The “CONNECT” Protocol: Delivering Bad News by Phone or Video Call

Sobczak, Krzysztof

doi:10.2147/ijgm.s358723

Cited by 10 publications

(9 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A study focuses on the “In Person, In Time” communication protocol, which provides useful information to effectively reduce the notifier’s stress level at the time of communication [ 8 ]. In addition, Sobczak has recently created the CONNECT protocol (acronym for Context, Organization, Near and Niceties, Emotions, Counseling, Taking care) to help healthcare professionals communicate bad news remotely through the use of the telephone [ 68 ] (see Figure 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…Following the COVID-19 pandemic, a study by Sobczak [ 68 ] formalized the creation of a specific protocol, called CONNECT, for communicating bad news remotely. The study by De Leo et al [ 5 ] examined a further protocol, developed by Dyer [ 71 ], in which general guidelines for death notification are expanded, adding rules relating to telephone communication and appropriate timing.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Best Practices for Notification of Unexpected, Violent, and Traumatic Death: A Scoping Review

Leo

Zammarrelli²,

Marinato³

et al. 2023

IJERPH

View full text Add to dashboard Cite

Background: Death reporting is a delicate task. The ways in which it is carried out can have a significant impact on both the recipient and the notifier, especially in the event of a sudden, violent, and traumatic death. Empathetic, sensitive, and attentive communication with survivors can represent a first opportunity to support the bereavement process. The acquisition of specific skills for the delivery of the death notification is necessary for the professional who carries out the communication to increase self-efficacy, knowledge, and perception of competence in this area. Objective: To map what the literature has produced on the theme of best practices for the notification of unexpected, violent, and traumatic deaths and to provide guidance for the formulation of appropriate best practices and the development of effective educational programs. Methods: A review was conducted using the PRISMA Scoping Review extension on English language literature published between 1966 and 2022. Results: Starting from the initial 3781 titles, 67 articles were selected. From a thematic point of view, the analysis of the contents made it possible to identify five dimensions: (1) general guidelines in relation to various professional figures; (2) specific protocols; (3) guidelines for notifying death to children; (4) guidelines for notification of death by telephone; and (5) recommendations and suggestions for death notification training programs. Discussion: Death notification is configured as a process, divided into sequential phases. The act of notification constitutes the central phase during which communication is carried out. The communication of death is context-specific; therefore, it should require the creation of specific protocols for the various professions involved in the task, along with targeted theoretical and practical training. Conclusions: The importance of defining specific guidelines for the various professionals and standardized programs of theoretical and practical training emerges. The implementation of future sectoral studies will allow evaluations of the effectiveness of these protocols and programs.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Best Practices for Notification of Unexpected, Violent, and Traumatic Death: A Scoping Review

Leo

Zammarrelli²,

Marinato³

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…Despite the availability of protocols and guidelines, education, and training programs ( Alelwani & Ahmed, 2014 ; Carrard et al, 2020 ; Sobczak, 2022 ; von Blanckenburg et al, 2020 ), many health professionals were not comfortable with the palliative care aspect of their role ( Keeley, 2017 ; Matthews et al, 2019 ; Miller et al, 2022a ). The need for health professionals to conduct conversations about death and dying early in the disease trajectory, while not new, needs a constant reminder ( Miller et al, 2022a ).…”

Section: Discussionmentioning

confidence: 99%

“…Delivering bad news regarding a life-limiting diagnosis or providing an update that treatment is no longer working is a problematic aspect of a doctor’s role ( Miller et al, 2022a ), despite education, training, and the availability of multiple guidelines and protocols ( Alelwani & Ahmed, 2014 ; Carrard et al, 2020 ; Sobczak, 2022 ; von Blanckenburg et al, 2020 ). Developing a therapeutic relationship between doctor and patient assists in delivering bad news ( Berkey et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

The Effects of the Ward Environment and Language in Palliative Care: A Qualitative Exploratory Study of Victorian Nurses’ Perspectives

Miller

Porter

Barbagallo

2023

HERD

View full text Add to dashboard Cite

Objectives: The current study aimed to explore regional nurses’ perspectives of how bad news is delivered and the physical, natural, social, and symbolic environments where these conversations occur. Background: In regional hospitals within Victoria, Australia, palliative and end-of-life patients are cared for in acute wards that are often busy, noisy, and do not have a palliative psychosocial focus. On the other hand, Palliative Care Units (PCUs) have more home-like dedicated spaces, yet nearly all these facilities are in metropolitan areas. Diagnostic/prognostic (bad news) conversations about life-limiting illnesses often occur at the bedside in both environments. Method: Nurses providing palliative or end-of-life care in regional or metropolitan Victorian hospital inpatient wards were invited to interview and recruited through social media and snowballing. Six semi-structured, audio-recorded online interviews were conducted between March and May 2022, and themes were developed using reflexive thematic analysis. Results: Semi-structured online interviews were conducted with six female, registered nurses, four of whom worked in regional Victorian hospitals and two in metropolitan PCUs as Nurse Unit Managers. Three central themes were developed: “conducting family meetings,” “palliative care practice,” and “the environment matters.” Conclusions: A therapeutic environment for palliative patients and their families consists of home-like ambience and aesthetics and a psychosocial environment created by staff who can provide holistic palliative care. Holistic palliative care requires mentoring and mirroring of expert practice to increase the expertise and capacity of the palliative care workforce in acute general hospital wards.

show abstract

“…Although in-person counseling may be ideal, virtual visits allow families to receive expert counseling even when centers of excellence are not local, and web-based protocols have been described to help providers accomplish this [ 22 , 23 , 24 , 25 ]. Regardless of visit modality, the portion of the counseling session focusing on education should be comprehensive and include five key aspects:…”

Section: Counselingmentioning

confidence: 99%

Fetal and Newborn Management of Cloacal Malformations

et al. 2022

View full text Add to dashboard Cite

Cloaca is a rare, complex malformation encompassing the genitourinary and anorectal tract of the female in which these tracts fail to separate in utero, resulting in a single perineal orifice. Prenatal sonography detects a few cases with findings such as renal and urinary tract malformations, intraluminal calcifications, dilated bowel, ambiguous genitalia, a cystic pelvic mass, or identification of other associated anomalies prompting further imaging. Multi-disciplinary collaboration between neonatology, pediatric surgery, urology, and gynecology is paramount to achieving safe outcomes. Perinatal evaluation and management may include treatment of cardiopulmonary and renal anomalies, administration of prophylactic antibiotics, ensuring egress of urine and evaluation of hydronephrosis, drainage of a hydrocolpos, and creation of a colostomy for stool diversion. Additional imaging of the spinal cord and sacrum are obtained to plan possible neurosurgical intervention as well as prognostication of future bladder and bowel control. Endoscopic evaluation and cloacagram, followed by primary reconstruction, are performed by a multidisciplinary team outside of the neonatal period. Long-term multidisciplinary follow-up is essential given the increased rates of renal disease, neuropathic bladder, tethered cord syndrome, and stooling issues. Patients and families will also require support through the functional and psychosocial changes in puberty, adolescence, and young adulthood.

show abstract

The “CONNECT” Protocol: Delivering Bad News by Phone or Video Call

Cited by 10 publications

References 33 publications

Best Practices for Notification of Unexpected, Violent, and Traumatic Death: A Scoping Review

Best Practices for Notification of Unexpected, Violent, and Traumatic Death: A Scoping Review

The Effects of the Ward Environment and Language in Palliative Care: A Qualitative Exploratory Study of Victorian Nurses’ Perspectives

Fetal and Newborn Management of Cloacal Malformations

Contact Info

Product

Resources

About