Breaking Bad News A Thrive Worldwide Resource

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Breaking Bad News
                         A Thrive Worldwide Resource

How to break bad news                  There are a variety of situations
                                       that would require you to break
isn’t always part of
                                       bad news. It may be a matter of a
management training.                   staff member dying unexpectedly
And it's something you                 from an illness. Or you may
would hope to never                    have been working to secure the
                                       release of an abducted staff
have to do.
                                       person with confidentiality
                                       considerations for weeks.
But if you are a manager in a
humanitarian organisation, it’s
                                       You may be the first person that
likely that in the event of a crisis
                                       your team hears the news from,
or tragedy, you will have to break
                                       or some may have already heard
bad news to your team. And the
                                       the news. Conveying news
way in which you do so is shown
                                       as soon as possible prevents
to have a lasting impact on how
                                       misinformation and helps to build
an individual and team responds
                                       trust. In any scenario, there will
to the situation. In fact, doing it
                                       be mixed responses. Recognise
well can be a meaningful
                                       that the circumstance around a
experience for you and the people
                                       staff member's death may trigger
you’re speaking with.

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past painful memories for some.

The following '5 Ps' of breaking
bad news provides a basic and
                                         Enlist the support
reliable framework for this difficult
meeting:                                 of a colleague or
                                         two to review
1 BE PRESENT                             what you will say
                                         and to accompany
Our first piece of advice is to
be present. As simple as it              you to meet the
sounds, it can be hard to                staff.
do - your own anxieties about not
knowing what to say, mixed with
hyperactive feelings of needing to      3 PRESENT INFORMATION
be productive, can stand in the
way of authentic and caring             You should present information to
presence.                               the whole team, and create an
                                        atmosphere that respects a
2 PREPARE                               variety of responses. When
                                        giving bad news, be direct and
Write down what you would like to       compassionate. Tell them what
cover and bring these points with       happened and what will happen
you to the meeting. Enlist the          next. If information needed to
support of a colleague or two to        be kept from team members (ie
review what you will say and to         kidnapping), explain why that was
accompany you to meet the               important.
staff. Liaise with the Crisis
Management Team (if activated)          Let team members know
and get as much information as          what is going to happen next
possible, including what will           and, if appropriate, invite them to
happen next, and any ongoing            participate. This may include
supports available.                     funeral arrangements,
                                        commemorations, and memorials.
                                        Point them towards committee
                                                                              2
leaders if they have been           Understand that emotional
formed. Provide preliminary         responses will vary: disbelief,
information on time-off and         sadness, crying, denial, shock,
return to work.                     anger, among others. Recognise
                                    that someone’s anger is not
                                    personal, but an expression of
                                    frustration, guilt, or worry.
                                    Also understand cultural
                                    differences and perceptions of
 Hearing bad news
                                    death will influence individual
 may disorient                      responses. Son’t presume to
 some people and                    know how someone may
 so information will                respond.
 need to be
                                    Other reactions may include:
 communicated
 several times.                         Difficulty thinking clearly
                                        Dwelling on meaningless
                                        activities
                                        Expressing hostility or
4 PROVIDE AN                            numbness
OPPORTUNITY TO SPEAK                    Impulsiveness
                                        Dependence
Provide an opportunity for staff        Feeling incompetent
to speak and ask questions.
Some staff may have reflections,    Refer to special psychological
while others will have questions.   support if symptoms are
Listen attentively and give clear   persistent and aggravated,
and concise responses; letting      drastically interfere with work,
them know that you will “look       family or social life, present risk
into it”, if you don’t know the     of harm to self or others, exhibit
answer to a question. Make a        addictive behaviours, or present
note and ensure you                 with severe abnormal
communicate back.

                                                                          3
symptoms. Yet, assume that         way when faced with needing to
most if not all of your team       provide bad news.
will recover naturally, without
specialist intervention.           ADDITIONAL RESOURCES

5 PERSONAL WELLBEING                  Disaster Ready’s
                                      Management and
Lastly, make sure you are             Leadership Training
leaning on your supports and          disasterready.org/humanitari
finding rest. Giving bad news is      an-leadership-training
very stressful. Often times,          EISF's Liaison & Support
we have sufficient energy and         During A Crisis
fortitude in the immediate            www.eisf.eu/library/familyfirst
aftermath of a crisis, but be         -liaison-and-support-during-
aware of the “adrenaline crash”       a-crisis/
and have compassion on your           [This is a Family Liaison
feelings of exhaustion. As            Manual, and is useful for
explained above, get into a           breaking bad news to family
healthy routine and avoid             members]
isolating or escaping with drugs      Management of Dead
or alcohol.                           Bodies in Disaster
                                      Situation
You could also invite external        who.int/hac/techguidance/m
psychosocial support to offer an      anagement_of_dead_bodies
optional Psychological First Aid      .pdf
(PFA) session within 3 days           [A technical manual -
following the incident. During        chapters 4-5 relate to the
PFA, it may become apparent           psychosocial considerations
that some team members would          at the individual and
like additional support. Provide      sociocultural level]
clear information on how to
access further psychological
support. Invest in building team
cohesion and resiliency during
good times. This goes a long
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Thank you for accessing this resource.
For more resources and dedicated support:
visit www.thrive-worldwide.org
email info@thrive-worldwide.org

Resource Author
Ben Porter
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