Teaching physicians how to break bad news: a 1-day workshop using standardized parents.
Arch Pediatr Adolesc Med
; 153(4): 419-22, 1999 Apr.
Article
em En
| MEDLINE
| ID: mdl-10201727
ABSTRACT
OBJECTIVE:
To evaluate the effectiveness of a training program using standardized parents (SPs) to improve the performance of pediatric intensive care fellows in communicating bad news to parents.DESIGN:
Self-controlled crossover design.SETTING:
Tertiary pediatric intensive care unit in a university-affiliated children's hospital.PARTICIPANTS:
Seven pediatric intensive care fellows and 4 trained volunteers (2 sets of SPs) participated in the study.METHODS:
Two case scenarios of children admitted to the intensive care unit with a near-fatal diagnosis were used for the fellow's interactions with the SPs. The SPs had received 15 hours of training in role playing, performance evaluation, and giving feedback to the physicians. At the end of the first session, SPs provided feedback to the physicians under each of the 5 following categories communication skills, content issues, support systems, interventions, and parent perceptions. During the second session, the parent meeting was repeated with a new but similar case scenario and a different set of SPs. Both sessions were videotaped, and a rater blinded to the order of the sessions used a weighted scale based on a checklist to score changes in physician performance.RESULTS:
The performance by the fellows showed a significant mean (+/-SEM) improvement in scores of 18.1 (+/-5.2) points (P = .007) between the first and the second sessions. Ranking of session scores revealed that physician performance improved significantly during the second session (Wilcoxon signed rank test, P = .002).CONCLUSIONS:
To our knowledge this is the first study that demonstrates short-term improvement in physician performance in conveying bad news in a pediatric intensive care setting using SPs in a 1-day workshop.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pais
/
Médicos
/
Revelação da Verdade
/
Simulação de Paciente
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Arch Pediatr Adolesc Med
Assunto da revista:
PEDIATRIA
Ano de publicação:
1999
Tipo de documento:
Article
País de afiliação:
Estados Unidos