Breaking bad news — development of a hospital-based training workshop

Abel, Julian; Dennison, Si⩽an; Senior-Smith, Gaye; Dolley, T.; Lovett, J. W. T.; Cassidy, Sheila

doi:10.1016/s1470-2045(00)00393-4

Cited by 28 publications

(18 citation statements)

References 14 publications

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“…Effective and appropriate training that provides opportunity for residents to increase awareness of their own attitudes and reactions to DDN may assist them to feel more skilled and confident. 11,36,37 Trainees should be encouraged to be present when bad news is provided by senior clinicians. Students and residents will quickly learn that there are different techniques and personal styles and that they can creatively adapt these styles into their own work with patients-which will, in turn, better enable them to identify individual patients' specific needs and concerns.…”

Section: What Is Happening In Practice?mentioning

confidence: 99%

Delivering Difficult News in Psychiatric Settings

Cleary

Hunt

Horsfall

2009

Harvard Review of Psychiatry

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Communication research and investigations into the delivery of bad news are uncommon in psychiatry versus other medical specialties. The question of delivering "bad" diagnostic news in psychiatry has been focused on dementia rather than actual psychiatric disorders and their sequelae. Common problems are that psychiatrists avoid dealing with patients' emotional reactions to bad news and that they avoid providing a clear diagnosis for fear that patients or carers will be distressed. This article aims to provide an overview of key elements of the "breaking bad news" literature, teasing out factors that are relevant to psychiatric practice. Topics explored include: definitions; clinical considerations for delivering difficult news within medical and psychiatric settings; protocols and guidelines; evidence about patient information needs and communication preferences; research into actual delivery of such news; and areas for future education and research.

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Section: What Is Happening In Practice?mentioning

confidence: 99%

Delivering Difficult News in Psychiatric Settings

Cleary

Hunt

Horsfall

2009

Harvard Review of Psychiatry

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show abstract

“…The efficacy of role plays in changing communication behaviors has been established in a number of studies [3,[54][55][56][57][58]. The learner is given a particular role to play or alternatively 'creates' the role himself based on a medical problem he has experienced as a junior physician.…”

Section: Specific Techniquesmentioning

confidence: 99%

Teaching communication and stress management skills to junior physicians dealing with cancer patients: a Belgian Interuniversity Curriculum

Bragard

Razavi

Marchal

et al. 2006

Support Care Cancer

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“…For some, this is a responsibility which occurs regularly, but for many others this is required only periodically 4. Numerous studies have demonstrated the effectiveness of providing general communication skills training for healthcare professionals,6–8 and specific changes have included improvements in self-rated confidence, knowledge and overall communication skills,6 9 10 as well as reports of better and more satisfying consultations for both doctors and patients 11. Studies have shown that training effects persist months after the training has occurred and patients have rated doctors who have completed training more highly after 3 months 11 12.…”

Section: Introductionmentioning

confidence: 99%