Introduction of Formal Training of Interns in Breaking Bad News in an Empathetic Manner through a Structured Module.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Upinder Kaur, Rajiv Mahajan, Mridul Madhav Panditrao, Kamaljeet Kaur
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引用次数: 0

Abstract

Background: Due to lack of formal training, young doctors cannot deliver bad news in a way that is expected by patients and their attendants, thereby jeopardizing doctor-patient relationship.

Aim: The aim of this study was to train interns about "breaking bad news" to the patients using a structured module.

Materials and methods: A workshop comprising interactive lectures and videos followed by debriefing, and discussion was conducted for interns. Pre/posttest, workshop feedback evaluation, and a group activity based on article case were conducted, followed by discussion. An assessment of skills based on a checklist was done after 15 days of workshop in simulated conditions.

Results: There was a significant difference in scores of written tests taken by all 56 participants before and after the session (P < 0.0001). Almost all of them agreed that their ability to break bad news has improved, and they feel confident in breaking bad news after attending this session. During the assessment of the skill of breaking bad news, most of them fell into the category of beginner after attending the workshop with a median of 2.

Conclusions: A structured module is an effective method in improving the skills of the interns in sharing bad news with the patients.

通过结构化模块对实习生进行移情处理坏消息的正式培训。
背景:由于缺乏正规培训,年轻医生不能以患者和医护人员期望的方式传达坏消息,从而危及医患关系。目的:本研究的目的是训练实习生如何使用结构化模块向病人“透露坏消息”。材料和方法:为实习生举办了一个工作坊,包括互动式讲座和视频,然后进行汇报和讨论。进行了前后测试、工作坊反馈评估和基于文章案例的小组活动,随后进行了讨论。在模拟条件下进行了15天的讲习班后,根据检查表对技能进行了评估。结果:56名参与者在会前和会后的笔试成绩有显著差异(P < 0.0001)。几乎所有的人都认为,他们发布坏消息的能力有所提高,而且参加了这个会议后,他们对发布坏消息有了信心。在对坏消息报道技能的评估中,参加研修班后,大多数人属于初学者,中位数为2。结论:结构化模块是提高实习生与患者分享坏消息技能的有效方法。
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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