Breaking bad news: doctors’ skills in communicating with patients

Silveira, Francisco José Ferreira da; Botelho, Camila Carvalho; Valadão, Carolina Cirino

doi:10.1590/1516-3180.20160221270117

Cited by 51 publications

(66 citation statements)

References 12 publications

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“…Residentes que receberam treinamento em comunicação de más notícias, relatam que esse tipo de atividade tem contribuído na sua formação como profissionais 2,3,5,6,9 . Foi observado que médicos com 10 anos de experiência ou mais se destacavam em transmitir más notícias em comparação aos recém-formados, o que evidencia uma falha na formação desses novos profissionais em relação ao tema, demonstra também a importância da prática para adquirir experiência e de como é importante abordar o estudo dessa comunicação na graduação dos profissionais em saúde 8 . Determinadas especialidades também se destacaram acima de outras na proficiência em dar más notícias, isso se deu por conta da maior frequência com que os profissionais se deparam em comunicar esse tipo de mensagem.…”

Section: Resultsunclassified

Matriciamento Em Saúde Mental Infanto Juvenil: Vivências No Território Do Município Do Cabo De Santo Agostinho/Pe

Feitoza¹,

Silva²,

Silva³

et al. 2019

Prevenção E Promoção De Saúde 7

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Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.

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Section: Resultsunclassified

Matriciamento Em Saúde Mental Infanto Juvenil: Vivências No Território Do Município Do Cabo De Santo Agostinho/Pe

Feitoza¹,

Silva²,

Silva³

et al. 2019

Prevenção E Promoção De Saúde 7

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“…In both deliveries physicians may experience a fear of being blamed, or of the patient's reactions. However, the main differences are the emphasis on a proper physical space when delivering bad news and giving hope (Ferreira da Silveira et al, 2017;Witt & Jankowska, 2018). Only one article in our literature review specifically mentioned the importance of space to secure privacy during disclosure .…”

Section: Discussionmentioning

confidence: 99%

Disclosing Adverse Events in Clinical Practice: The Delicate Act of Being Open

Myren

Hullu

Bastiaans

et al. 2020

Health Communication

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Practicing a "safe" disclosure of adverse events remains challenging for healthcare professionals. In addition, knowledge on how to deliver a disclosure is still limited. This review focuses on how disclosure communication may be practiced based on the perspectives of patients and healthcare professionals. Empirical studies conducted between September 2008 and October 2019 were included from the databases PubMed, Web of Science and Psychinfo. After full text analysis and quality appraisal this scoping review included a total of 23 studies out of 2537 studies. As a first step, the needs of patients and the challenges of healthcare professionals with the practice of providing an effective disclosure were extracted from the empirical literature. Based on these findings, the review demonstrates that specific disclosure communication strategies on the level of interpersonal skills, organization, and supportive factors may facilitate healthcare professionals to provide optimal disclosure of adverse events. These may be relevant to provide patients with a tailored approach that accompanies their preferences for information and recognition. In conclusion, healthcare professionals may need training in interpersonal (verbal and nonverbal) communication skills. Furthermore, it is important to develop an open (organizational) culture that supports the communication of adverse events and disclosure as a standard practice.

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“…Prepare a script listing the main topics of the patient's evolution, his name and the name of the companion who usually answers the phone. It is important to emphasize that, in search of success in communication, it is necessary to have a deep knowledge about the clinic and the patient's demand (11,12); c. Organize, according to the demand, the main priorities for the discussion (those he perceives will be more delicate information should be prioritized) (6, 10).…”

Section: A Proposal For the Adaptation Of The Spikes Protocol For Remmentioning

confidence: 99%

“…Call the companion by name, as well as the patient by name. This action helps to consolidate the doctor-patient/family relationship (11)(12)(13)(14); b. Always ask if there is someone close to the companion who is receiving the information and advice that, if the companion is unable to keep it going, pass it on (12,14); c. Notice variations in the companion's tone of voice (tones of doubt, sadness, pauses) (6, 13); d. In the case of a video call, attention to non-verbal language such as crossing arms, frequent deviations in the look.…”

Section: (P): Perceptionmentioning

confidence: 99%

“…One must perceive and become sympathetic to the manifestations of sadness and/or joy, depending on the news, the family members/companions (2); b. Show available and empathetic posture-demonstrate that you understand suffering and difficulties; Given that in many cases after passing on difficult information, people do not actively pay attention to what is said later (12,14); c. Getting emotional is allowed, it just can't be more than the companions themselves. A survey carried out in 2017 showed that about 40% of doctors feel sad when they had to give bad news (13,14).…”

Section: (K): Knowledgementioning

confidence: 99%

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