Structured Teaching of Early Pregnancy Loss Counseling

Marko, Emily; Buery-Joyner, Samantha D.; Sheridan, Michael J.; Nieves, Kelsey; Khoury, Alfred; Dalrymple, John L.

doi:10.1097/aog.0000000000001015

Cited by 12 publications

(19 citation statements)

References 11 publications

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“…News delivery interventions are effective for improving practitioner communication skills 54 and sonographers who have received these report lower burnout 55 . However, only two trials have tested news delivery interventions in obstetrics and these did not focus on ultrasound settings 56,57 . Our results suggest that positive experiences of care are possible but not widespread.…”

Section: Discussionmentioning

confidence: 77%

Delivering unexpected news via obstetric ultrasound: A systematic review and meta‐ethnographic synthesis of expectant parent and staff experiences

et al. 2020

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Expectant parents report negative experiences of receiving unexpected news via ultrasound. There is a need to improve communication in this setting, but a lack of understanding on how to achieve this. This systematic review aimed to synthesise findings from qualitative studies exploring experiences of expectant parents or healthcare professionals when a fetal abnormality or unexpected finding was identified via ultrasound. MEDLINE, EMBASE, CINAHL and PsycINFO were searched using three blocks of terms (fetal abnormalities; ultrasound; experiences). Qualitative studies exploring the disclosure of pregnancy complications during ultrasound examinations were included and analysed using meta‐ethnographic synthesis. The review was conducted according to PRISMA and eMERGe guidelines. The review identified 28 studies. News delivered via ultrasound can be viewed as a journey involving five phases (expectations of ultrasound scans; discovery; shock; decisions and planning; adaptation). How well this is navigated depends upon the extent to which information needs and support needs are met. Ultrasound is a uniquely challenging situation to communicate difficult news as there is the potential for news to be communicated immediately. Care quality could be improved by the provision of written information and the use of correct terminology to describe abnormalities.

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Section: Discussionmentioning

confidence: 77%

Delivering unexpected news via obstetric ultrasound: A systematic review and meta‐ethnographic synthesis of expectant parent and staff experiences

et al. 2020

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“…[ 26 , 27 , 31 , 33 ] Nine SDM courses were integrated into an organ-based[ 24 ] or symptom-based module,[ 24 , 28 , 29 ] or embedded into a specific training program. [ 19 , 22 , 23 , 25 , 26 , 31 , 32 ] Only one SDM training course was standalone. [ 27 ] The average reported length of SDM training was 4.2 hours, ranging from one to 18 hours.…”

Section: Resultsmentioning

confidence: 99%

Shared decision making embedded in the undergraduate medical curriculum: A scoping review

et al. 2018

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ObjectiveShared decision making (SDM) training is shown to be effective and is increasingly embedded in continuing medical education. There is little evidence, however, about undergraduate medical education for SDM. The aim of this scoping review was to identify existing SDM training embedded in the undergraduate medical curriculum and analyze their impact.MethodsThe authors systematically searched the extant literature for peer reviewed articles, hand searched key journals and reference lists of key articles, and contacted relevant stakeholders as part of a key informant analysis.ResultsIncluded in the qualitative synthesis were 12 studies evaluating 11 SDM courses in medical education across six countries. Most courses integrated SDM training in clinical clerkship and varied in length from one to seven hours. The majority of studies assessed course impact on students’ skills in SDM. Most studies suggested that students’ skills and confidence in SDM significantly increased post-training, but three studies reported no significant improvement in SDM. Ten courses continue to be taught routinely.ConclusionOverall, studies suggested a positive impact on medical students’ skills, confidence, and attitudes regarding SDM. Embedding SDM training in undergraduate medical education may be a practical and effective solution for current barriers to the widespread adoption of SDM.

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“…O anúncio de um diagnóstico adverso, seja uma má formação, seja uma doença materna e/ou fetal, carrega consigo uma carga emocional intensa não só para o receptor, mas também ao transmissor da notícia 5,16,31 . Deutrax et al 5 e Herrera et al 16 , respectivamente em 1998 e 2014, descreveram que o profissional que transmite a notícia experimenta sensações semelhantes a quem a recebe.…”

Section: Impacto Da Comunicação De Más Notícias No Profissional De Saúdeunclassified

“…Há alguns anos, muitas publicações sobre transmissão de notícias ruins analisaram o padrão de comunicação dos profissionais de saúde, as barreiras à transmissão de más notícias e seu impacto no paciente, mostrando a falta de treinamento formal durante a qualificação profissional e a necessidade de implementálo em outras especialidades, como na Oncologia 4,12,[62][63][64] . No contexto da Perinatologia, ainda são poucos os estudos que avaliam a implementação do treinamento formal durante a graduação médica, e nenhum estudo avaliou a formação institucional no cuidado obstétrico cotidiano 24,31,43,53,54 .…”

Section: Discussão Discussãounclassified

“…Para tanto, os autores realizaram treinamento composto por treinamento teórico associado à situação simulada e posterior debriefing. Ao final do treinamento, os autores puderam concluir que houve melhora na capacidade de transmitir más notícias e aumento na avaliação dos participantes por médicos mais experientes53 .Resultados semelhantes foram encontrados em 2015 por Marko et al31 . Esse autor observou que a implementação de currículo estruturado em comunicação de más notícias é capaz de melhorar o desempenho no aconselhamento do paciente em face da má notícia, com o aumento dos níveis de confiança e empatia entre estes alunos54 .…”

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Comunicação de más notícias em obstetrícia: impacto de treinamento institucional na percepção dos profissionais de saúde

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Structured Teaching of Early Pregnancy Loss Counseling

Cited by 12 publications

References 11 publications

Delivering unexpected news via obstetric ultrasound: A systematic review and meta‐ethnographic synthesis of expectant parent and staff experiences

Delivering unexpected news via obstetric ultrasound: A systematic review and meta‐ethnographic synthesis of expectant parent and staff experiences

Shared decision making embedded in the undergraduate medical curriculum: A scoping review

Comunicação de más notícias em obstetrícia: impacto de treinamento institucional na percepção dos profissionais de saúde

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