Communication Journal Entry

Source: raw/nsg210_wk09_COMMUNICATIONJOURNALENTRY.doc. Reflective journal template, 2 pages minimum. Submitted at the end of the workshop by email to the lead faculty.

Topic

Reflect on how your experiences, beliefs, and values might affect what you say to patients, and how you say it, in end-of-life communication.

Required Sections

1. Header: name, date, due date
2. My initial thoughts and feelings on the topic
3. How readings and class changed my perception. Be specific, and support this section with 1 scholarly reference.
4. Three implications for nursing practice. These must relate specifically to end-of-life communication, not nursing in general.
5. References: 1 scholarly reference (APA)

Ideas to Draw On

• Your Self-Inventory score and paragraph
• The two “Delivering Bad News” videos (what not to do vs an excellent encounter)
• A specific step from nsg210-dd-breaking-bad-news Ten Steps
• A communication moment from your med-surg clinical patient

Possible Scholarly References

The handouts cite peer-reviewed articles that would qualify. Check that you can access the full text before citing one:

• Xu, D.-D., Li, J., Ding, X.-B., Ma, J., Hou, R.-T., Chen, N.-N., Cheng, X.-L., and Hu, F. (2025). Experiences of providing end-of-life care in adult intensive care units: A qualitative study. BMC Nursing, 24, Article 768. https://doi.org/10.1186/s12912-025-03340-1. Recent (2025) nursing source, used in the journal entry; file textbooks/clinicals/nsg210_clinical_dd_EndOfLifeCommNursingArticle.pdf.
• Girgis, A., and Sanson-Fisher, R. W. (1995). Breaking bad news: Consensus guidelines for medical practitioners. Journal of Clinical Oncology, 13, 2449-2456.
• Quill, T. E. (2000). Initiating end-of-life discussions with seriously ill patients: Addressing the “elephant in the room.” JAMA, 284, 2502-2507.
• Fallowfield, L., Ford, S., and Lewis, S. (1995). No news is not good news: Information preferences of patients with cancer. Psycho-Oncology, 4, 197-202.

A recent nursing journal article on end-of-life communication would be a stronger choice if the faculty prefers sources from the last 5 years.