Skills for communicating severe acute respiratory syndrome-coronavirus-2 result to patients and/or relatives

Adeniyi, Oladele Vincent; Kayembe, Dominique Kabengele

doi:10.4102/safp.v63i1.5221

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…14 Information on COVID-19 started being perceived as bad news as the disease may lead to death or serious complications. 15 This type of bad news has become a psychological burden for physicians as well as patients. Physicians were forced to deliver mass-scale bad news when contacting patients and informing some of them of the potentially fatal diagnosis.…”

Section: Covid-19 Pandemic As a Source Of Psychological Strain In Hea...mentioning

confidence: 99%

The “CONNECT” Protocol: Delivering Bad News by Phone or Video Call

Sobczak¹

2022

IJGM

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The COVID-19 pandemic has changed the principles of communication within the health-care setting. Communication skills as developed for use in the context of a direct and personal encounter have become insufficient. As a result, numerous health professionals came to believe they were not sufficiently prepared to deliver bad news in relation to medical care. The CONNECT protocol is a tool designed to help health-care professionals in the delivery of such messages. The name of the protocol is an acronym derived from C – context, O – organization, NN – near and niceties, E - emotions, C – counseling, T – taking care. The objective of the protocol is to improve the effectiveness of the delivery of bad news in relation to medical care by ensuring proper organization of the key elements of the encounter with the patient and/or their family.

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Section: Covid-19 Pandemic As a Source Of Psychological Strain In Hea...mentioning

confidence: 99%

The “CONNECT” Protocol: Delivering Bad News by Phone or Video Call

Sobczak¹

2022

IJGM

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When COVID-19 changes the rules: Understanding the rapid implementation of a pathology result notification service – A case study (Preprint)

Geddes,

Cambourn,

Clark

et al. 2023

Preprint

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BACKGROUND The COVID-19 pandemic put enormous pressure on health systems around to world, including the New South Wales (NSW) Health system, it was also a significant driver of change. COVID-19 test data was, and remains, important to identify positive patients and monitor outbreaks and clusters [1]. This increased demand for NSW Health Pathology (NSWHP) testing and disrupted usual clinician pathology referral pathways, meaning that there was no simple way to rapidly deliver the large volume of negative patient results which was undertaken manually by staff. The NSWHP COVID-19 SMS Result Service (the Result Service) was introduced to alleviate pressure on frontline clinical staff due to surging demand for pathology testing and manual notification of results. At the start of the pandemic, negative results were taking up to ten days to be reported manually to patients. The introduction of automated result notification freed resources to focus on patients who tested positive including clinical management, support services and contact tracing. Successful implementation of the Result Service relied on partnering with Local Health Districts (LHDs). OBJECTIVE Through a purposive sample of LHDs, this study explores contextual factors using the Practical, Robust, Implementation, and Sustainability Model[2] that influenced LHD adoption of the Result Service. The aim is to inform the planning and implementation of other technology resources for result notification and/or the delivery of pathology services to LHD customers and patients for other non-pandemic purposes. METHODS We used a mixed methods approach. A semi-structured one-time survey was issued to a total of 239 staff from a representative sample of four metropolitan, regional and rural LHDs to elicit the views and experience of LHD staff, about the implementation of the Result Service. The survey was supplemented by analysis of retrospective NSWHP enterprise data related to COVID-19 testing and Result Service uptake rates. RESULTS Within a month of implementation of the Results Service, registration rates increased sharply from 10% to 75% in all four LHDs. Despite the low response rate 13% (31), several themes emerged from the survey. Most participants agreed that the Result Service benefitted the people of NSW and their LHD. The highest ranked factors that influenced the implementation were demand on frontline staff (4.57 out of 5), direction or support from the COVID-19 Lead (4.50 out of 5) and “patient demand” (4.48 out of 5). CONCLUSIONS This study explores the contextual factors that influenced successful implementation of the Result Service using the PRISM model. Based on staff feedback, the study found this included increasing demands on front-line staff, unfunded resource impacts and pressure from patients. This study will inform further research into the implementation of similar technology projects, specifically when they are dependent on partnering organisations.

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Skills for communicating severe acute respiratory syndrome-coronavirus-2 result to patients and/or relatives

Cited by 2 publications

References 18 publications

The “CONNECT” Protocol: Delivering Bad News by Phone or Video Call

The “CONNECT” Protocol: Delivering Bad News by Phone or Video Call

When COVID-19 changes the rules: Understanding the rapid implementation of a pathology result notification service – A case study (Preprint)

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