<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2021000400017</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cómo debemos comunicar malas noticias en tiempos de pandemia]]></article-title>
<article-title xml:lang="en"><![CDATA[How to communicate bad news in times of pandemic]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bosch Bayard]]></surname>
<given-names><![CDATA[Rodolfo Isidro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blanco Aspiazu]]></surname>
<given-names><![CDATA[Miguel A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Blanco]]></surname>
<given-names><![CDATA[Ana Lidia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Ciencias Médicas &#8220;Finlay-Albarrán&#8221; ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,State University of Zanzíbar  ]]></institution>
<addr-line><![CDATA[Suza ]]></addr-line>
<country>Tanzania</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Policlínico Docente "Ramón González Coro"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Policlínico Docente "Aleida Fernández Chardiet"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>20</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2021000400017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2021000400017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2021000400017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La humanidad ha quedado sorprendida por el impacto de la pandemia de la COVID-19, su contagiosidad y letalidad constituyen grandes causas de preocupación en todo el mundo; en este contexto resulta muy difícil para el personal de la salud comunicar malas noticias.  Objetivo:  Expresar la necesidad de desarrollar habilidades para comunicar malas noticias por el personal de la salud ante esta pandemia de la COVID-19.  Material y Métodos:  Se realizó una revisión bibliográfica acerca del impacto sobre la salud mental de la pandemia de la COVID-19 y la necesidad de preparación del personal sanitario para ofrecer malas noticias.  Resultados:  Se han descrito reacciones de depresión, ansiedad, trastornos del sueño y estrés postraumático, causadas por esta pandemia. Se describen varios protocolos que se pueden seguir al realizar esta práctica: el Protocolo de Buckman, Spikes y ABCDE.  Conclusiones:  La pandemia de la COVID-19 ha producido grandes afectaciones de la salud mental en la población general en todo el mundo, por lo que se necesita que el personal de la salud esté bien entrenado para comunicar malas noticias, se creen espacios idóneos para esta práctica y las instituciones diseñen e implementen sus protocolos de actuación para llevar a cabo esta tarea.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Humanity has been surprised by the impact of the COVID-19 pandemic; its contagiousness and lethality are great causes for concern around the world. In this context, it is very difficult for the health personnel to communicate bad news.  Objective:  To express the need to develop skills among the health care personnel to communicate bad news in the context of the COVID-19 pandemic.  Material and Methods:  A bibliographic review about the impact of the COVID-19 pandemic on mental health and the need to prepare the health personnel to communicate bad news was carried out.  Results:  Reactions of depression, anxiety, sleep disorders and post-traumatic stress caused by this pandemic have been described. Several protocols that can be followed when performing this practice are described; they include: The Buckman, Spikes and ABCDE protocols.  Conclusions:  The COVID-19 pandemic has caused great effects on the mental health of the general population around the world. Therefore, it is necessary for the health personnel to be well trained in communicating bad news, as well as to create suitable spaces for this practice. On the other hand, the institutions should design and implement their action protocols to carry out this task.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[salud mental]]></kwd>
<kwd lng="es"><![CDATA[comunicación]]></kwd>
<kwd lng="es"><![CDATA[relación médico- paciente]]></kwd>
<kwd lng="es"><![CDATA[médicos]]></kwd>
<kwd lng="es"><![CDATA[sicología]]></kwd>
<kwd lng="es"><![CDATA[estrés]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[mental health]]></kwd>
<kwd lng="en"><![CDATA[communication]]></kwd>
<kwd lng="en"><![CDATA[doctor-patient relationship]]></kwd>
<kwd lng="en"><![CDATA[doctors]]></kwd>
<kwd lng="en"><![CDATA[psychology]]></kwd>
<kwd lng="en"><![CDATA[stress]]></kwd>
</kwd-group>
</article-meta>
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