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Nurse Pract . Author manuscript; available in PMC: 2017 Aug 31. Published in final edited form as: Nurse Pract. 2012 Feb 12;37(2):1–4. doi: 10.1097/01.NPR.0000408626.24599.9e Breaking bad news: A guide for effective and empathetic communication Margaret Quinn Rosenzweig Margaret Quinn Rosenzweig , PhD, FNP-BC, AOCNP 1 ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.554 | 0.692 | ["education", "philosophy", "communication"] | 511 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.818771 | [
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on Copyright and License information 1 University of Pittsburgh School of Nursing in Pittsburgh, PA Roles Margaret Quinn Rosenzweig : PhD, FNP-BC, AOCNP , assistant professor PMC Copyright notice PMCID: PMC5578619 NIHMSID: NIHMS897616 PMID: 22252021 The publisher's version of this article is available at Nurse Pract Ab... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.402 | 0.698 | ["education", "communication", "crisis", "philosophy"] | 512 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819131 | [
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mmunication skills, and must be approached with empathy for all parties involved. There are several ways to deliver bad news to patients successfully using patient-centered communication techniques and methods. Keywords: empathetic communication, breaking bad news, patient-centered communication techniques Well-develop... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.419 | 0.83 | ["communication"] | 512 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819237 | [
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uation and development as an important component in the provision of care. 1 Without excellent, empathetic communication skills, the NP is not able to fully relate to patients and families. Patient-centered communication, regardless of provider, is a contributing factor to high-quality patient care. Most medical school... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.551 | 0.838 | ["communication", "strategy", "education"] | 492 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819297 | [
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um, regarding communication skills in healthcare. In fact, medical license exams require a demonstration of communication skills for medical practitioners. 2 In nursing schools, patient-centered communication techniques are taught didactally but like many new skills student nurses have the difficult task of integrating... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.415 | 0.848 | ["communication", "crisis", "education"] | 511 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819377 | [
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cognized as a competency for NPs that can improve patient outcomes. 4 The National Organization of Nurse Practitioner Faculty (NONPF), in their recently revised (2011) Nurse Practitioner Core Competencies, lists “provides patient-centered care recognizing cultural diversity and the patient or designee as a full partner... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.552 | 0.814 | ["decision_making"] | 415 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819439 | [
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s listed under Independent Practice competencies. 5 As NP education evolves with the development of practice-focused doctoral programs, The American Association of Colleges of Nursing has published The Essentials of Doctoral Education for Advanced Nursing Practice in 2006. 6 Included is the requirement that nurses with... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.538 | 0.842 | ["education", "networking", "career", "family"] | 511 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819503 | [
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up) and other professionals to facilitate optimal care and patient outcomes.” 6 Delivering negative news One of the most important components in the repertoire of NP communication skills is the ability to “break bad news” to patients and families. Many NPs view breaking bad news as a communication skill that is importa... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.379 | 0.858 | ["communication", "career"] | 493 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819561 | [
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s for disease control, or that death is imminent. However, all healthcare providers break bad news on different levels with all types of patient populations. Bad news can be understood as any information that changes a person’s view of the future in a negative way. 7 – 9 The NP cannot judge what constitutes bad news an... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.33 | 0.858 | ["war_conflict", "philosophy"] | 443 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819608 | [
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individual’s view of themselves or their future. 8 – 10 NP practice does not regularly include the diagnosis of a life-ending illness, but often involves the communication of news that a new chronic diagnosis is present, that a chronic illness has worsened, or that attempts at management through medication or nonpharma... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.392 | 0.83 | ["communication", "management"] | 414 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819661 | [
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ews about the cost of medical care. J Clin Oncol. 2008;26(25):4200–4204. doi: 10.1200/JCO.2007.15.6208. [ DOI ] [ PubMed ] [ Google Scholar ] 11. Eggly S, Penner L, Albrecht TL, et al. Discussing bad news in the outpatient oncology clinic: rethinking current communication guidelines. J Clin Oncol. 2006;24(4):716–719. d... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.491 | 0.696 | ["communication"] | 452 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819708 | [
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and that a new course of treatment is necessary. Breaking bad news is a multifaceted task that can be managed successfully if it is done correctly. Many aspects of the interaction can be predicted, particularly if the patient is already in the NP’s primary care practice or specialty practice. A mental strategy for not ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.415 | 0.872 | ["strategy", "networking", "family", "philosophy"] | 511 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819758 | [
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lanned when a relationship has previously been established with the patient. This process should be approached with concern for the patient and family receiving this news. Using a template or communication protocol while conveying bad news will help to instill and assure quality and empathy into this difficult communic... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.382 | 0.83 | ["communication", "crisis", "networking", "career", "family"] | 435 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819805 | [
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at deal of professionalism, patience, and energy. This communication requires the twofold complex process of finding appropriate kind words and understandable terminology, and the secondary task of assessing how the patient and family are reacting, the degree of distress that the conversation is inducing, and the subse... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.553 | 0.86 | ["communication", "family", "career", "philosophy"] | 512 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819859 | [
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family from the bad news to the future plans with realism and hopefulness. There are several accepted ways to break bad news. These methods include using common formats of structured listening to what the patient knows and wants to know, giving information in understandable amounts, reacting to the news, and checking f... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.539 | 0.872 | ["philosophy", "family"] | 493 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.819978 | [
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rting place if they are unsure of how to proceed. Additionally, this is a task that often must be completed in the context of a busy clinical scenario, with less than optimal time and conditions. Although all communication involving breaking bad news can not follow an exact protocol, the considerations of the SPIKES pr... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.341 | 0.844 | ["communication", "crisis"] | 449 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.820108 | [
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de when initiating these difficult conversations. The acronym SPIKES, 8 – 10 stands for S etting up, P erception, I nvitation, K nowledge, E motions with Empathy, and S trategy or Summary. This approach was designed by Walter Baile and colleagues at the University of Texas MD Anderson Cancer Center in Houston TX, and i... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.345 | 0.844 | ["crisis", "career", "education"] | 450 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.820248 | [
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aking bad news: Establish an appropriate setting. Check the patient’s perception of the situation prompting the news regarding the illness or test results. Determine the amount of information known or how much information is desired. Know the medical facts and their implication before initiating the conversation. Explo... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.532 | 0.706 | ["interview", "philosophy", "strategy"] | 505 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.820370 | [
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the SPIKES protocol is setting up the interview. Setting the stage for optimal communication by preparing what to say prior to the conversation is essential to successful communication. The appropriate vocabulary to use and the information to be shared can also be reviewed ahead of the interview to assure that the NP f... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.398 | 0.87 | ["communication", "interview", "economy", "philosophy", "rhetoric"] | 511 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.820488 | [
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the news, and the specific care plan is important. This step is particularly important for novice NPs working in collaborative practice agreements with a physician, unsure of what the collaborating physician may recommend in specific situations. A strong, unified, consistent message among all members of the healthcare ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.406 | 0.84 | ["economy", "management", "negotiation"] | 447 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.820765 | [
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and the manner in which the news will be shared. The wrong physical setting for delivering negative news can lead to an unsuccessful discussion. 8 – 10 The rules of preferred body language for optimal communication including sitting while speaking, maintaining an open posture, and maintaining eye contact apply as the i... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5578619/ | Breaking bad news: A guide for effective and empathetic communication - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.395 | 0.864 | ["communication", "interview"] | 511 | Managing Up Lateral Relationships | topic | 2026-04-14T22:06:11.820876 | [
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End of preview. Expand in Data Studio
Managing Up Lateral Relationships — Practical
This corpus was automatically generated by the Deku Corpus Builder for use in RAG-based AI applications.
Dataset Structure
Each record contains:
text: The content textsource_url: Original source URLsource_title: Title of the source documentsource_domain: Domain of the sourcelicense_type: License classification (e.g.public_domain,cc_by,cc_by_sa)attribution_required: Boolean — True for CC BY / CC BY-SA and other attribution-required licensesattribution_text: Formatted Creative Commons attribution string (empty if not required)license_url: URL to the CC license deed (empty if not required)relevance_score: Relevance to the subject (0-1)quality_score: Content quality score (0-1)topics: JSON array of detected topicscharacter_count: Length of the textsubject_name: The subject this content relates tosubject_type: "personality" or "topic"extraction_date: When the content was extractedembedding: Pre-computed 384-dimensional embedding vector
Attribution
0 of 419 chunks in this corpus require attribution under their source license.
When building lessons from these chunks, the attribution_text field must be surfaced
in the lesson output per the Legend Leadership Attribution Tracking Spec.
Usage
from datasets import load_dataset
dataset = load_dataset("PhillyMac/Managing_Up_Lateral_Relationships_Practical")
# Access attribution-required chunks
for item in dataset["train"]:
if item["attribution_required"]:
print(item["attribution_text"])
Integration with RAG
This dataset is designed to be integrated with existing embedded corpuses. The embeddings use the sentence-transformers/all-MiniLM-L6-v2 model, compatible with FAISS indexing.
License
Content is sourced from public domain and Creative Commons licensed materials.
See individual license_type fields for per-chunk licensing details.
Generated By
Deku Corpus Builder - An automated corpus building system for AI applications.
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