ArticleTrauma surgery & acute care open2022
SUNBURN: a protocol for delivering bad news in trauma and acute care surgery.
Article in Trauma surgery & acute care open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Key challenges in communication across milestones of cancer care continuum: a systematic review.BMC palliative care · 2026Pooled it
- MEET & MAKE CleaR PROCESS: a new framework for sharing serious information.BMC medical education · 2026Pooled it
- Development and psychometric validation of a culturally adapted instrument to assess nurses' competence in delivering bad news to families of patients nearing end-of-life.BMC palliative care · 2026Article
- SAFE-GOALS: a protocol for goals of care discussions in the intensive care unit.Trauma surgery & acute care open · 2025Review
- Clinical Practice Guidelines on Breaking Bad News.Indian journal of psychiatry · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe delivery of bad news can be one of the most challenging tasks in surgery. There are numerous barriers specific to trauma and acute care surgery (TRACS) that make these conversations more difficult. Prior protocols have all been designed for oncology and primary care with poorer application to TRACS. The lack of guidance for leading these conversations in TRACS led us to develop the SUNBURN protocol. It draws elements from prior protocols and discards the irrelevant aspects and pays particular attention to the TRACS-specific concerns. SUNBURN PROTOCOL: Step 1: S-Set Up; Step 2: U-Understand Perceptions; Step 3: N-Notify ('Warning Shot'); Step 4: B-Brief Narrative and Break Bad News; Step 5: U-Understand Emotions; Step 6: R-Respond; Step 7: N-Next Steps.
conclusionThis protocol can provide a framework to help guide and ease the delivery of bad news in TRACS.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.