Khalaf Hasan, Almothafar Basim, Alhalabi Noor
General and Vascular Surgery, Whipps Cross Teaching Hospital, University of Kufa, Najaf, Iraq.
Department of Surgery, Medical Education Unit, Faculty of Medicine, University of Kufa, Najaf, Iraq.
Med Arch. 2022 Apr;76(2):131-134. doi: 10.5455/medarh.2022.76.131-134.
Breaking bad news is one of the complex communication skills essential to the practice of every clinician. It involves not only the mere provision of information, but also how to deal with the emotions of the patients and the response of their relatives. Therefore, certain protocols are employed for this process, including "BREAKS", "SPIKES", and "ABCDE" protocols. The emergence of the COVID-19 pandemic mandated the use of strict infection control measures including social distancing, requiring the utilization of telecommunication technologies for breaking bad news.
The aim of the study was to assess the use on non-physical methods in breaking bad news by physicians and to evaluate the need for more development and training.
Cross-sectional survey conducted in Kufa Medical College Al-Najaf during April - June 2021, and included 60 physicians of various specialties working in that hospital.
Majority of participants 88.3% reported breaking bad news regularly. Less than half of participants 46.7% received training on breaking bad news, and only 13.3% received training on non-physical breaking bad news. More than half of participants mentioned that showing empathy is the area that needs improvement the most.
High proportion of physicians lacks the necessary skills to break bad news, especially using non-physical ways during the pandemic. Well-structured programs are needed for the training of healthcare providers on breaking bad news, with certain adaptations for traditional protocols to be appropriate for telephone or video conferencing.
传达坏消息是每位临床医生执业所需的复杂沟通技巧之一。这不仅涉及单纯提供信息，还包括如何应对患者的情绪及其亲属的反应。因此，这一过程采用了某些方案，包括“BREAKS”、“SPIKES”和“ABCDE”方案。2019冠状病毒病大流行的出现要求采取包括社交距离在内的严格感染控制措施，这就需要利用电信技术来传达坏消息。
本研究的目的是评估医生在传达坏消息时对非实体方法的使用情况，并评估进一步发展和培训的必要性。
2021年4月至6月在纳杰夫库法医学院进行横断面调查，纳入了该医院60名不同专业的医生。
88.3%的大多数参与者报告经常传达坏消息。不到一半（46.7%）的参与者接受过传达坏消息的培训，只有13.3%的参与者接受过非实体传达坏消息的培训。超过一半的参与者提到，表达同理心是最需要改进的方面。
很大比例的医生缺乏传达坏消息的必要技能，尤其是在大流行期间使用非实体方式。需要制定结构完善的方案，对医疗保健提供者进行传达坏消息方面的培训，并对传统方案进行某些调整，以适用于电话或视频会议。
