Virginia Commonwealth University, Richmond, VA, USA.
J Cancer Educ. 2022 Oct;37(5):1429-1432. doi: 10.1007/s13187-021-01975-7. Epub 2021 Apr 14.
Breaking bad news is a key component of the physicians' work. Traditionally, breaking bad news has been encouraged to be performed in person whenever possible (Monden et al. Proc (Bayl Univ Med Cent) 29(1):101-102, 2016; Nickson 2019). The common practice prior to the pandemic can be summarized by "The first rule of breaking bad news is: do not do it over the phone." It is important to be present with the family and provide support through compassion and empathy. Until recently, virtual communication technology for serious medical discussions was rare and primarily used when compelled by circumstances such as distance. The COVID-19 pandemic has transformed our ability to deliver news in person and has required the medical community to increase the utilization of telephone and video conferencing to communicate with patients and their family members. Breaking bad news through virtual media is a new skill in need of further guidance and education regarding how to set up the conversation, provide empathy, and lend support (Wolf et al., Oncologist 25(6):e879-e880, 2020). Therefore, we have created a teaching toolbox to help educate healthcare providers on how to deliver bad news by phone or video.
传达坏消息是医生工作的一个重要组成部分。传统上，只要有可能，就鼓励医生亲自传达坏消息（Monden 等人，Proc（Bayl Univ Med Cent）29（1）：101-102，2016；Nickson 2019）。大流行之前的常见做法可以概括为“传达坏消息的首要规则是：不要通过电话传达。”重要的是要与家人在一起，并通过同情和同理心提供支持。直到最近，用于严肃的医疗讨论的虚拟沟通技术还很少见，主要是在因距离等原因而被迫使用的情况下使用。COVID-19 大流行改变了我们亲自传达消息的能力，并要求医学界增加使用电话和视频会议与患者及其家属进行沟通。通过虚拟媒体传达坏消息是一种新技能，需要进一步指导和教育如何设置对话、表达同理心和提供支持（Wolf 等人，Oncologist 25（6）：e879-e880，2020）。因此，我们创建了一个教学工具包，帮助教育医疗保健提供者如何通过电话或视频传达坏消息。
