Communicating difficult news in the Brazilian context: a scoping review

Abstract

The aim of this study was to summarize the main findings on the communication of difficult news in
the Brazilian health context. The scoping review method was used to analyze 14 studies. Privacy and
professional training were cited as facilitators of the process. It was found that patients are interested in
knowing the truth about their condition and participating in decisions. Health professionals show care
for the bond and objectivity of communication, demonstrating concern for the quality of the process,
but report difficulties, as well as feelings of fear, guilt and anxiety about the reactions of patients and
family members. This reality underscores the need for training on the subject from the undergraduate
level to promote proper communication, with a good bond, respecting the patient dignity.