Identifier les patients nécessitant des soins palliatifs généraux ou spécialisés grâce à ID-PALL

Lüthi, Fabienne Teike; Bernard, Mathieu; Gamondi, Claudia; Ramelet, Anne-Sylvie; Borasio, Gian Domenico

doi:10.53738/revmed.2022.18.769.288

Cited by 1 publication

(2 citation statements)

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“…A performance assessment scale of SAE disclosure was used to evaluate the residents' performance during the scenarios. It had been developed by the ABS Lab, based on the 6-step protocol for delivering bad news of the SPIKES method 15 translated into French 16 . As the course was in French, both the English and the French versions of the scale were validated before being used: Cronbach α = 0.62, intraclass correlation coefficient = 0.93, R 2 = 0.85 23 .…”

Section: Methodsmentioning

confidence: 99%

“…A recent survey revealed a significant demand among 87% of professionals and 92% of students surveyed for training regarding this type of disclosure 14 . The learning technique for delivering bad news was published in 2000 under the acronym SPIKES (setting, perception, invitation, knowledge, emotion, and strategy and summary) 15,16 . A recent review of 21 studies showed that training in disclosure of AEs in healthcare improved performance 17 .…”

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confidence: 99%

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Benefit of Simulation-Based Training in Medical Adverse Events Disclosure in Pediatrics

Aubin¹,

Rivolet²,

Taunay³

et al. 2021

Pediatr Emer Care

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Introduction: Adverse events (AEs) in health care are a public health issue. Although mandatory, error disclosure is experienced by health providers as a difficult task. Methods:In this prospective study, the primary objective was to assess performance in disclosing AEs to simulated parents using a validated scale before and after training among a pediatric residents' population. Secondary objectives were to assess correlation with year of residency, sex, and previous experience and to analyze gain in knowledge (theoretical pretest/posttest scores) and satisfaction. Two evaluation simulations (simulation [SIM] 1 and SIM 2) were scheduled at 3-week interval. In the intervention group, mastery learning was offered after SIM 1 including a didactic approach and a training session using role-playing games. For the control group, the course was carried out after SIM 2. Assessments were performed by 2 independent observers and simulated parents.Results: Forty-nine pediatric residents performed 2 scenarios of AE disclosure in front of simulated parents. In the intervention group, performance scores on SIM 2 (72.36 ± 5.40) were higher than on SIM 1 (65.08 ± 9.89, P = 0.02). In the control group, there was no difference between SIM 1 and SIM 2 (P = 0.62). The subjective scores from simulated parents showed the same increase on SIM 2 (P < 0.01). There was no correlation with the residents' previous experience or their residency year. There was an increase in self-confidence (P = 0.04) for SIM 2. There was also an increase in posttest theoretical scores (P = 0.02), and residents were satisfied with the training.Conclusions: This study showed the benefits of simulation-based training associated with mastery learning in AE disclosure among pediatric residents. It is important to train residents for these situations to avoid traumatic disclosure generating a loss of confidence of the family regarding physicians and possible lawsuits.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%