Medical Residents Perceptions of Communication Skills a Workshop on Breaking Bad News

Abstract

Introduction Breaking bad news althoughfrequent among healthcare professionals and their patients is still considered a very difficult task. These communication skill main determinants in the physician-patient relationship. Objective In view of the need to promote academic spaces that provide opportunities to learn breaking bad news , thisstudy aims to evaluate the medical residentsin relation to their interest in learning communication skills, as well as their skills in breaking bad news, before and after a workshop on the topic. Methods All the medical residents in the first year ofnternal edicine of a public general hospital in Belém-Pará, Brazil inwere invited to answer a questionnaire sociodemographic data and questions about their communication skills in clinical practice, as well as the Communication Skills Attitude Scale (CSAS), which addressed their interest in learning communication skills. The questionnaire. This research uses both uantitative and qualitative methods. The quantified data were statisticallyanalyzed by the Wilcoxon test (),Chi-Square test G-test adherence (quantitative variables of the questionnaire on communication skills). The qualitative evaluation Content Analysis based on Bardin. Results Ten residents attended the workshop. The results show that after taking part in the workshop, the resident’s perceptions of the practice of breaking bad news had improved (in 80% of the participants), as well as their attitudes to learning communication skills ( CSAS = 99.5 and 105, before and after the course, respectively p = 0.0039). Conclusion Eighty percent of residents (n = 08) considered their communication skills have improved as a result of the workshop (p = 0.0078). Most of the participantsbecame more aware of the importance of considering the patient’s perspective, and admitted positive changes following the course. Conclusion A positive effect on the participants’ perceptions of communication skills and on their interest in learning these skills, were identified after an intervention focused on the context of breaking bad news.

Patient-centred interviewing in Outpatient Departments: A doctor-client perspective

“…When asked to rate their communication skill level, the majority of them perceived it as good, very good, or excellent. This is compatible with other global studies conducted in settings where patient-centred communication was given high priority and recognised as a learning interest [10,11].…”

Advance Care Planning and Goals of Care Discussion: Barriers from the Perspective of Medical Residents

“…There are few studies about advance care planning skills designed for medical residents that have been evaluated for their effectiveness [ 27 , 28 , 29 ]. Some authors demonstrated that communication skills training programs may improve residents’ skills in breaking bad news with a positive change in their emotional reactions after training and minimizing insecurity to talk about challenging issues such as prognosis [ 24 , 27 , 28 , 29 , 30 ]. In the qualitative analysis of the present study, most of the residents suggested the communication skills training and the ability to talk about prognosis early as strategies to facilitate advance care planning and goals of care discussion.…”

Comunicação de notícias difíceis na prática médica: percepção médica de facilitadores e dificultadores

“…Além disso, os profissionais comunicadores dessas notícias costumam salientar suas habilidades de CND desenvolvidas após seu período acadêmico 13 . Muitos profissionais médicos acabam necessitando de um preparo prévio para atenuar essas dificuldades, na comunicação, e diminuir as repercussões negativas que possam gerar.…”