L’annonce de mauvaises nouvelles : émotions et feed-back dans la formation des médecins

Jouffre, Stéphane

doi:10.1007/s11839-014-0481-3

Cited by 7 publications

(3 citation statements)

References 31 publications

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“…The physicians’ clinical demeanour would shift to include an open expression of emotions and refocus on certain ethical values [ 16 ] including the principles of benevolence or even solicitude. Recognizing their own emotions (positive or negative), Albarracin et al [ 17 ] show that the caregivers were able to better recognize the parents’ and families’ emotions, thus making it easier to answer the parents’ questions in a fitting way: “find the right tone in a mastered expression of one’s emotion” [ 18 ]. Categories 1 and 2 strongly depicted those issues concerning the child’s prognosis and the emotions of the parents and demonstrated that this strategy helped parents cope with their anxiety, no matter how serious the situation [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of communication and logistic processes in neonatal intensive care unit

PIRRELLO

Sorin²,

Dahan

et al. 2022

BMC Pediatr

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Background In neonatology, parents play a central role as guarantors of the new-born’s autonomy. Notifying parents about their infant’s status in neonatal critical care is an integral part of the care. However, conveying this information can be very difficult for physicians and the neonatal medical team. The objective of this work is to assess the dimensions and dynamic processes of critical care communications in neonatal intensive care in order to enhance the development of theoretical and applied knowledge of these discussions. Methods This qualitative, descriptive study was conducted on critical care new-borns less than 28 days-old who were hospitalized in a neonatal intensive care unit. Verbatim communications with the parents were recorded using a dictaphone. Results The verbatim information had five themes: (a) critical care, (b) establishing the doctor-patient relationship, (c) assistance in decision making, (d) Socio-affective and (e) socio-symbolic dimensions. Our recordings underscored both the necessity of communication skills and the obligation to communicate effectively. Analysis of the dynamics of the communication process, according to the categories of delivering difficult information, showed few significant differences. Conclusion Physician training needs to include how to effectively communicate to parents to optimize their participation and cooperation in managing their care.

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Section: Discussionmentioning

confidence: 99%

Analysis of communication and logistic processes in neonatal intensive care unit

PIRRELLO

Sorin²,

Dahan

et al. 2022

BMC Pediatr

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“…They expect a concrete objective and empathic response. With retinoblastoma, it is the anxiety of death that is present: parents are afraid of losing their child, their reason for living, the extension of themselves after their disappearance [12][13][14]. Thus the words chosen to announce the diagnosis must be simple, the formulation must be unambiguous and must take into account the reactions of disbelief, psychic stupor, then revolt, despair on the part of the parents.…”

Section: Diagnostic Announcementmentioning

confidence: 99%

“…Other studies are beginning to focus more and more on the emotions of caregivers who announce a difficult diagnosis, in our study we did not evaluate this important part of the diagnostic ad equation. Meier et al stress that these situations cause the doctor negative emotions, including stress, fear of not being empathic enough, doubts about his skills, feelings of guilt, or the anxiety of being sick to turn [13,22]. If the caregiver's state of anxiety exceeds a high level of intensity, it will certainly alter the care relationship in the short and long term, hence the need for support work [14,23,24].…”

Section: Emotional Aspectsmentioning

confidence: 99%

Child with Retinoblatoma: Diagnosis Announcement, Difficulties and Parent’s Experiences

Kachouchi¹,

Albab²,

Berghalout³

et al. 2019

IJPBS

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Introduction: Retinoblastoma is a cancerous tumor of the retina. It is a rare pathology that affects each year, in France, one child out of 15,000 to 20,000 births. In Morocco, and in a prospective study conducted over 2 years and 3 months in the pediatric ophthalmology department in Casablanca, the annual incidence of retinoblastoma was estimated at 18 cases per year. The diagnosis of cancer, like any other serious illness, provokes an intense feeling of guilt in the child and in his parents. The retinoblastoma diagnosis announcement remains a difficult and delicate moment for caregivers and parents. The purpose of our work is to describe the experience of the parents of a child with retinoblastoma and to assess the degree of satisfaction of these children both for the treatment of their child and for clarity. information transmitted. Material and method: We conducted a descriptive cross-sectional study of the parents of children with retinoblastoma who received care in the ophthalmology department of Mohammed VI CHU Marrakech Morocco, and this over a period of one year from March 2016 to March 2017. The data is collected from parents with a questionnaire aimed to assess the parents' feelings and experiences around the following areas: the announcement structure, the climate of trust, proposal of formalizing personalized support. Results: The average age of children at the time of diagnosis is 11 months, with a male predominance, sex ratio is 1.4. All families had one sick child. Retinoblastoma was bilateral in two cases. The surgical treatment was radical in all cases. 75% felt that the doctor was able to find the right words to announce the disease, and 42% felt he found the right words. At the time of diagnosis, 11 out of 12 families felt that they had received sufficient listening from the healthcare professionals and 75% felt that listening was quite sufficient. All parents report that the doctor who made the announcement spoke to them with care and respect and 92% spoke on the extreme positive score. 66% of families report receiving a personalized care plan. Conclusion: The results of this study will improve the overall care provided to children and integrate the difficulties expressed and felt by parents to the care project.

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The shadow of death in patient information

Fainzang

2016

Psycho Oncologie

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L’annonce de mauvaises nouvelles : émotions et feed-back dans la formation des médecins

Cited by 7 publications

References 31 publications

Analysis of communication and logistic processes in neonatal intensive care unit

Analysis of communication and logistic processes in neonatal intensive care unit

Child with Retinoblatoma: Diagnosis Announcement, Difficulties and Parent’s Experiences

The shadow of death in patient information

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