Breaking Bad News — Skills and Evidence

2009 ◽  
Vol 2 (10) ◽  
pp. 605-612 ◽  
Author(s):  
Jill Thistlethwaite
Keyword(s):  
Human Immunodeficiency Virus ◽  
Communication Skills ◽  
Human Immunodeficiency Virus Status ◽  
Bad News ◽  
Breaking Bad News ◽  
Breaking Bad ◽  
Immunodeficiency Virus ◽  
The Future ◽  
The Patient’S View ◽  
The Impact

Bad or unfavorable news may be defined as ‘any news that drastically and negatively alters the patient's view of her or his future’( Buckman 1992 ). When GPs talk about breaking bad news, they usually mean telling patients that they have cancer, though in fact similar communication skills may be employed when informing patients about a positive human immunodeficiency virus status, or that a relative has died. Of key importance in the process is the doctor gaining an understanding of what the patient's view of the future is or was — the expectation that now might not be met. A doctor should not assume the impact of the diagnosis without exploring the patient's worldview.

scholarly journals The effect of communication skills training on residents’ physiological arousal in a breaking bad news simulated task

2013 ◽  
Vol 93 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Julie Meunier ◽  
Isabelle Merckaert ◽  
Yves Libert ◽  
Nicole Delvaux ◽  
Anne-Marie Etienne ◽  
...  
Keyword(s):  
Communication Skills ◽  
Skills Training ◽  
Physiological Arousal ◽  
Bad News ◽  
Communication Skills Training ◽  
Breaking Bad News ◽  
Breaking Bad

Communicating with relatives in cancer care

2017 ◽  
Author(s):  
Isabelle Merckaert ◽  
Yves Libert ◽  
Aurore Liénard ◽  
Darius Razavi
Keyword(s):  
Communication Skills ◽  
Cancer Care ◽  
Skills Training ◽  
Bad News ◽  
Communication Skills Training ◽  
Complex Task ◽  
Breaking Bad News ◽  
Loved One ◽  
Breaking Bad ◽  
Optimal Patient Care

Relatives are omnipresent in cancer care and commonly accompany cancer patients to physician consultations, increasing the complexity of the resultant communication. Relatives can provide important collaborative history, support, and advocate for their loved one, as well as have their own needs addressed. Relatives may also desire to protect their loved ones, and challenges arise if they invite the clinician to collude in keeping secrets. Optimally including relatives in a consultation is a complex task. Specific skills—for instance, asking permission, using circular questions and offering summaries—can enrich triadic communication. When breaking bad news, strategies for three-person consultations that have been used in communication skills training deliver benefits to both patients and their relatives. The successful accomplishment of three-person consultations is one hallmark of the mature clinician. It requires skill and time, but can certainly promote optimal patient care.

The PEWTER Study: Breaking Bad News Communication Skills Training for Counseling Programs

2017 ◽  
Vol 40 (1) ◽  
pp. 72-87
Author(s):  
Kathleen Keefe-Cooperman ◽  
Devyn Savitsky ◽  
Walter Koshel ◽  
Varsha Bhat ◽  
Jessica Cooperman
Keyword(s):  
Communication Skills ◽  
Skills Training ◽  
Bad News ◽  
Communication Skills Training ◽  
Breaking Bad News ◽  
Counseling Programs ◽  
Breaking Bad

scholarly journals Korelasi Nilai Komunikasi Mahasiswa Fakultas Kedokteran Universitas Padjadjaran pada OSCE Tahap Akademik dengan OSCE UKMPPD

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Qori Lestari ◽  
Sari Puspa Dewi ◽  
Insi Farisa Desy
Keyword(s):  
Communication Skills ◽  
Clinical Examination ◽  
Bad News ◽  
Drug Education ◽  
Breaking Bad News ◽  
Breaking Bad

Kurangnya kemampuan komunikasi dokter dalam menyampaikan informasi kepada pasien masih menjadi masalah yang sering dikeluhkan. Objective Stuctured Clinical Examination (OSCE) merupakan salah satu alat evaluasi kemampuan komunikasi. OSCE diterapkan mulai tahap akademik dan berlanjut sampai tahap Uji Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD). Penelitian ini bermaksud melihat korelasi nilai komunikasi mahasiswa pada tahap akademik dengan UKMPPD untuk mengevaluasi kurikulum komunikasi yang dilaksanakan di Fakultas Kedokteran Universitas Padjadjaran (FKUP). Metode Studi potong lintang dilakukan pada nilai OSCE tahap akademik dan UKMPPD dari 264 data mahasiswa FK Unpad angkatan 2009 dan 2010 pada September – November 2015. Rerata nilai OSCE untuk komunikasi maupun nilai komponen anamnesis dan komunikasi (communication skills, drug education, breaking bad news, informed concent) dianalisis dengan uji korelasi Spearman. Hasil Rerata nilai OSCE komunikasi tahap akademik dan UKMPPD secara berurutan  adalah  88,77 (+2,21)  dan  86,33 (+6,74)  dengan  koefisien  korelasi r=0,158 (p< 0,05). Untuk komponen anamnesis dan komunikasi diperoleh koefisien korelasi secara berurutan adalah r=0,131 (p<0,05) dan r= 0,181 (p>0,05). Simpulan Terdapat korelasi positif lemah antara nilai komunikasi OSCE tahap akademik dengan OSCE UKMPPD. Perlu dilakukan penelitian lebih lanjut mengenai pendidikan dan penilaian komunikasi yang berlangsung selama proses pendidikan profesi dokter.Kata kunci : komunikasi, OSCE

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