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ER Bad-News Training Tracks Staff Confidence, Not Family Outcomes

MHD card showing a quiet emergency department family room with 2 chairs, a box of tissues, a clinician's lanyard and a door open to warm light, illustrating a review that found bad-news training in emergency departments was judged by staff confidence rather than family outcomes.

Research on how emergency departments break bad news mostly measures how confident staff feel, not how patients and grieving families fare afterward, according to a 2026 scoping review of 156 publications.1 Research Highlights Training was judged by staff confidence: of 36 evaluations of bad-news training, 23 measured confidence or comfort, mostly by self-report. None measured …

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