The barriers dentists face to communicate cancer diagnosis: self-assessment based on SPIKES protocol.

IF 2.2 3区医学 Medicina oral, patologia oral y cirugia bucal Pub Date : 2023-03-01 DOI:10.4317/medoral.25650

B-N-F-L Martins, C-A Migliorati, A-C Ribeiro, M-D Martins, T-B Brandão, M-A Lopes, C-G Alves, A-R Santos-Silva

{"title":"The barriers dentists face to communicate cancer diagnosis: self-assessment based on SPIKES protocol.","authors":"B-N-F-L Martins, C-A Migliorati, A-C Ribeiro, M-D Martins, T-B Brandão, M-A Lopes, C-G Alves, A-R Santos-Silva","doi":"10.4317/medoral.25650","DOIUrl":null,"url":null,"abstract":"Background: This study aimed to characterize the barriers faced by Brazilian dentists to deliver bad news (DBN) about oral and oropharyngeal cancer diagnoses to patients by using a questionnaire based on the guidelines of the SPIKES protocol.Material and methods: This was an observational cross-sectional study. The questionnaire contained 27 questions based on the SPIKES protocol, which were answered in the SurveyMonkey platform.Results: A total of 186/249 dentists answered the questionnaire. The main specialties reported were 36.02% oral medicine, 21.5% oral pathology, and 9.13% oral and maxillofacial surgery. A total of 44.6% expressed concern about the patient's emotional reactions, and 46.24% of respondents had never participated in any specific training to communicate bad news.Conclusions: The lack of training and low confidence in dealing with patients' emotional reactions dentists were considered the greatest barriers to DBNs. Moreover, most dentists who participated in the survey believe that a protocol to guide the communication of bad news would be useful for clinical practice. For those protocols to be used by dentists, training is critical for these protocols to be incorporated by professionals.","PeriodicalId":18351,"journal":{"name":"Medicina oral, patologia oral y cirugia bucal","volume":"28 2","pages":"e191-e198"},"PeriodicalIF":2.2000,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985943/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicina oral, patologia oral y cirugia bucal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4317/medoral.25650","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: This study aimed to characterize the barriers faced by Brazilian dentists to deliver bad news (DBN) about oral and oropharyngeal cancer diagnoses to patients by using a questionnaire based on the guidelines of the SPIKES protocol.

Material and methods: This was an observational cross-sectional study. The questionnaire contained 27 questions based on the SPIKES protocol, which were answered in the SurveyMonkey platform.

Results: A total of 186/249 dentists answered the questionnaire. The main specialties reported were 36.02% oral medicine, 21.5% oral pathology, and 9.13% oral and maxillofacial surgery. A total of 44.6% expressed concern about the patient's emotional reactions, and 46.24% of respondents had never participated in any specific training to communicate bad news.

Conclusions: The lack of training and low confidence in dealing with patients' emotional reactions dentists were considered the greatest barriers to DBNs. Moreover, most dentists who participated in the survey believe that a protocol to guide the communication of bad news would be useful for clinical practice. For those protocols to be used by dentists, training is critical for these protocols to be incorporated by professionals.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

牙医沟通癌症诊断的障碍:基于SPIKES协议的自我评估。

背景:本研究旨在通过基于SPIKES协议指南的问卷调查，描述巴西牙医向患者传达口腔和口咽癌诊断坏消息(DBN)所面临的障碍。材料和方法:这是一项观察性横断面研究。问卷包含27个基于SPIKES协议的问题，这些问题在SurveyMonkey平台上回答。结果:共有186/249名牙医回答问卷。口腔内科占36.02%，口腔病理学占21.5%，口腔颌面外科占9.13%。共有44.6%的受访者表示担心患者的情绪反应，46.24%的受访者从未参加过任何关于传达坏消息的具体培训。结论:缺乏培训和缺乏应对患者情绪反应的信心是牙医实施dbn的最大障碍。此外，参与调查的大多数牙医认为，制定一份指导坏消息交流的协议对临床实践是有用的。对于牙医使用的这些协议，培训对于这些协议被专业人员纳入至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Medicina oral, patologia oral y cirugia bucal Medicine-Surgery

CiteScore

4.50

自引率

0.00%

发文量

期刊介绍： 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology