Health Services Academy, Park Road, Chak Shahzad, Islamabad, 44000, Pakistan.
Federal Polyclinic Hospital, Islamabad, Pakistan.
BMC Health Serv Res. 2024 May 6;24(1):588. doi: 10.1186/s12913-024-11056-2.
Effective skills and training for physicians are essential for communicating difficult or distressing information, also known as breaking bad news (BBN). This study aimed to assess both the capacity and the practices of clinicians in Pakistan regarding BBN.
A cross-sectional study was conducted involving 151 clinicians. Quantitative component used a structured questionnaire, while qualitative data were obtained through in-depth interviews with 13 medical educationists. The responses were analyzed using descriptive statistics and thematic analysis.
While most clinicians acknowledged their responsibility of delivering difficult news, only a small percentage had received formal training in BBN. Areas for improvement include time and interruption management, rapport building, and understanding the patients' point of view. Prognosis and treatment options were not consistently discussed. Limited importance is given to BBN in medical education.
Training in BBN will lead to improved patient and attendants' satisfaction, and empathetic support during difficult times.
对于医生来说，有效的技能和培训对于传达困难或令人痛苦的信息（也称为打破坏消息）至关重要。本研究旨在评估巴基斯坦临床医生在这方面的能力和实践情况。
采用横断面研究方法，共纳入 151 名临床医生。定量部分使用结构化问卷，同时通过对 13 名医学教育家进行深入访谈获得定性数据。使用描述性统计和主题分析对结果进行分析。
虽然大多数临床医生承认他们有责任传递困难的消息，但只有一小部分人接受过 BBN 的正规培训。需要改进的方面包括时间和中断管理、建立融洽关系以及理解患者的观点。预后和治疗选择并未得到一致讨论。在医学教育中，BBN 的重要性有限。
BBN 培训将提高患者和家属的满意度，并在困难时期提供更有同理心的支持。
