Abstract：
Vaginal bleeding during pregnancy is a common patient presentation in emergency departments (EDs), and in some cases this will occur due to miscarriage. However, there are several barriers to effective and sensitive communication with patients experiencing a miscarriage. Women presenting to EDs who are experiencing a miscarriage are more likely to be psychosocially vulnerable and less satisfied with their care compared with those seeking care in the outpatient setting. There is a gap in nursing and advanced practice provider preparation regarding techniques for breaking bad news to patients in the ED setting. At one high-volume, urban ED in the US, an education programme for staff regarding best practice in breaking bad news to patients experiencing a miscarriage was developed based on an established protocol. The intention was to increase the confidence levels of nurses and other healthcare professionals in breaking bad news to these patients. After the education programme, many participants self-reported increased confidence in breaking bad news and comfort in managing patients\' emotions. The results can be used to inform education for healthcare professionals who deliver bad news in the ED and other departments.
摘要：
怀孕期间阴道出血是急诊科（ED）常见的患者表现，在某些情况下，这种情况会由于流产而发生。然而,与流产患者进行有效和敏感的沟通有几个障碍。与在门诊病人中寻求护理的妇女相比，出现流产的妇女更有可能在心理社会上脆弱，对她们的护理不太满意。在护理和高级实践提供者的准备方面，在ED设置中向患者发布坏消息的技术方面存在差距。在一个高音量，美国的城市ED，根据既定的协议，为工作人员制定了一项关于向流产患者发布坏消息的最佳实践的教育计划。目的是提高护士和其他医疗保健专业人员对这些患者的坏消息的信心水平。在教育计划之后，许多参与者自我报告说，他们对打破坏消息的信心和管理患者情绪的舒适感增强。结果可用于为在ED和其他部门提供坏消息的医疗保健专业人员提供教育信息。
