Breaking bad news workshop: learning to listen

Murdoch, Katherine; McDermott, Ella; Hall, Hayley; Greene, Katy

doi:10.1111/medu.13965

Cited by 2 publications

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“…Panduan SPIKES lebih berfokus pada bagaimana dokter menyampaikan kabar buruk pada pasien dan keluarganya Penelitian dengan konsep ini di antaranya: yang meriset persepsi pasien kanker (Dhage & Wilkinson, 2017); yang berfokus pada pentingnya mendengarkan (Murdoch et al, 2019); meriset pengalaman pasien dan keluarga dalam memperoleh penjelasan berita buruk (Tamyra et al, 2019). Ketiga, teknik Komunikasi Terapeutik dari Gail Wiscarz Stuart dan Sandra J.…”

Section: Pendahuluanunclassified

Tahapan Komunikasi Terapeutik Dokter pada Pasien di Klinik Kecantikan

Rachmat

Ganiem

2020

JKG

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Sebagai fungsi klinikal utama dalam membangun hubungan, komunikasi dokter-pasien penting dilalui dengan tahapan proses yang memungkinkan tercapainya tujuan pelayanan kesehatan yang baik. Penelitian ini bertujuan mengetahui proses komunikasi dokter kepada pasien di klinik kecantikan dengan merujuk pada empat tahap komunikasi terapeutik yang dikembangkan oleh Stuart dan Sundeen. Keempat tahap komunikasi terapeutik tersebut meliputi tahap persiapan, perkenalan, kerja, dan terminasi. Penelitian ini menggunakan penelitian kualitatif. Teknik pengumpulan data penelitian ini menggunakan wawancara dan observasi partisipasi terhadap dua orang dokter dan dua orang pasien. Hasil penelitian menunjukkan bahwa pada tahap persiapan dan perkenalan, dokter menggunakan tahapan komunikasi terapeutik sesuai yang dikembangkan oleh Stuart dan Sundeen. Pada tahap kerja, panduan komunikasi terapeutik kurang dijalankan dengan baik. Pada tahap terminasi, dokter membuat pasien memiliki ketergantungan pada dokter melalui pelayanan konsultasi yang lebih intens menggunakan aplikasi WhatsApp. Pasien secara intens dapat memperoleh saran-saran terkait masalah kulit dan dokter dapat memantau kondisi pasien atau menyarankan untuk kembali berkonsultasi. As the main clinical function in building relationships, the communication between doctors and patients is significant to be done through various stages to achieve respectable health services. This study aims to find out the communication process between doctors and patients in beauty clinics by referring to the four stages of therapeutic communication developed by Stuart and Sundeen. The four phases of therapeutic communication include preparation, introduction, working, and termination. This research used a qualitative approach by employing interviews with and participatory observation of two doctors and two patients. The results showed that at the preparatory and introductory stages, doctors applied therapeutic communication stages as suggested by Stuart and Sundeen. In the working stage, therapeutic communication guidelines did not implement properly. At the termination stage, the doctor made the patient dependent on the doctor through a more intense consultation service using WhatsApp. The patients could intensely obtain suggestions related to skin problems, while the doctors were more likely to encourage the patients to make an appointment with them again.

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Section: Pendahuluanunclassified

Tahapan Komunikasi Terapeutik Dokter pada Pasien di Klinik Kecantikan

Rachmat

Ganiem

2020

JKG

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Entrustment in physician-patient communication: a modified Delphi study using the EPA approach

2021

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Background Competency based curricula across the globe stress on the importance of effective physician patient communication. A variety of courses have been used to train physicians for this purpose. However, few of them link competencies with practice resulting in confusions in implementation and assessment. This issue can be resolved by treating certain specific patient communication related tasks as acts of entrustment or entrustable professional activities (EPAs). In this study, we aimed to define a competency-based framework for assessing patient physician communication using the language of EPAs. Methods A modified Delphi study was conducted in three stages. The first stage was an extensive literature review to identify and elaborate communication related tasks which could be treated as EPAs. The second stage was content validation by medical education experts for clarity and representativeness. The third stage was three iterative rounds of modified Delphi with predefined consensus levels. The McNemar test was used to check response stability in the Delphi Rounds. Results Expert consensus resulted in development of 4 specific EPAs focused on physician-patient communication with their competencies and respective assessment strategies all aiming for level 5 of unsupervised practice. These include Providing information to the patient or their family about diagnosis or prognosis; Breaking Bad news to the patient or their family; Counseling a patient regarding their disease or illness; Resolving conflicts with patients or their families. Conclusions The EPAs for Physician-patient communication are a step toward an integrative, all-inclusive competency-based assessment framework for patient-centered care. They are meant to improve the quality of physician patient interaction by standardizing communication as a decision of entrustment. The EPAs can be linked to competency frameworks around the world and provide a useful assessment framework for effective training in patient communication. They can be integrated into any post graduate curriculum and can also serve as a self-assessment tool for postgraduate training programs across the globe to improve their patient communication curricula.

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Breaking bad news workshop: learning to listen

Cited by 2 publications

References 1 publication

Tahapan Komunikasi Terapeutik Dokter pada Pasien di Klinik Kecantikan

Tahapan Komunikasi Terapeutik Dokter pada Pasien di Klinik Kecantikan

Entrustment in physician-patient communication: a modified Delphi study using the EPA approach

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