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Breaking bad news

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https://www.readbyqxmd.com/read/28622011/breaking-bad-news-in-veterinary-medicine
#1
Bonnie McCracken Nickels, Thomas Hugh Feeley
The patient-provider relationship in the context of veterinary medicine represents a unique opportunity for studying how bad news is communicated to pet owners by conducting structured interviews with veterinarians. A sample of 44 veterinarians' responses was recorded and content-analyzed in an effort to identify themes among providers in their clinical experience of breaking bad news (BBN). Two coders revealed several themes in the data that were organized by three overarching areas: (1) breaking bad news in general, (2) euthanasia, and (3) social support...
June 16, 2017: Health Communication
https://www.readbyqxmd.com/read/28619440/breaking-bad-news-a-survey-of-radiology-residents-experiences-communicating-results-to-patients
#2
Anand Narayan, Sergio Dromi, Adam Meeks, Erin Gomez, Bonmyong Lee
PURPOSE: The practice of radiology often includes routine communication of diagnostic test results directly to patients in breast imaging and interventional radiology. There is increasing interest in expanding direct communication throughout radiology. Though these conversations can substantially affect patient well-being, there is limited evidence indicating that radiology residents are specifically taught methods to effectively convey imaging results to patients. Our purpose is to evaluate resident experience communicating imaging results to patients...
April 27, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28615002/effect-of-a-simulation-based-workshop-on-breaking-bad-news-for-anesthesiology-residents-an-intervention-study
#3
Vanda Yazbeck Karam, Hanane Barakat, Marie Aouad, Ilene Harris, Yoon Soo Park, Nazih Youssef, John Jack Boulet, Ara Tekian
BACKGROUND: Breaking bad news (BBN) to patients and their relatives is a complex and stressful task. The ideal structure, training methods and assessment instruments best used to teach and assess BBN for anesthesiology residents remain unclear. The purpose of this study is to evaluate the effectiveness of an education intervention for BBN based on immersive experiences with a high fidelity simulator and role-play with standardized patients (SPs). A secondary purpose is to gather validity evidence to support the use of a GRIEV_ING instrument to assess BBN skills...
June 14, 2017: BMC Anesthesiology
https://www.readbyqxmd.com/read/28607214/breaking-bad-news-perceptions-of-pediatric-residents
#4
M G Geeta, P Krishnakumar
The present study evaluated the perceptions and practice of 92 final year pediatric residents with regard to breaking bad news. Only 16% of residents had received any training in communication skills. Majority (65%) of the residents were not comfortable while breaking bad news.
June 4, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28602567/medical-students-reflections-on-emotions-concerning-breaking-bad-news
#5
Asta Kristiina Toivonen, Sari Lindblom-Ylänne, Pekka Louhiala, Eeva Pyörälä
OBJECTIVES: To gain a deeper understanding of fourth year medical students' reflections on emotions in the context of breaking bad news (BBN). METHODS: During the years 2010-2012, students reflected on their emotions concerning BBN in a learning assignment at the end of the communications skills course. The students were asked to write a description of how they felt about a BBN case. The reflections were analysed using qualitative content analysis. RESULTS: 351 students agreed to participate in the study...
June 3, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28566978/satisfaction-with-a-2-day-communication-skills-course-culturally-tailored-for-medical-specialists-in-qatar
#6
Carma L Bylund, Khalid Alyafei, Abdelhamid Afana, Sheyma Al-Romaihi, Mohammed Yassin, Maha Elnashar, Banan Al-Arab, Abdullatif Al-Khal
OBJECTIVE: Health-care communication skills training may be particularly needed in the Arabian Gulf countries because of the variety of cultures within the physician and patient populations. This study describes the implementation and results of a communication skills training program for physicians in Qatar that assessed previous training, and effect of previous training on participants' course evaluations. MATERIALS AND METHODS: We conducted a 2-day communication skills training course covering seven culturally adapted modules...
May 2017: Journal of Family & Community Medicine
https://www.readbyqxmd.com/read/28562739/breaking-bad-news-doctors-skills-in-communicating-with-patients
#7
Francisco José Ferreira da Silveira, Camila Carvalho Botelho, Carolina Cirino Valadão
CONTEXT AND OBJECTIVE: Breaking bad news is one of doctors' duties and it requires them to have some skills, given that this situation is difficult and distressful for patients and their families. Moreover, it is also an uncomfortable condition for doctors. The aim of this study was to evaluate doctors' capacity to break bad news, ascertain which specialties are best prepared for doing this and assess the importance of including this topic within undergraduate courses. DESIGN AND SETTING: Observational cross-sectional quantitative study conducted at a university hospital in Belo Horizonte (MG), Brazil...
May 29, 2017: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/28477398/individual-training-at-the-undergraduate-level-to-promote-competence-in-breaking-bad-news-in-oncology
#8
Alexandre Berney, Valérie Carrard, Marianne Schmid Mast, Raphael Bonvin, Friedrich Stiefel, Céline Bourquin
OBJECTIVE: Training medical students in breaking bad news (BBN) in oncology may be key to improve patient care in an area where many physicians tend to be uncomfortable. Given the lack of evidence in the literature, this study aimed to assess empirically the impact of 2 teaching strategies to prepare students for the task of BBN in oncology: one-to-one simulated patient (SP) training with individual feedback (intervention group) vs small-group SP training with collective feedback (comparison group)...
May 5, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28448386/barriers-to-goal-concordant-care-for-older-patients-with-acute-surgical-illness-communication-patterns-extrinsic-to-decision-aids
#9
Lauren J Taylor, Sara K Johnson, Michael J Nabozny, Jennifer L Tucholka, Nicole M Steffens, Kristine L Kwekkeboom, Karen J Brasel, Toby C Campbell, Margaret L Schwarze
OBJECTIVE: We sought to characterize patterns of communication extrinsic to a decision aid that may impede goal-concordant care. BACKGROUND: Decision aids are designed to facilitate difficult clinical decisions by providing better treatment information. However, these interventions may not be sufficient to effectively reveal patient values and promote preference-aligned decisions for seriously ill, older adults. METHODS: We conducted a secondary analysis of 31 decision-making conversations between surgeons and frail, older inpatients with acute surgical problems at a single tertiary care hospital...
April 26, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28425886/an-overview-of-teaching-communication-of-bad-news-in-medical-school-should-a-lecture-be-adequate-to-address-the-topic
#10
Filipe Coutinho, Anisha Ramessur
INTRODUCTION: Delivering bad news is very common in medical daily practice. Several studies have shown a lack of effective communication skills amongst medical students, particularly concerning how to deliver bad news. The SPIKES protocol allows communicating bad news in a 6-step method. The aim of this study is to investigate the perspective of students related to this subject. MATERIAL AND METHODS: A 45 minute lecture "Breaking Bad News" was given to 160 students in the fifth and sixth years of the Medicine course, using the SPIKES' protocol training...
December 30, 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28411519/-breaking-good-news-neurologists-experiences-of-discussing-sudep-with-patients-in-scotland
#11
Tom Nisbet, Sue Turbull, Sharon Mulhern, Saif Razvi
Since the findings of a Fatal Accident Inquiry (FAI) in 2010, clinicians working in Scotland have been advised to discuss the risk of Sudden Unexpected Death in Epilepsy (SUDEP) with patients immediately or soon after a diagnosis of epilepsy is made. A thematic analysis was used to describe the experiences discussing SUDEP of 10 clinicians (six Consultant Neurologists and four Neurology Registrars) working in Scotland. Contrary to previous research, clinicians appear to be routinely discussing SUDEP in a standardized fashion with newly diagnosed patients and the FAI appears to have instigated this change in practice...
May 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28390592/breaking-bad-news-quo-vadis
#12
EDITORIAL
Wolf Langewitz
No abstract text is available yet for this article.
April 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28387153/breaking-bad-news-in-spinal-cord-injury-a-qualitative-study-assessing-the-perspective-of-spinal-cord-injury-survivors-in-turkey
#13
Ozden Ozyemisci-Taskiran, Ozlem Coskun, Isil Irem Budakoglu, Nesrin Demirsoy
Prior abstract publication: 2(nd) Medical Rehabilitation Congress; Nov 4-7, 2010; Ankara, Turkey Objective: This study aims to investigate the process of breaking bad news from the perspective of spinal cord injury survivors. DESIGN: A cross sectional, qualitative study Setting: Community Participants: Fourteen spinal cord injury survivors Interventions: Subjects participated in a semi-structured interview about 'when', 'where' 'by whom' and 'how' they received and 'would' prefer to receive bad news...
April 7, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28286527/interactive-palliative-and-end-of-life-care-modules-for-pediatric-residents
#14
Mindy K Ross, Ami Doshi, London Carrasca, Patricia Pian, JoAnne Auger, Amira Baker, James A Proudfoot, Mark S Pian
Background. There is a need for increased palliative care training during pediatric residency. Objective. In this pilot study, we created a comprehensive experiential model to teach palliative care skills to pediatric residents. Our Comfort Care Modules (CCMs) address pediatric palliative care (PPC) topics of breaking bad news, dyspnea, anxiety, pain management, and the dying child. We also evaluated a scoring system and gathered qualitative data. Methods. The CCMs are part of the University of California San Diego pediatric residency's second-year curriculum...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28277140/interactive-case-based-learning-improves-resident-knowledge-and-confidence-in-reproductive-endocrinology-and-infertility
#15
Kara N Goldman, Ashley W Tiegs, Kristen Uquillas, Margaret Nachtigall, M Elizabeth Fino, Abigail F Winkel, Veronica Lerner
Resident physicians' scores on the REI section of the CREOG exam are traditionally low, and nearly 40% of house staff nation-wide perceive their REI knowledge to be poor. We aimed to assess whether an interactive case-based group-learning curriculum would narrow the REI knowledge gap by improving understanding and retention of core REI concepts under the time constraints affecting residents. A three-hour case-based workshop was developed to address four primary CREOG objectives. A multiple-choice test was administered immediately before and after the intervention and 7 weeks post-workshop, to evaluate both knowledge and confidence...
February 21, 2017: Gynecological Endocrinology
https://www.readbyqxmd.com/read/28225878/the-p-a-c-i-e-n-t-e-protocol-an-instrument-for-breaking-bad-news-adapted-to-the-brazilian-medical-reality
#16
Carolina Rebello Pereira, Marco Antônio Marchetti Calônego, Lino Lemonica, Guilherme Antonio Moreira de Barros
OBJECTIVE: There are plenty of published tools for breaking bad medical news; however, none of them is culturally appropriate to our reality or published in the Brazilian literature. This study proposes a genuinely Brazilian communication tool and evaluates its acceptance among doctors and nurses. METHOD: This was a prospective study. The data were collected after specific training of doctors and nurses on the bad news communication techniques based on the P-A-C-I-E-N-T-E ("patient," in Portuguese) Protocol...
January 1, 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28179074/learning-communication-from-erroneous-video-based-examples-a-double-blind-randomised-controlled-trial
#17
Felix Michael Schmitz, Kai Philipp Schnabel, Daniel Stricker, Martin Rudolf Fischer, Sissel Guttormsen
OBJECTIVE: Appropriate training strategies are required to equip undergraduate healthcare students to benefit from communication training with simulated patients. This study examines the learning effects of different formats of video-based worked examples on initial communication skills. METHODS: First-year nursing students (N=36) were randomly assigned to one of two experimental groups (correct v. erroneous examples) or to the control group (no examples). All the groups were provided an identical introduction to learning materials on breaking bad news; the experimental groups also received a set of video-based worked examples...
January 31, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28072478/the-difficulties-experienced-by-nurses-and-healthcare-staff-involved-in-the-process-of-breaking-bad-news
#18
Clare Warnock, Jean Buchanan, Angela Mary Tod
AIMS: The aim of this study was to explore the difficulties experienced by nurses and healthcare professionals when engaging in the process of breaking bad news. BACKGROUND: The challenges faced by staff when breaking bad news have previously been researched in relation to particular settings or participants. This study involved staff from diverse settings and roles to develop broader insights into the range of difficulties experienced in clinical practice. DESIGN: The study used a descriptive survey design involving self-reported written accounts and framework analysis...
July 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28027147/breaking-bad-news-in-the-high-concern-low-trust-setting-how-to-get-your-story-heard
#19
Randall N Hyer, Vincent T Covello
No abstract text is available yet for this article.
February 2017: Health Physics
https://www.readbyqxmd.com/read/28003834/discharge-against-medical-advice-at-neonatal-intensive-care-unit-in-gujarat-india
#20
Bhanu Devpura, Pranav Bhadesia, Somashekhar Nimbalkar, Sandeep Desai, Ajay Phatak
Objective. We explored reasons for discharged against medical advice (DAMA) of neonates from a neonatal intensive care unit (NICU) through in-depth interviews of the parents/guardians. Methods. Of 456 babies admitted to NICU during April 2014 to March 2015, 116 babies were DAMA. Parents of randomly selected 50 babies of these 116, residing within 50 kilometers, were approached for in-depth interviews at their homes. Audio recordings were done and manually transcribed, analyzed in detail to explore common threads leading to DAMA...
2016: International Journal of Pediatrics
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