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Is it possible to improve the breaking bad news skills of residents when a relative is present? A randomised study

MERCKAERT, I ; LIENARD, A ; RAZAVI, D ; LIBERT, Y ; BRAGARD, I ; DELVAUX, N ; ETIENNE, A.-M ; MARCHAL, S ; MEUNIER, J ; REYNAERT, C ; SLACHMUYLDER, J.-L

British journal of cancer, 2013-11, Vol.109 (10), p.2507-2514 [Periódico revisado por pares]

Basingstoke: Nature Publishing Group

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Título:
Is it possible to improve the breaking bad news skills of residents when a relative is present? A randomised study
Autor: MERCKAERT, I ; LIENARD, A ; RAZAVI, D ; LIBERT, Y ; BRAGARD, I ; DELVAUX, N ; ETIENNE, A.-M ; MARCHAL, S ; MEUNIER, J ; REYNAERT, C ; SLACHMUYLDER, J.-L
Assuntos: Adult ; Biological and medical sciences ; Clinical Competence - standards ; Clinical Study ; Communication ; Communication & mass media ; Communication & médias ; Content analysis ; Education ; Education, Medical - methods ; Education, Medical - standards ; Female ; Humans ; Internship and Residency - methods ; Internship and Residency - standards ; Male ; Medical sciences ; Patient Simulation ; Physician-Patient Relations ; Physicians - psychology ; Physicians - standards ; Quality Improvement ; Sciences sociales & comportementales, psychologie ; Social & behavioral sciences, psychology ; Truth Disclosure ; Tumors ; Young Adult
É parte de: British journal of cancer, 2013-11, Vol.109 (10), p.2507-2514
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-News-1
ObjectType-Feature-3
content type line 23
scopus-id:2-s2.0-84887852944
Descrição: Although patients with cancer are often accompanied by a relative during breaking bad news (BBN) consultations, little is known regarding the efficacy of training programmes designed to teach residents the communication skills needed to break bad news in a triadic consultation. Residents were randomly assigned to a 40-h dyadic and triadic communication skills training programme (n=48) or a waiting list (n=47). A simulated BBN triadic consultation was audiotaped at baseline, and after training for the training group, and 8 months after baseline for the waiting list group. Transcripts were analysed using content analysis software (LaComm). A coder determined the moment of bad news delivery and the relative's first turn of speech regarding the bad news. A generalised estimating equation was used to evaluate residents' communication skills, BBN timing, and the relative's inclusion in the consultation. Ninety-five residents were included. After training, the duration of the pre-delivery phase was found to be longer for the trained residents (relative risk (RR)=3.04; P<0.001). The simulated relative's first turn of speech about the bad news came more often during the pre-delivery phase (RR=6.68; P=0.008), and was more often initiated by the trained residents (RR=19.17; P<0.001). Trained residents also used more assessment (RR=1.83; P<0.001) and supportive utterances (RR=1.58; P<0.001). This study demonstrates that a training programme that focuses on the practice of dyadic and triadic communication skills can improve the communication skills of the participating residents in a BBN triadic consultation. Such a training should be included in resident curriculum.
Editor: Basingstoke: Nature Publishing Group
Idioma: Inglês

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Is it possible to improve the breaking bad news skills of residents when a relative is present? A randomised study

MERCKAERT, I ; LIENARD, A ; RAZAVI, D ; LIBERT, Y ; BRAGARD, I ; DELVAUX, N ; ETIENNE, A.-M ; MARCHAL, S ; MEUNIER, J ; REYNAERT, C ; SLACHMUYLDER, J.-L

Basingstoke: Nature Publishing Group

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