a School of Communication, Rochester Institute of Technology.
b Department of Communication , University at Buffalo, The State University of New York.
Health Commun. 2018 Sep;33(9):1105-1113. doi: 10.1080/10410236.2017.1331309. Epub 2017 Jun 16.
The patient-provider relationship in the context of veterinary medicine represents a unique opportunity for studying how bad news is communicated to pet owners by conducting structured interviews with veterinarians. A sample of 44 veterinarians' responses was recorded and content-analyzed in an effort to identify themes among providers in their clinical experience of breaking bad news (BBN). Two coders revealed several themes in the data that were organized by three overarching areas: (1) breaking bad news in general, (2) euthanasia, and (3) social support. The findings from interviews indicated the COMFORT model (Villagran, Goldsmith, Wittenberg-Lyles, & Baldwin, 2010) in medical education provided a useful framework to organize the communication of BBN in veterinary medicine. Results were discussed in relation to future research in patient-provider communication and COMFORT's potential value for training students in veterinarian education.
在兽医医学背景下的医患关系为研究如何通过对兽医进行结构化访谈向宠物主人传达坏消息提供了一个独特的机会。记录了 44 名兽医的回应样本，并进行了内容分析，以努力确定提供者在其临床坏消息传递（BBN）经验中的主题。两位编目员在数据中发现了几个主题，这些主题组织在三个总体领域中：（1）一般的坏消息传递，（2）安乐死，和（3）社会支持。访谈结果表明，医学教育中的 COMFORT 模型（Villagran、Goldsmith、Wittenberg-Lyles 和 Baldwin，2010）为组织兽医医学中 BBN 的沟通提供了一个有用的框架。结果与未来的患者-提供者沟通研究以及 COMFORT 在兽医教育中学生培训中的潜在价值进行了讨论。
