基于SPIKES协议的医学生坏消息通知技巧

IF 0.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of the Liaquat University of Medical and Health Sciences Pub Date : 2018-12-30 DOI:10.22442/jlumhs.181740587

A. Azadi, Mohammadhiwa Abdekhoda, Shafi Habibi

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引用次数: 5

摘要

目的:调查医学生基于spike的坏消息通报技能。方法:以大不里士医科大学医学生为研究对象，采用描述性分析研究方法。为了收集数据，使用了一个两部分的调查问卷，其中包括18个关于坏消息如何传达的问题，以及40个基于学生根据SPIKES步骤协议的坏消息沟通技能的场景的问题。数据分析采用SPSS软件，采用独立t检验。结果:研究结果表明，学生在spike的第五阶段(识别和表达同情)中熟练程度最高，在spike的第三阶段(检查患者接受全部或部分新闻的准备程度)中技能最低。基于工作经验的技能与绩效差异有统计学意义(F=3.98, P=0.02)。然而，数据显示，基于年龄和性别等特征因素的技能和表现之间没有显著差异。结论:根据SPIKES，学生告知“坏消息”的技能并没有达到最佳水平。他们没有接受告知坏消息的必要训练。经验丰富、工作经验丰富的学生在告知“坏消息”方面更有技巧。“坏消息”告知技能的培养应成为教育专业人员关注的重点。

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Medical Student’s Skills in Notifying Bad News Based on SPIKES Protocol

OBJECTIVE: This study was carried out to investigate the medical students’ skill in notifying bad news based on SPIKES. METHODOLOGY: The descriptive-analytic studywas conducted in which medical students of Tabriz University of Medical Sciences were participated. To collect data, a two-part questionnaire was used, included 18 questions about how bad news were communicated, and 40 questions based on scenarios of students' skills with bad news communication according to the SPIKES step protocol. Data were analyzed using SPSS software and independent T-test. RESULTS: The findings showed that students had the most proficiency in the fifth step of the SPIKES (recognizing and expressing sympathy with patient), and the least skill in the 3 phase of the SPIKES (examining the patient's readiness to receive all or part of the news). A statistical significant difference between skill and performance based on work experiences was observed (F=3.98, P=0.02). However, the data show no significant difference between skill and performance based on characteristic factors i.e. age and gender. CONCLUSION: According to the SPIKES, students' skills in informing “Bad News” are not at an optimal level. They did not receive the necessary training to notify bad news. Sophisticated students, with more work experience have more skill in informing “Bad News”. The training of the “Bad News” informing skills should be on focus to education professionals.

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来源期刊

Journal of the Liaquat University of Medical and Health Sciences HEALTH CARE SCIENCES & SERVICES-

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： Journal of Liaquat University of Medical and Health Sciences (JLUMHS) Jamshoro, Pakistan publishes original manuscripts, case reports and reviews on topics related to medical and health sciences. JLUMHS is a peer reviewed journal and is published quarterly (4 issues per year) since July 2002. It agrees to accept manuscripts prepared in accordance with the “Uniform Requirements for submission of manuscripts for biomedical journals adopted by International Committee of Medical Journal Editors (ICMJE), updated October 2001 (Refer JLUMHS July – December 2002 issue).