الفهرس 
Abstract
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Abstract
Breaking bad news (BBN) to patients and/or their families in Intensive Care Units is a serious challenge task full of difficulties which might be personal as fear of family reactions or institutional as time constraints. When nurses break bad news frequently throughout the day they become emotionally burden and require evidence-based training in BBN and supportive interventions to overcome their emotional burden. Aim of the study: Assess the nurse’s skills in breaking bad news and associated emotional burden at the Intensive care units. Design: A descriptive design was used. Setting: The study was conducted in Neonatal intensive care unit (NICU), Pediatric care unit (PICU), Coronary Care Unit (CCU), Cardiothoracic Surgery Unit, adult intensive care unit (ICU) affiliated to Suez Canal University Hospital and adult intensive care unit (ICU) which affiliated to Specialized Suez Canal University Hospital in Ismailia. Subject: All available nurses (148) working the three shifts in the previously mentioned settings were involved. Tools of data collection: Two tools designed by the researcher were used as follows: Tool (I): breaking bad news semi-structured interviewing questionnaire and Tool (II): emotional burden questionnaire. Results: It was found that the majority of the studied nurses (75%) had unsatisfactory level of breaking bad news, nearly half of them (52.0%) reported that they didn’t need training courses to improve their skill and near two thirds (56.1%) had a moderate level of emotional burden. Conclusion: Statistically insignificant correlation between nurses’ breaking bad news skill and the emotional burden was found. Recommendation: Development and implementation of BBN training courses plus supportive interventions for nurses were recommended.