Enhancing residents’ compassionate communication to family members: A family systems breaking bad news simulation.

Williams-Reade, Jacqueline; Lobo, Elsie; Whittemore, Abel Arvizú; Parra, Laura; Baerg, Joanne

doi:10.1037/fsh0000331

Cited by 11 publications

(19 citation statements)

References 8 publications

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“…In the United States, one of the most popular protocols is the so-called “ Six-Step Protocol” for the delivery of bad news (SPIKES: acronym for the words Setting, Perception, Invitation, Knowledge and Empathy). It is a protocol aimed primarily at doctors who provide information on unfavorable prognoses, but can also be used to inform the family of the death of a patient (Scott, 2013 ; Shomoossi et al, 2013 ; Williams-Reade et al, 2018 ). One study described the ABCDE notification strategies that propose accurate intervention plans for healthcare professionals who are required to make a death notification (Shomoossi et al, 2013 ).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 19 studies ( Table 2 ) described the notification process, taking into account both perspectives. From the notifier's point of view, the notification process is mostly judged as difficult and stressful (Adamowski et al, 1993 ; Stewart et al, 2000 ; Janzen et al, 2003-2004 ; Hart and DeBernardo, 2004 ; Douglas et al, 2012 ; Williams-Reade et al, 2018 ). The reactions most commonly described by the notifier are: anxiety, guilt, sadness, identification with the target, discomfort, avoidance, anguish, frustration, isolation, insomnia, lowering of mood, recurrent nightmares, feelings of helplessness, substance abuse, marital conflict, PTSD, chronic stress response syndrome, and professional burnout (Spencer et al, 1987 ; Veilleux and Bilsky, 2016 ; Tuffrey-Wijne and Rose, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

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Notification of Unexpected, Violent and Traumatic Death: A Systematic Review

Leo

Zammarrelli²,

Giannotti³

et al. 2020

Front. Psychol.

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Background: The way the death of a person is communicated can have a profound impact on the bereavement process. The words and expressions that are used to give the tragic news, the characteristics of who communicates it, the physical setting in which the notification is given, the means used (e.g., in person, via phone call, etc.) are just some of the factors that can influence the way survivors face one of the most difficult moments in their lives. Aim: To review the literature on the topic of death notification to verify the state of the art related to this important procedure. Methods: A systematic review was conducted with PRISMA criteria on English-written materials produced from 1966 to 2019. Results: Out of the initial 3,166 titles considered, 60 articles were extracted for this review. A content analysis has revealed four main areas of interest: (1) protocols and guidelines; (2) emotional reactions of recipients and notifiers; (3) professional figures involved in the notification process; and, (4) types of death. Discussion: The communication of death represents a complex and stressful experience not only for those who receive it but also for those who give it. Alongside the acquisition of a necessary technique and execution methods, the process should involve the selection of notifiers based on personality characteristics and communication styles. Conclusion: Indications for the need of better training and protocols sensitive to different circumstances emerge. Adequate preparation can positively influence the quality of communication and the effects it produces, both on recipients and notifiers. In vocational training, more space should be devoted to this demanding task.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Notification of Unexpected, Violent and Traumatic Death: A Systematic Review

Leo

Zammarrelli²,

Giannotti³

et al. 2020

Front. Psychol.

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“…[23][24][25] Simulation is widely employed as an educational modality to improve learners' communication skills and has demonstrated feasibility through learner self-assessment surveys. 26,27 Rucker et al developed a longitudinal communication curriculum for medical students consisting of seminars and videotaped interactions. After initiation of this curriculum, students' communication scores improved significantly on an objective structured clinical examination (OSCE).…”

Section: Discussionmentioning

confidence: 99%

A Multimodal Curriculum With Patient Feedback to Improve Medical Student Communication: Pilot Study

Dubosh

Hall

Novack

et al. 2019

WestJEM

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Introduction: Despite the extraordinary amount of time physicians spend communicating with patients, dedicated education strategies on this topic are lacking. The objective of this study was to develop a multimodal curriculum including direct patient feedback and assess whether it improves communication skills as measured by the Communication Assessment Tool (CAT) in fourth-year medical students during an emergency medicine (EM) clerkship. Methods: This was a prospective, randomized trial of fourth-year students in an EM clerkship at an academic medical center from 2016-2017. We developed a multimodal curriculum to teach communication skills consisting of 1) an asynchronous video on communication skills, and 2) direct patient feedback from the CAT, a 15-question tool with validity evidence in the emergency department setting. The intervention group received the curriculum at the clerkship midpoint. The control group received the curriculum at the clerkship’s end. We calculated proportions and odds ratios (OR) of students achieving maximum CAT score in the first and second half of the clerkship. Results: A total of 64 students were enrolled: 37 in the control group and 27 in the intervention group. The percentage of students achieving the maximum CAT score was similar between groups during the first half (OR 0.70, p = 0.15). Following the intervention, students in the intervention group achieved a maximum score more often than the control group (OR 1.65, p = 0.008). Conclusion: Students exposed to the curriculum early had higher patient ratings on communication compared to the control group. A multimodal curriculum involving direct patient feedback may be an effective means of teaching communication skills.

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“…No que tange ao perfil dos participantes dos estudos, dez artigos foram realizados com estudantes de medicina e três com médicos residentes. Da amostra analisada, quatro abordaram temáticas de treinamento, capacitação ou formação curricular relacionada à comunicação de notícias difíceis para estudantes e residentes (Johnson et al, 2017;Luttenberger, Graessel, Simon, & Donath, 2014;Parikh, White, Buckingham, & Tchorz, 2017;Williams-Reade, Lobo, Whittemore, Parra, & Baerg, 2018).…”

Section: Figura 1 Flow Diagram Da Seleção Dos Artigosunclassified

“…Quatro artigos apresentaram teorias como abordagem pedagógica de ensino de comunicação de notícias difíceis, sendo estas: a terapia centrada no cliente de Rogers (Luttenberger et al, 2014), a teoria da aprendizagem adulta de Knowles (Johnson et al, 2017), os quatro estágios experienciais de Kolb associados com a teoria familiar sistêmica (Williams-Reade et al, 2018) e a teoria da metacognição (Lajoie et al, 2015). Todos os artigos sinalizaram a importância dos aspectos emocionais na comunicação de notícias difíceis, contudo apenas seis estudos pontuaram a necessidade de acolhimento emocional das angústias, da insegurança e do distanciamento emocional reportados pelos participantes, como forma de prepará-los para lidar com a temática de notícias difíceis (Hurst, Baroffio, Ummel, & Burn, 2015;Karnieli-Miller, Palombo, & Meitar, 2018;Lajoie et al, 2015;Skye, Wagenschutz, Steiger, & Kumagai, 2014;Toivonena et al, 2017;Williams-Reade et al, 2018).…”

Section: Figura 1 Flow Diagram Da Seleção Dos Artigosunclassified

Comunicação de Notícias Difíceis: Revisão Integrativa Sobre Estratégias de Ensino na Formação Médica

Silva-Xavier

Polejack

Seidl

2020

PSSA

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Notícias difíceis são informações que afetam seriamente a visão do indivíduo sobre o seu futuro. Na saúde, são atribuições médicas em situações de comunicação diagnóstica de condições clínicas graves, no prognóstico e/ou terapêutica desfavorável de quadros irreversíveis ou sem tratamento modificador (falecimentos, sequelas, assistência paliativa). Este estudo realizou revisão integrativa das estratégias de ensino desse tipo de comunicação na formação médica. Foram acessadas a PsycINFO, a Biblioteca Virtual em Saúde e a PubMed, de 2014 até maio de 2019. Foram encontrados 59 resumos e, após aplicação dos critérios de exclusão, 13 artigos empíricos foram analisados. Identificou-se diversidade no uso de estratégias de ensino, sendo a simulação (com atores ou pessoas treinadas) a mais descrita. Outras estratégias (discussão entre pares, escrita reflexiva, reunião compartilhada com pacientes, vídeos de casos e emprego de tecnologias digitais) também foram identificadas. O uso combinado dessas estratégias tem importância primordial no treinamento profissional contemporâneo.

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Enhancing residents’ compassionate communication to family members: A family systems breaking bad news simulation.

Cited by 11 publications

References 8 publications

Notification of Unexpected, Violent and Traumatic Death: A Systematic Review

Notification of Unexpected, Violent and Traumatic Death: A Systematic Review

A Multimodal Curriculum With Patient Feedback to Improve Medical Student Communication: Pilot Study

Comunicação de Notícias Difíceis: Revisão Integrativa Sobre Estratégias de Ensino na Formação Médica

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