Nurses Knowledge toward SPIKES Strategy at Oncology Wards in Baghdad Pediatrics Teaching Hospitals

Nurses knowledge toward spikes strategy at oncology wards in Baghdad pediatrics teaching hospitals. A cross-sectional study was carried out among 25 nurses selected by using non probability sampling (purposive sampling). According to study findings females were 72 % of the study sample, 36 % of them between (30-34) years of age and 40 % had graduate Institute of nursing.84 % of nurses do not know the definition of spikes strategy. Regarding to the items of setting up the interview mean is at low level (1.32). Regarding to the items of assessing the patients (parents) perception mean is at low level (1.24). Regarding to the items of obtaining the patients (parents) invitation mean of is at moderate level (1.58). Regarding to the items of giving knowledge and information mean is at low level (1.3). Regarding to the items of addressing the patients (parents) emotions with empathy mean is at low level (1.32). Regarding to the items of summarize and strategize mean is at moderate level (1.45). Over all instrument items mean is at moderate level (1.35). Training session to educate nurses about SPIKES strategy and how to breaking bad news and educate nurses about communication skills.