The Challenges and Solutions of Breaking Bad News in Midwifery: a Narrative Review

Yosuflu S, Taghiyani Z, Haqqani F
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引用次数: 0

Abstract

Introduction: Due to the high prevalence of adverse events during pregnancy and childbirth, the present study was conducted as a narrative review study investigating the challenges of disclosing bad news in the midwifery field and various intervention approaches for teaching bad news. Method: This study is in the form of a narrative review and by searching Persian and English databases including Medline, PubMed, Embase, Web of Science, Scopus, CINAHL, IRANDOC, Google Scholar, Iranmedex, medlib, Sid, and Mag-Iran with key Words including bad news, midwifery, childbirth, pregnancy, spikes (S-P-I-K-E-S), midwifery education were conducted in the time range of 1990-2022. Finally, 20 quantitative and qualitative articles were included in the research. Results: These articles were examined in two areas: the challenges of health personnel in conveying bad news and different strategies for teaching how to convey bad news. In studies, various techniques have been used to teach the delivery of bad news, such as Spikes protocol, ABCDE method, simulated patient or Mini-CEX, in the teaching of delivery of bad news in various fields of obstetrics, such as IVF failure, intrauterine death, etc. have been. The use of clinical encounter cards or CECs, Asci tests and Mini-CEX are techniques that were used to evaluate students. Conclusion: Proper transmission of bad news is one of the challenges of healthcare personnel. Using appropriate educational techniques for students and medical personnel can reduce the negative consequences of inappropriate transmission of bad news.
在助产过程中打破坏消息的挑战与解决方案:叙事回顾
导言:由于妊娠和分娩期间不良事件的发生率很高,本研究以叙述性回顾研究的形式对助产领域披露坏消息所面临的挑战以及教导坏消息的各种干预方法进行了调查。 研究方法:本研究采用叙事综述的形式,通过搜索波斯语和英语数据库,包括 Medline、PubMed、Embase、Web of Science、Scopus、CINAHL、IRANDOC、Google Scholar、Iranmedex、medlib、Sid 和 Mag-Iran,关键词包括坏消息、助产、分娩、怀孕、尖峰(S-P-I-K-E-S)、助产教育,时间范围为 1990 年至 2022 年。最后,20 篇定量和定性文章被纳入研究范围。 研究结果这些文章从两个方面进行了研究:医务人员在传达坏消息时所面临的挑战以及教授如何传达坏消息的不同策略。在产科各领域的坏消息传递教学中,如试管婴儿失败、宫内死亡等,研究中使用了各种技术来教授坏消息的传递,如 Spikes 协议、ABCDE 法、模拟病人或 Mini-CEX 等。使用临床病例卡或 CECs、Asci 测试和 Mini-CEX 等技术对学生进行评估。 结论正确传达坏消息是医护人员面临的挑战之一。对学生和医务人员使用适当的教育技巧可以减少因不适当地传递坏消息而造成的负面影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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14 weeks
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