When Bad News Isn’t Necessarily Bad: Recognizing Provider Bias When Sharing Unexpected News

Carroll, Carissa; Carroll, Christopher L.; Goloff, Naomi; Pitt, Michael B.

doi:10.1542/peds.2018-0503

Cited by 14 publications

(6 citation statements)

References 8 publications

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“…In addition, evaluation results examining the use of the protocols varied [ 62 ], and patient preferences on how to receive bad news seem to interfere in the BBN process [ 18 ]. Professionals who perceive themselves as capable of communicating bad news can do so effectively by depending upon their intuitive talents [ 63 ]. Unfortunately, if this self-perception is imprecise, their inadequate BBN behavior could have consequences for the patient.…”

Section: Discussionmentioning

confidence: 99%

Development and validation of The Breaking Bad News Attitudes Scale

et al. 2021

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Background Communication of bad news plays a critical role in the physician-patient relationship, and a variety of consensus guidelines have been developed to this purpose, including the SPIKES protocol. However, little is known about physicians’ attitudes towards breaking bad news and to be trained to deliver it. This study aimed to develop and validate a self-report questionnaire to assess physicians’ attitudes towards principles of the SPIKES protocol and training on them. Methods The Breaking Bad News Attitudes Scale (BBNAS) was administered to 484 pediatricians and 79 medical students, recruited at two scientific conferences and two medical schools in Brazil. The questionnaire structural validity, reliability, and associations with other variables were tested. Results The BBNAS showed adequate validity and good reliability, with two factors measuring attitudes towards the SPIKES strategy for braking bad news (α = 0.81) and the possibility to be trained on it (α = 0.77), respectively. Conclusion The novel questionnaire is a psychometrically sound measure that provides information on physicians’ agreement with the SPIKES protocol. The BBNAS can provide useful information for planning training and continuing education programs for clinicians on communication of bad news using the SPIKES as a framework.

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Section: Discussionmentioning

confidence: 99%

Development and validation of The Breaking Bad News Attitudes Scale

et al. 2021

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“…Se incia con la felicitación por el nacimiento de su hijo; esto no siempre se hace y, ante todo, no debiera olvidarse que se trata del nacimiento de un ser humano. 12 La forma en cómo se da esta primera noticia marcará, de forma trascendental, el futuro del niño y la familia. La medicina humanista y el acompañamiento empático facilitarán esta etapa de duelo por la que cursan los padres.…”

Section: Neonatal (Del Nacimiento Al Primer Mes)unclassified

Seguimiento médico de los niños con síndrome de Down

Arizmendi

Robledo²,

Díaz³

et al. 2021

Acta Pediatr Mex

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La identificación de la alteración en el cromosoma 21 ha permitido catalogar las principales comorbilidades coexistentes en las personas con síndrome de Down. Desde 1866 John Langdon Down realizó una descripción de algunos problemas médicos en las personas con trisomía 21, pero no fue sino hasta 1970 cuando Coleman efectuó una revisión de las comorbilidades y estudios de laboratorio y gabinete que regularmente deben practicarse en esta población.

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“…For example, Carroll et al describe how if providers simply change the phrase "I'm sorry, we have bad news … " when sharing a diagnosis, such as Down syndrome, to "We have some news which may be unexpected," providers' value judgement based on our own implicit biases is taken out of the equation. 7 Similarly, the learned phrase not compatible with life, which was clearly disproven by Charlie, should be removed from our lexicon. In fact, as we look further into Charlie's story, her life teaches us several modifiable skills for how to communicate with patients who do not communicate verbally.…”

Section: Communication As a Modifiable Skill (Drs Schnaith And Pitt)mentioning

confidence: 99%

Communication Strategies for Patients Who Are Nonverbal

Schnaith

Schifsky²,

Schifsky³

et al. 2021

Pediatrics

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Charlie never spoke, was unable to walk, and could not feed herself, yet she communicated and expressed her full range of emotions (most of all, joy) to all she encountered. In this article, we share our journey in the health care system advocating for providers to communicate with our daughter, Charlie, who did not communicate with words. INTRODUCTION (DRS SCHNAITH AND PITT)Effective clinician-patient communication is linked to better health outcomes and patient satisfaction. 1,2 Accordingly, there is a growing emphasis on clinicians recognizing that how both what we say and how we say it affects our patients' health and well-being. These efforts tend to focus on modifying the language we use (ie, recognizing how often we inadvertently use jargon 3 ) or learning ways to demonstrate empathy so our patients feel heard. 4 Although these skills are essential, they inherently rely on the presupposition that our patients themselves communicate verbally. In pediatrics, however, a core demographic of our patients have yet to develop this ability. Additionally, we often care for children with complex medical needs who may never communicate verbally. As pediatricians, we must expand our communication skillset. Failing to consider nuances in communicating with families of children who do not communicate with words (and with the children themselves) sets us up for predictable challenges. 5

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When Bad News Isn’t Necessarily Bad: Recognizing Provider Bias When Sharing Unexpected News

Abstract: : media-1vid110.1542/5771272502001PEDS-VA_2018-0503.

Cited by 14 publications

References 8 publications

Development and validation of The Breaking Bad News Attitudes Scale

Development and validation of The Breaking Bad News Attitudes Scale

Seguimiento médico de los niños con síndrome de Down

Communication Strategies for Patients Who Are Nonverbal

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