The current SARS-CoV-2 pandemic presents specific challenges for health professionals in the healthcare setting. In this emergency context, the communication of bad news is especially relevant because of the particular way it must be done: the need to maintain social distance or mobility restrictions imposed on the general population means that this task must often be carried out remotely, mostly by telephone calls. This confronts professionals with a number of particular obstacles: a) most of them have little or no training in this kind of communication skills, b) effective communication of bad news largely depends on body language, which is absent in this type of exchange, and c) since this type of remote dialogue is not recommended - except in particular circumstances such as the current ones - there is little literature available to guide the professionals who must carry out this task. This manuscript offers recommendations for remote communication of bad news by telephone, applicable to situations in which this task cannot be carried out in person. A proposal structured around four "moments" is presented to guide the remote transmission of bad news in order to improve the care of patients, families and caregivers during this exchange and to reduce the negative impact from it on health professionals.
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http://dx.doi.org/10.26633/RPSP.2020.69 | DOI Listing |
Front Psychol
December 2024
Control and Intelligent Processing Centre of Excellence, School of Electrical and Computer Engineering, College of Engineering, University of Tehran, Tehran, Iran.
Real-world decisions often involve partial ambiguity, where the complete picture of potential risks is unclear. In such situations, individuals must make choices by balancing the value of available information against the uncertainty of unknown risks. Our study investigates this challenge by examining how people navigate the trade-off between the favorability of limited evidence and the degree of ambiguity when making decisions under partial ambiguity.
View Article and Find Full Text PDFInt J Appl Basic Med Res
November 2024
Resident Physician, West Virginia University United Hospital Centre, Bridgeport, West Virginia, USA.
Background: Due to lack of formal training, young doctors cannot deliver bad news in a way that is expected by patients and their attendants, thereby jeopardizing doctor-patient relationship.
Aim: The aim of this study was to train interns about "breaking bad news" to the patients using a structured module.
Materials And Methods: A workshop comprising interactive lectures and videos followed by debriefing, and discussion was conducted for interns.
Cancer
January 2025
Medical Oncology Department, Insituto Valenciano de Oncologia, Valencia, Spain.
Clin Hematol Int
December 2024
Department of Hematology, Institut Paoli-Calmettes, Cancer Sports Management Lab, Aix- Marseille University, Marseille, France.
Perspect Med Educ
December 2024
University of California, San Francisco, US.
When health professions learners do not meet standards on assessments, educators need to share this information with the learners and determine next steps to improve their performance. Those conversations can be difficult, and educators may lack confidence or skill in holding them. For clinician-educators with experience sharing challenging news with patients, using an analogy from clinical settings may help with these conversations in the education context.
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