Communicating Bad News: A Pediatric Department's Evaluation of a Simulated Intervention

Greenberg, Larrie; Ochsenschlager, Daniel W.; O’Donnell, Regina; Mastruserio, Jennifer; Cohen, George J.

doi:10.1542/peds.103.6.1210

Cited by 109 publications

(65 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12 Emergency clinicians should support explicit training and skill building in communicating the difficult news that they may be called to deliver when a child dies in the ED. 15,16 Results of parent surveys confirm that the delivery of the news of their child's death is extremely important to the long-term well-being of family members. Skill and compassion in conveying bad news may be the most powerful therapeutic tool clinicians can offer affected families.…”

Section: Introductionmentioning

confidence: 92%

Death of a Child in the Emergency Department

O’Malley¹,

Shook²,

Ackerman³

et al. 2014

Pediatrics

View full text Add to dashboard Cite

The death of a child in the emergency department (ED) is one of the most challenging problems facing ED clinicians. This revised technical report and accompanying policy statement reaffirm principles of patient- and family-centered care. Recent literature is examined regarding family presence, termination of resuscitation, bereavement responsibilities of ED clinicians, support of child fatality review efforts, and other issues inherent in caring for the patient, family, and staff when a child dies in the ED. Appendices are provided that offer an approach to bereavement activities in the ED, carrying out forensic responsibilities while providing compassionate care, communicating the news of the death of a child in the acute setting, providing a closing ritual at the time of terminating resuscitation efforts, and managing the child with a terminal condition who presents near death in the ED.

show abstract

Section: Introductionmentioning

confidence: 92%

Death of a Child in the Emergency Department

O’Malley¹,

Shook²,

Ackerman³

et al. 2014

Pediatrics

View full text Add to dashboard Cite

show abstract

“…5 Further research examining which educational interventions are most influential in changing physician attitude in delivering bad news may help prompt more widespread adoption in medical education. Web-based tutorials, 8 simulation-based 17 and competency-based communication skills 18 workshop/curriculum were reported to be helpful and have been studied to be effective models among pediatric residents.…”

Section: Discussionmentioning

confidence: 99%

Communication skills of residents to families with Down syndrome babies

et al. 2016

View full text Add to dashboard Cite

Background. Generally, pediatricians are the first health caregivers to deliver initial diagnosis of Down syndrome (DS) to the families. However, most of the parents are not satisfied with the contents and how they receive information when their child is born with DS. Pediatric residents should target educational interventions to help parents to overcome with these issues and to provide accurate information. The objective is to assess comfort levels and training requirements of pediatric residents to communicate with parents of babies born with Down syndrome. Methods. Diagnostic Situations Inventory (DSI) is a rating scale which included ten questions to assess discomfort level. A survey was sent via mobile, websites and all the social media which were available to all pediatrics residents in the country. Socio-demographic factors including information about training requirement were collected as well. Results. From the 326 participants, total mean discomfort level was 30.22 in DSI out of 50 which was the highest score. Discomfort level was significantly increased in female participants (p= 0.033). Being female (p= 0.014), having less residency level (p= 0.028), examining less number of patients with Down syndrome (p= 0.025) and having higher discomfort levels (p= 0.001) were found to be related with increased training requirement. From the residents, 84% declared the need for additional training. Conclusions. This study showed that pediatric residents had a high level of discomfort when communicating with parentes of newborn with Down Syndrome. Female residentes had a discomfort level significantly higher than male residentes.

show abstract

“…22 We chose to use a 360-degree evaluation process involving facilitators, standardized patients, observers, and conversation participants. Although previously published evaluation strategies included the use of self-assessment surveys, 9,17 standardized patient-driven evaluation, [10][11][12]17 and blinded evaluators, 8,16 the use of 360-degree evaluation process incorporating gap analysis was rare. 22 This methodology promotes the practice of self-reflection by highlighting differences between self perception and group perception, encouraging the learner to focus on perceptual lacunae.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9][10][11][12][13][14][15][16][17][18][19] We reviewed existing models and discovered that significant Introduction Preparing health care professionals for challenging communication tasks such as delivering bad news to patients and families is an area where a need for improved teaching has been identified.…”

Section: Introductionmentioning

confidence: 99%

A Simulation-Based Curriculum To Address Relational Crises in Medicine

Peterson¹,

Porter²,

Calhoun³

2012

Journal of Graduate Medical Education

View full text Add to dashboard Cite

Introduction Preparing health care professionals for challenging communication tasks such as delivering bad news to patients and families is an area where a need for improved teaching has been identified. Objectives We developed a simulation-based curriculum to enhance the skills of health care professionals, with an emphasis on the communication of difficult or bad news, which we termed relational crises. Methods Our approach was based on a review of existing simulation-based curricula, with the addition of unique features, including a learner-focused needs assessment to shape curriculum development, use of 360-degree evaluations, and provision of written feedback. Development and implementation of our curriculum occurred in 3 phases. Phase I involved a multidisciplinary needs assessment, creation of a clinical scenario based on needs assessment results, and training of standardized patients. In Phase II we implemented the curriculum with 36 pediatric and internal medicine-pediatrics residents, 20 nurses, and 1 chaplain. Phase III consisted of the provision of written feedback for learners, created from the 360-degree evaluations compiled from participants, observers, faculty, and standardized patients. Results Participants felt the scenarios were realistic (average rating of 4.7 on a 5-point Likert scale) and improved their practice and preparedness for these situations (average rating, 4.75/5 and 4.18/5, respectively). Our curriculum produced a statistically significant change in participants' pre- and postcurriculum self-reported perceptions of skill (2.42/5 vs. 3.23/5, respectively, P < .001) and level of preparedness (2.91/5 vs. 3.72/5, respectively, P < .001). Discussion A simulation-based curriculum using standardized patients, learner-identified needs, 360-degree evaluations, and written feedback demonstrated a statistically significant change in participants' self-perceived skills and preparedness for communicating difficult news in pediatrics.

show abstract

Communicating Bad News: A Pediatric Department's Evaluation of a Simulated Intervention

Abstract: Using SPs to teach residents and ED fellows to give bad news is an effective educational process that provides trainees with interactions that simulate real-life experience

Cited by 109 publications

References 20 publications

Death of a Child in the Emergency Department

Death of a Child in the Emergency Department

Communication skills of residents to families with Down syndrome babies

A Simulation-Based Curriculum To Address Relational Crises in Medicine

Contact Info

Product

Resources

About