking bad news to patients is both difficult and emotional, highlighting the need for healthcare professionals to be sensitive, professional, and clear during communication. Objectives: This study aimed to explore the level of knowledge healthcare professionals possess regarding breaking bad news. Methods: This cross-sectional study used questionnaires distributed to various hospitals across India from January to March 2024. A total of 307 healthcare professionals were included in this study. Results: Among the healthcare workers included, 132 were doctors (43% of the total) and 175 were nurses (57%). Most of those who participated (82%) had already broken bad news to patients. Overall, the healthcare professionals who participated understood the importance of breaking bad news and were aware of the SPIKES model for breaking bad news, with both physicians and nurses being equally aware of the SPIKES model. Conclusion: In any healthcare setting, breaking bad news is always a difficult and sensitive task that necessitates striking a careful balance between honesty, understanding, and clear communication.