Family physicians' opinions on and difficulties with breaking bad news

Gonçalves, Ferraz; Almeida, Carla Simone Leite de; Amorim, Joana; Baltasar, Rita; Batista, Joana; Borrero, Yusianmar; Fallé, João Pedro; Faria, Igor Lopes de; Henriques, Manuel; Maia, Helena; Fernandes, Teresa; Moreira, Mariana; Moreira, Susana; Neves, Camila; Ribeiro, Ana Elisa; Santos, Ana Paula de Oliveira; Silva, Filipa; Soares, Susana; Sousa, Cristina Varino; Vicente, Joana Nunes; Xavier, R.

doi:10.1016/j.pbj.2017.04.004

Cited by 6 publications

(7 citation statements)

References 21 publications

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“…Key findings indicate that physicians generally felt unprepared and untrained for the task and were unclear about best practices and cultural norms regarding communication styles. Their feelings of unpreparedness and lack of skills have been consistently found in previous studies (Almaguer et al, 2017;Ferraz Gonc¸alves et al, 2017;Mostafavian & Shaye, 2018;Van Keer et al, 2019).…”

Section: Discussionsupporting

confidence: 69%

“…Bad news for patients can be any information that produces negative expectations about their future (Buckman, 1984). Although receiving bad news about personal health is a major stressor and can provoke anxiety among patients (Fallowfield & Jenkins, 2004;Zwingmann et al, 2017), health care professionals who give the bad news also report feeling a high level of stress (Ptacek et al, 2001;Shaw et al, 2013) and underprepared for the responsibility (Almaguer et al, 2017;Ferraz Gonc¸alves et al, 2017).…”

mentioning

confidence: 99%

“…Additionally, patients report that it is important to receive bad news about their health in a sympathetic, kind, and professional way (Brown et al, 2011). However, physicians perceive that they rarely trained adequately in having difficult conversations across culture (Ferraz Gonc¸alves et al, 2017;Konstantis & Exiara, 2015;Lee et al, 2013). Mostafavian and Shaye (2018) found that physicians' skills in breaking bad news to cancer patients were lacking.…”

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confidence: 99%

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Oncologists’ Experience of Delivering Bad News in Korea

Kim

Choi

et al. 2020

Omega (Westport)

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This study explored oncologists’ experiences of delivering bad news to patients with cancer and their families. Nine oncologists recruited from three superior hospitals in Korea completed in-depth interviews. The results of thematic analyses identified four themes: precursors to bad news delivery, why it is difficult to deliver bad news, when it is more difficult to deliver bad news, and strategies of delivering bad news. The participants felt unprepared for the task and stressed because breaking bad news goes against their responsibility to do no harm and their professional objective to promote healing. Although they were unclear about best practices regarding communication styles, they individualized their communication style to meet the needs of their patients, who have an array of cultural, social, and spiritual backgrounds. Understanding oncologists’ perceptions of bad news delivery can inform culturally appropriate interventions for alleviating their stress and improving patient–physician relationships in communication of bad news.

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Section: Discussionsupporting

confidence: 69%

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confidence: 99%

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confidence: 99%

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Oncologists’ Experience of Delivering Bad News in Korea

Kim

Choi

et al. 2020

Omega (Westport)

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“…Earlier study showed 22% very well in breaking bad news and 50% and 81% very well in counselling and taking informed consent respectively 1 Study on Portuguese family doctors showed 85% of them considered that breaking bad news was a difficult task. 30 Dealing with patients at end-of-life care is a great challenges for the physicians. Studies have shown that graduating medical students do not consistently feel prepared to communicate with and care for patients in difficult clinical situations and at the end of life.…”

Section: Discussionmentioning

confidence: 99%

Communication Skills of Fresh Medical Graduates in a Malaysian Private University

Salam¹,

Zakaria²,

Abdelhalim³

et al. 2022

Bangladesh J Med Sci

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Objective: Effective communication is an integral part of good medical practice. Skills in communication is an art, and comprises of a set of fundamental elements: skills in introducing, questioning, listening, facilitating and closing. The objective of this study was to determine the perceptions of fresh medicalgraduates’ communication skills at Widad University College (WUC). Materials and Methods: It was a cross-sectional study conducted in 2019 among 50 fresh medical graduates of WUC. A standardized questionnaire that asked about skills in fundamental elements of communication with diverse people on diverse issues, was used to collect the data. The data was collated and analyzed utilising a measuring scale ranged from very well to very poor and presented using descriptive statistics. Results and Discussion: Total 46 participants responded giving a response rate 92%. The highest number of participants (79%) responded as very well in introductory skills while the lowest 59% in listening skills. In a diverse group, 70%-74% respondents communicated as very well with patients, patients’ families, superiors, support staffs and colleagues. Only 57%-67% responded as very well in breaking bad news, counselling, and taking informed-consent. Nevertheless, 2%-13% participants’ skills were very poor to uncertain, where 13% uncertain in breaking bad news and 9% in counselling and informed-consenting. Conclusion: Communication skills of most of the WUC fresh medical-graduates were very well and reasonably well. However, the art of communication does not come naturally, 2-13% of the graduates’ skills need to be consciously promoted by faculty during undergraduate training. Medical schools should give more emphasis on the development of more effective communication in all aspects of future doctors. Bangladesh Journal of Medical Science Vol. 21 No. 02 April’22 Page : 404-412

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“…In proving the results of the Hebert study, the results of the research conducted by Goncaluz et al (2017) to examine the family physicians' perceptions of bad news in Portugal country showed that 85% of the samples reported that breaking the bad news is a difficult task. In addition, 78% felt that they needed for education to announce the bad news for the patients and this education is recommended to provide at the beginning of their education (25). Psychological and behavioral training in the provision of health services, and the evaluation of its results, have been emphasized in various studies (26)(27)(28)(29).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of general physicians’ skills in breaking bad news to the patient based on the SPIKES Questionnaire in Qom, 2016

et al. 2018

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Background: Breaking bad and unpleasant news by physician to patient or his or her family is a key moment in communication between a physician and the patient. It is often necessary for physicians to breaking bad and unpleasant news to the patient or his or her family. The objective of this study was to evaluate the skill of general physicians in breaking bad and unpleasant news to the patient based on the SPIKES questionnaire in educational hospitals of Qom University of Medical Sciences in 2016. Methods: This descriptive-analytical study was conducted on 200 general physicians. Convenient sampling method was used in this study. Data were collected using standard Spikes Questionnaire and data were analyzed by using descriptive and inferential statistical tests through SPSSv21 software. Results: Most of the subjects were male (69.5%), married (85.1%), and had no history of receiving formal education about breaking bad news to the patient. The mean and standard deviation of the subjects were 37.43±4.02 years. The mean and standard deviation of the score of the skill of breaking bad news were 63.56 ± 6.51. While independent t test showed significant difference in mean and standard deviation of score of the skill of breaking bad news between the two groups (p <0.05), no significant difference was reported between two groups in terms of two variables of gender and clinic place (p >0.05). Moreover, using variance analysis, a significant difference was found in mean score of breaking bad news in different age groups with different employment history (p <0.05). Conclusion:The research results revealed that the skill level of the research samples was relatively at desirable level. Given the lack of receiving formal education by general physicians and the impact of breaking bad news from physician to patients and their caregivers on the type of relationship between the physician and the patient, it is recommended to put more emphasis on continuous education programs, designed especially for general physicians. Keywords: breaking bad news, general physician, SPIKES guidelineTehran et al. / Evaluation of general physicians' skills in breaking bad news to the patient based on the SPIKES Questionnaire in Qom, 2016 2 / 6

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Family physicians' opinions on and difficulties with breaking bad news

Cited by 6 publications

References 21 publications

Oncologists’ Experience of Delivering Bad News in Korea

Oncologists’ Experience of Delivering Bad News in Korea

Communication Skills of Fresh Medical Graduates in a Malaysian Private University

Evaluation of general physicians’ skills in breaking bad news to the patient based on the SPIKES Questionnaire in Qom, 2016

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