Robert Buckman’s research while affiliated with University College London and other places

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Publications (2)

Communicating with the Patient
  • Chapter

January 1986

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13 Reads

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2 Citations

Robert Buckman

In general, the medical profession is not good at communicating with seriously ill patients and their relatives. I would suggest that this is not because we are unsympathetic but because we are not trained for it, and this chapter aims to identify the major difficulties and to suggest ways in which they might be overcome. Many of the problems are common to doctors, nurses and others involved in the care of ill and dying patients, but I shall put most emphasis on the doctor’s role, because breaking bad news is usually regarded as a doctor’s job and if he does it badly, it makes the situation difficult for everyone else.

Breaking Bad News: Why Is It Still So Difficult?

June 1984

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331 Reads

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636 Citations

British Medical Journal (Clinical research ed.)

R Buckman

A British senior registrar in medical oncology discusses the major difficulties encountered by physicians in disclosing unfavorable diagnoses and prognoses to patients. These difficulties are attributed to an unwarranted assumption by the physician of responsibility for the disease itself; to fears arising from personal reactions to illness, death, and expression of emotions; and to a lack of training in coping with the nonmedical aspects of serious illness. The author suggests that, with only minor changes in the curriculum, instruction in communication can be integrated into orthodox medical education.

Citations (2)

... In the process of communication between a doctor and a patient sharing bad news is a difficult experience both for the providing and the receiving person (Aitini and Aleotti, 2006;Azzopardi et al., 2017). Bad news is defined as any information which significantly and negatively influences the patient's or their family's perception of the patient's future (Buckman, 1984(Buckman, , 1986(Buckman, , 2005Ptacek et al., 2001;Zeppetella, 2012). Negative information imparted by the doctor can change the patient's vision of life prospects, frequently arousing strong emotions of despair, fear of the future or of giving up the fight against the disease (Seifart et al., 2014). ...

Reference:

Styles of providing negative information by doctors on the basis of the analysis of the Breaking Bad News Skills questionnaire
Communicating with the Patient
  • Citing Chapter

  • January 1986

Robert Buckman

... Breaking bad news (BBN) refers to the disclosure of serious diagnoses that results in negative, life-altering circumstances for patients' present or future. 1 Upon receiving bad news, patients often respond with intense emotions such as shock, isolation or grief. 2 Effective BBN requires physicians to acknowledge and validate patient's emotions, convey the information with empathy without trivializing its severity and ensure that the patient fully understands the diagnosis and is informed about the next steps. 2 Nonverbal communication, which refers to the transfer of information without the use of words but through nonverbal means 3 (e.g. ...

Reference:

Improving breaking bad news communication skills through stress arousal reappraisal and worked examples
Breaking Bad News: Why Is It Still So Difficult?
  • Citing Article

  • June 1984

British Medical Journal (Clinical research ed.)

R Buckman