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Is it possible to improve residents breaking bad news skills? A randomised study assessing the efficacy of a communication skills training program

BACKGROUND: This study aims to assess the efficacy of a 40-h training programme designed to teach residents the communication skills needed to break the bad news. METHODS: Residents were randomly assigned to the training programme or to a waiting list. A simulated patient breaking bad news (BBN) con...

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Autores principales: Liénard, A, Merckaert, I, Libert, Y, Bragard, I, Delvaux, N, Etienne, A-M, Marchal, S, Meunier, J, Reynaert, C, Slachmuylder, J-L, Razavi, D
Formato: Texto
Lenguaje:English
Publicado: Nature Publishing Group 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2906741/
https://www.ncbi.nlm.nih.gov/pubmed/20628395
http://dx.doi.org/10.1038/sj.bjc.6605749
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author Liénard, A
Merckaert, I
Libert, Y
Bragard, I
Delvaux, N
Etienne, A-M
Marchal, S
Meunier, J
Reynaert, C
Slachmuylder, J-L
Razavi, D
author_facet Liénard, A
Merckaert, I
Libert, Y
Bragard, I
Delvaux, N
Etienne, A-M
Marchal, S
Meunier, J
Reynaert, C
Slachmuylder, J-L
Razavi, D
author_sort Liénard, A
collection PubMed
description BACKGROUND: This study aims to assess the efficacy of a 40-h training programme designed to teach residents the communication skills needed to break the bad news. METHODS: Residents were randomly assigned to the training programme or to a waiting list. A simulated patient breaking bad news (BBN) consultation was audiotaped at baseline and after training in the training group and 8 months after baseline in the waiting-list group. Transcripts were analysed by tagging the used communication skills with a content analysis software (LaComm) and by tagging the phases of bad news delivery: pre-delivery, delivery and post-delivery. Training effects were tested with generalised estimating equation (GEE) and multivariate analysis of variance (MANOVA). RESULTS: The trained residents (n=50) used effective communication skills more often than the untrained residents (n=48): more open questions (relative rate (RR)=5.79; P<0.001), open directive questions (RR=1.71; P=0.003) and empathy (RR=4.50; P=0.017) and less information transmission (RR=0.72; P=0.001). The pre-delivery phase was longer for the trained (1 min 53 s at baseline and 3 min 55 s after training) compared with the untrained residents (2 min 7 s at baseline and 1 min 46 s at second assessment time; P<0.001). CONCLUSION: This study shows the efficacy of training programme designed to improve residents' BBN skills. The way residents break bad news may thus be improved.
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spelling pubmed-29067412011-07-13 Is it possible to improve residents breaking bad news skills? A randomised study assessing the efficacy of a communication skills training program Liénard, A Merckaert, I Libert, Y Bragard, I Delvaux, N Etienne, A-M Marchal, S Meunier, J Reynaert, C Slachmuylder, J-L Razavi, D Br J Cancer Clinical Study BACKGROUND: This study aims to assess the efficacy of a 40-h training programme designed to teach residents the communication skills needed to break the bad news. METHODS: Residents were randomly assigned to the training programme or to a waiting list. A simulated patient breaking bad news (BBN) consultation was audiotaped at baseline and after training in the training group and 8 months after baseline in the waiting-list group. Transcripts were analysed by tagging the used communication skills with a content analysis software (LaComm) and by tagging the phases of bad news delivery: pre-delivery, delivery and post-delivery. Training effects were tested with generalised estimating equation (GEE) and multivariate analysis of variance (MANOVA). RESULTS: The trained residents (n=50) used effective communication skills more often than the untrained residents (n=48): more open questions (relative rate (RR)=5.79; P<0.001), open directive questions (RR=1.71; P=0.003) and empathy (RR=4.50; P=0.017) and less information transmission (RR=0.72; P=0.001). The pre-delivery phase was longer for the trained (1 min 53 s at baseline and 3 min 55 s after training) compared with the untrained residents (2 min 7 s at baseline and 1 min 46 s at second assessment time; P<0.001). CONCLUSION: This study shows the efficacy of training programme designed to improve residents' BBN skills. The way residents break bad news may thus be improved. Nature Publishing Group 2010-07-13 2010-07-13 /pmc/articles/PMC2906741/ /pubmed/20628395 http://dx.doi.org/10.1038/sj.bjc.6605749 Text en Copyright © 2010 Cancer Research UK https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material.If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/.
spellingShingle Clinical Study
Liénard, A
Merckaert, I
Libert, Y
Bragard, I
Delvaux, N
Etienne, A-M
Marchal, S
Meunier, J
Reynaert, C
Slachmuylder, J-L
Razavi, D
Is it possible to improve residents breaking bad news skills? A randomised study assessing the efficacy of a communication skills training program
title Is it possible to improve residents breaking bad news skills? A randomised study assessing the efficacy of a communication skills training program
title_full Is it possible to improve residents breaking bad news skills? A randomised study assessing the efficacy of a communication skills training program
title_fullStr Is it possible to improve residents breaking bad news skills? A randomised study assessing the efficacy of a communication skills training program
title_full_unstemmed Is it possible to improve residents breaking bad news skills? A randomised study assessing the efficacy of a communication skills training program
title_short Is it possible to improve residents breaking bad news skills? A randomised study assessing the efficacy of a communication skills training program
title_sort is it possible to improve residents breaking bad news skills? a randomised study assessing the efficacy of a communication skills training program
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2906741/
https://www.ncbi.nlm.nih.gov/pubmed/20628395
http://dx.doi.org/10.1038/sj.bjc.6605749
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