Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Hospital Israelita Albert Einstein, São Paulo, SP, Brazil; Faculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil; Department of Obstetrics, Federal University of Sao Paulo, Sao Paulo, Brazil.
Patient Educ Couns. 2024 Dec;129:108402. doi: 10.1016/j.pec.2024.108402. Epub 2024 Aug 14.
To analyze the self-reported perception of obstetric medical teams regarding the practice of delivering bad news in public and private hospitals.
Cross-sectional study considering physicians delivering obstetric care at the Municipal Hospital Vila Santa Catarina, Municipal Hospital Dr. Moysés Deutsch, and Albert Einstein Israelite Hospital, in São Paulo, Brazil. The applied questionnaire reflected the steps of the SPIKES protocol for delivering difficult news, with the questions adapted to obstetric and fetal medicine practice context.
Specialists self-reported higher levels of knowledge, better emotional management, and superior strategy planning and summarization skills than residents. Participants with more than five years of experience reported higher knowledge levels, better emotional management, and superior strategy development skills. When comparing professionals from private and public hospitals, no significant differences emerged in self-reported communication aspects.
Experience duration significantly influences professionals' impressions in their ability to provide information, manage emotions, and plan post-diagnosis. Specialists and those with more years of experience self-report enhanced readiness in executing communication steps effectively.
Our findings underscore the importance of tailored training and experience in navigating sensitive medical conversations in the field of Obstetrics.
分析产科医疗团队对在公立医院和私立医院公开传达坏消息做法的自我感知。
这是一项在巴西圣保罗市维拉圣卡塔琳娜市立医院、Moysés Deutsch 市立医院和爱因斯坦以色列医院从事产科医疗工作的医生参与的横断面研究。应用的问卷反映了 SPIKES 协议在传达困难消息时的步骤，问题经过调整以适应产科和胎儿医学实践的情况。
与住院医师相比，专家报告的知识水平更高，情绪管理能力更好，策略规划和总结能力更优。具有五年以上经验的参与者报告了更高的知识水平、更好的情绪管理以及更优的策略制定能力。在比较私立医院和公立医院的专业人员时，自我报告的沟通方面没有出现显著差异。
经验持续时间显著影响专业人员提供信息、管理情绪和制定诊断后策略的能力印象。专家和经验更丰富的人员自我报告在有效执行沟通步骤方面的准备更充分。
我们的研究结果强调了在妇产科领域进行敏感医疗对话时，有针对性的培训和经验的重要性。
