Tomlin Liz, Parsons Molly, Kumar Prashanth V, Arezina Jane, Harrison Reema, Johnson Judith
Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
School of Psychology, University of Leeds, Leeds, UK.
Ultrasound. 2020 Feb;28(1):30-37. doi: 10.1177/1742271X19876087. Epub 2019 Sep 24.
Previous studies suggest there is a need to improve the delivery of bad and challenging news in obstetric ultrasound settings. However, no research has explored the experiences of trainee sonographers when learning how to deliver challenging news. Understanding this could identify gaps in current provision and inform future training interventions.
To explore the experiences of trainee sonographers when learning how to deliver challenging news.
Semi-structured interviews were conducted with trainee sonographers ( = 7) from four training centres to explore their experiences and preferences for news delivery training.
Learning how to deliver difficult news was a journey where trainees developed their confidence over time. Most learning occurred in clinical settings, but classroom teaching complemented this. Trainees appreciated the opportunity to observe clinical practice and to hear from patient representatives. However, quality of teaching varied between centres and trainees reported uncertainty regarding the specific language and behaviours they should use. They described building their own personal protocol for news delivery through the course of their training.
An ultrasound-specific news delivery protocol which details the words and behaviours sonographers can employ could help reduce uncertainty in trainees. Trainees may also benefit from receiving structured feedback on their news delivery performance.
先前的研究表明，在产科超声检查中，传递坏消息和具有挑战性的消息的方式需要改进。然而，尚无研究探讨实习超声医师在学习如何传递具有挑战性的消息时的经历。了解这一点可以发现当前服务中的差距，并为未来的培训干预提供参考。
探讨实习超声医师在学习如何传递具有挑战性的消息时的经历。
对来自四个培训中心的实习超声医师（n = 7）进行了半结构化访谈，以探讨他们对消息传递培训的经历和偏好。
学习如何传递坏消息是一个过程，随着时间的推移，实习生逐渐建立起信心。大多数学习发生在临床环境中，但课堂教学起到了补充作用。实习生们很感激有机会观察临床实践并听取患者代表的意见。然而，不同中心的教学质量存在差异，实习生们表示对于应该使用的具体语言和行为存在不确定性。他们描述了在培训过程中制定自己的个人消息传递方案。
一份详细说明超声医师可以使用的语言和行为的超声检查专用消息传递方案，可能有助于减少实习生的不确定性。实习生也可能从收到关于他们消息传递表现的结构化反馈中受益。
