Perspectives of Colombian medicine students about their formation on breaking bad news: A cross-sectional study

Díaz‐Martínez, Luis Alfonso; Armesto, Mitzy Helein Cuesta; Rojas, María José Díaz

doi:10.1016/j.edumed.2021.05.009

Cited by 5 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Em estudo anterior, realizado na América do Sul, estudantes de medicina relataram que se sentiam despreparados para dar más notícias, mas mesmo sem treinamento formal, eles acreditavam que seriam melhores em dar más notícias à medida que avançassem em seu treinamento devido à observação da Rilva Lopes de Sousa Muñoz, Maria Fernanda de Miranda Marcelino, Rômulo Kunrath Pinto Silva, Samara Amorim de Araújo, Manoela Toledo Sousa, João Victor Maia Loureiro ____________________________________________________________________________ atuação de médicos residentes e preceptores e às suas experiências. 24 No referido estudo, uma proporção maior de estudantes do sexo masculino se considerou mais empática que estudantes do sexo feminino, mas no internato, eles relataram com mais frequência que sua capacidade empática diminuiu ao longo da graduação. Paro 25 , por sua vez, observou que estudantes de medicina do sexo feminino apresentaram maior disposição para consideração empática e para angústia pessoal que estudantes do sexo masculino.…”

Section: Discussionunclassified

Apreciação Da Comunicação De Más Notícias Clínicas Por Graduandos De Medicina De Uma Universidade Federal

Muñoz¹,

Marcelino²,

Silva³

et al. 2023

Rev. Foco

View full text Add to dashboard Cite

O objetivo deste estudo foi identificar a opinião de graduandos do internato médico da Universidade Federal da Paraíba (UFPB) sobre o seu próprio conhecimento a respeito da comunicação de más notícias (CMN) aos pacientes, enfocando o protocolo SPIKES. Trata-se de um estudo observacional, transversal, de abordagem quantitativa, envolvendo 106 estudantes de medicina do 50 e 60 anos do Centro de Ciências Médicas/UFPB. A coleta de dados foi realizada por meio da autoadministração de um questionário contendo questões demográficas, sobre aprendizagem de comunicação de más notícias durante a graduação e conhecimento do protocolo SPIKES, do acrônimo em inglês que se refere a seis passos recomendados para comunicação de más notícias. A amostra apresentou equivalência percentual quanto ao sexo, idade entre 21 e 40 anos (média: 25,6; desvio-padrão: 3,7 anos); 71,7% solteiros e 55,7% brancos (55,7%). Observou-se que 83,9% revelaram ter recebido orientação sobre CMN, a maioria antes do internato, 34,9% consideravam boa sua capacidade de CMN e 47,2%, regular. A principal dificuldade referida na CMN foi ser honesto sem tirar a esperança do doente (40,6%) enquanto 64,2% referiram sentir-se não muito confortável nesse tipo de comunicação. Verificou-se que 65,1% da amostra conheciam o SPIKES, 44,5% o consideravam prático o seu, e o item mais difícil de aplicar foi referido como reconhecer o quanto o paciente gostaria de saber (29,2%). Conclui-se que a maioria dos estudantes conhecia a existência e o conteúdo de protocolo estruturado para comunicar más notícias, além de considerá-lo uma estratégia prática na sua futura vivência como médico, porém não parecem se sentir confiantes para praticar a CMN e mais estudantes do sexo feminino referiram se sentir desconfortáveis na sua execução.

show abstract

Section: Discussionunclassified

Apreciação Da Comunicação De Más Notícias Clínicas Por Graduandos De Medicina De Uma Universidade Federal

Muñoz¹,

Marcelino²,

Silva³

et al. 2023

Rev. Foco

View full text Add to dashboard Cite

show abstract

“…This observation was also confirmed in the study by L. A. Díaz-Martínez et al In a group of 438 students, 64.1% of the respondents admitted that they did not feel well prepared for DBN tasks. Only 10.5% ( n = 46) of the students indicated that their skills in this area were sufficient [ 18 ]. In addition, a study by E. F. de Moura Villela et al showed that there are gaps in DBN education in the medical school curriculum.…”

Section: Discussionmentioning

confidence: 99%

“…A. H. Douglas et al, in their study, showed that most medical students in Nepal report a need for in-depth DBN education [ 9 ]. In a study by L. A. Díaz-Martínez, only 3.3% of Colombian students reported that they would not be interested in a course to improve competence in DBN [ 18 ]. In addition, a Chinese study revealed that the implementation of additional courses in this area is needed [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Delivering Bad News: Self-Assessment and Educational Preferences of Medical Students

Lenkiewicz

Trzciński

et al. 2022

IJERPH

View full text Add to dashboard Cite

Background: Numerous reports indicate the educational deficiencies of medical students in delivering bad-news-related skills. Evaluation of the performance of training programs in this area should be one of the key components of the educational process. The purpose of this study was to analyze medical students’ preferences and educational needs regarding DBN (delivering bad news). The effect of clinical experience on the self-assessment of skills was analyzed. Methods: The quantitative survey was conducted using the CAWI technique. The study involved 321 fifth- and sixth-year medical students from 14 medical universities in Poland. Pearson’s χ2 test was used for statistical analysis. The profile of respondents for categorical variables was determined by KMeans analysis. Results: As many as 75.1% of students revealed that they did not feel sufficiently prepared for DBN. Only 18.7% reported having adequate competence in this area. More than half of the inquired students (63.6%) witnessed a situation during their clinical practice in which a physician provided a patient with information about an unfavorable diagnosis. These students were less likely to declare that they could not deliver BN (43.4%) than students who had no such experience (58.2%). As many as 86.3% of the respondents reported the need for more time in DBN skills training. Students mostly preferred active teaching methods. Conclusions: Understanding students’ learning needs and preferences can help medical schools optimize their education programs to develop DBN-related competencies.

show abstract

“…24 According to Díaz-Martínez et al the quality of the students' DBN experience affects how they will notify bad news as doctors. 17 Therefore, we should not avoid making the students face emotionally difficult situations in the education process. Students should be prepared for such situations and the educational process should be designed in a manner that ensures a safe experience for both students and patients.…”

Section: Dovepressmentioning

confidence: 99%

Delivering Bad News: Emotional Perspective and Coping Strategies of Medical Students

Sobczak,

Trzciński,

Kotłowska

et al. 2023

PRBM

View full text Add to dashboard Cite

The aim of our study was to analyze students' emotional experiences and coping mechanisms regarding the situation of delivering bad news (DBN). Patients and Methods: 291 fifth-and sixth-year students from 14 medical universities took part in our study. Their responses were analyzed from the perspective of their experience -whether the individuals received bad news, delivered bad news themselves, witnessed bad news being delivered, or had no experience at all. We used content analysis (CA) to examine the responses and analyzed classified variables using χ 2 tests, logistic regression, and predictive modeling with multiple correspondence analysis (MCA). Results: Students who had experience as a deliverer were more likely to experience failure and guilt (p=0.005). Predictions of anxiety (59.3%), stress (41.9%), and sadness (33.7%) were the highest in the students with no DBN experience. These students were most likely to make statements suggesting lack of methods and strategies for coping with difficult emotions. Students, who were immersed in DBN experiences, more often expressed the need to talk about their emotions with an experienced doctor, a family member or a friend, and used those conversations as a coping strategy. Conclusion:The most important aspects that influence the quality of delivering bad news are both communication skills and emotional context. Training regarding DBN should not only contain those two elements, but also consider the development of coping mechanisms.

show abstract

Perspectives of Colombian medicine students about their formation on breaking bad news: A cross-sectional study

Cited by 5 publications

References 25 publications

Apreciação Da Comunicação De Más Notícias Clínicas Por Graduandos De Medicina De Uma Universidade Federal

Apreciação Da Comunicação De Más Notícias Clínicas Por Graduandos De Medicina De Uma Universidade Federal

Delivering Bad News: Self-Assessment and Educational Preferences of Medical Students

Delivering Bad News: Emotional Perspective and Coping Strategies of Medical Students

Contact Info

Product

Resources

About