Gulhan Kurtoglu Celik, Nurettin Ozgur Dogan, Gul Pamukcu Gunaydin, Zeynep Saral Ozturk, Tugba Atmaca Temrel, Alp Sener, Havva Sahin Kavakli.
Evaluation of residents` thoughts about giving the news of death.
J Pak Med Assoc Jan ;64(4):390-3.

Objective: To assess behaviours and attitudes of residents toward giving news of death in emergency department and other departments. Methods: The study was conducted between 1st and 7th December, 2012, in an urban hospital in Ankara, Turkey. It used a questionnarie that was filled by 100 residents from different disciplines of medicine. Categorical variables were analysed with Chi-square and Fisher's exact tests and continuous variables were analysed with Mann Whitney U test. The level of statistical significance was set at 0.05. Results: The most difficult cases to notify were those of unexpected and sudden deaths (n=51; 51%) followed by deaths of children (n=36; 36%). While 60% (n=60) of the study group reported a need for training in this area, but there was no association between having difficulty in notifying a death and expressing the need for training (p=0.187). Residents who had difficulty in notifying death informed the patient's close ones more often during resuscitation (p=0.049) and requested for security staff more often during the final briefing compared with the group that did not express having difficulty (p<0.001). Conclusion: Notifying death is still a challenging issue in medicine. Instead of educational efforts, security measures may be more beneficial and comforting for residents who have difficulty in conveying the news.

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