ArticleFrontiers in pediatrics2022
NEO-SPEAK: A conceptual framework that underpins breaking bad news in neonatology.
Article in Frontiers in pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- MEET & MAKE CleaR PROCESS: a new framework for sharing serious information.BMC medical education · 2026Pooled it
- Mapping review on breaking bad news and design of SAFE & CARING protocol for pediatric hematology-oncology.PEC innovation · 2026Article
- "The weight of words": a phenomenological study of Chinese neonatologists' lived experiences of delivering bad news.BMC medical ethics · 2026Article
- Your baby has down syndrome: a reflexive thematic analysis of breaking the news to parents.BMC pregnancy and childbirth · 2025Article
- The Experience of Caring for a Medically Complex Child in the Neonatal Intensive Care Unit: A Qualitative Study of Parental Impact.Children (Basel, Switzerland) · 2025Article
- Utilization and Evaluation of Ethics Consultation Services in Neonatal Intensive Care.Children (Basel, Switzerland) · 2024Article
- Family Reflections on a Lifecourse Journey after Neonatal Intensive Care: Neurodiversity, Enablement and Hope.Children (Basel, Switzerland) · 2024Article
- Does Educational Status Influence Parents' Response to Bad News in the NICU?Children (Basel, Switzerland) · 2023Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Breaking bad news in neonatology is a frequent and difficult challenge. Although there are guidelines for communicating with parents in pediatrics and neonatology, the specific framework for breaking bad news in neonatology has not been studied in more detail. Therefore, we aimed to identify determinants that are important for successful managing breaking bad news in neonatology from professionals' perspective and to develop a conceptual framework that underpins this challenging task. Methods: We conducted seventeen semi-structured interviews with senior neonatologists of six perinatal centers of the highest level of care in Germany. The transcripts were analyzed according to Mayring's method of qualitative content analysis using inductive and deductive coding. Results: Eight determinants of breaking bad news in neonatology could be identified from the interviews. From these, we developed the conceptual framework NEO-SPEAK. The first three determinants, Neonatal prognostic uncertainty, Encounter in (triangular-)partnerships, Organization and teamwork (NEO) are directly related to the specific care situation in neonatology, whereas the others, Situational stress, Processuality, Emotional burden, Attention to individuality, Knowledge and experience, play a role for difficult conversations in general, but are subject to special modifications in neonatology (SPEAK). In addition, the results show that the context in neonatology as well as reciprocal effects on the team and the individual level of the physicians are important influencing factors in breaking bad news. Conclusion: On the one hand, the constitutional framework NEO-SPEAK shows which special aspects play a role in neonatology for the delivery of bad news, and on the other hand, it can help to identify and consider these aspects in clinical routine and training. Considering or reinforcing each NEO-SPEAK element when planning or delivering bad news may guide healthcare professionals through communication with parents of critically ill or premature newborns and support the resilience of the caring team.
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