An exploratory study of obstetrics trainees' experiences of breaking bad news

IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Clinical Teacher Pub Date : 2023-10-16 DOI:10.1111/tct.13671

V. Julius, G. McCarthy

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Abstract

Introduction

Breaking bad news is one of the hardest tasks performed by doctors. The news can significantly impact on the patient's life; however, the process also generates stress for the doctor. The aim of this study was to explore the lived experiences of breaking bad news for obstetrics trainees in Ireland.

Methods

A qualitative study using interpretative phenomenological analysis (IPA) was performed to capture the experience of breaking bad news for the trainees. Semi-structured interviews were conducted with trainees over Zoom. The transcripts were analysed in line with the IPA framework with the assistance of NVivo software.

Results

Seven trainees were interviewed, five at Basic Specialist Training (BST) level and two at Higher Specialist Training (HST) level. Four superordinate themes were identified from the analysis: “the reality of working in obstetrics,” “the role of the doctor,” “development of communication skills” and “the importance of the patient experience.” The trainees described breaking bad news in a variety of clinical contexts. This task could be emotionally draining; however, only two trainees mentioned ways of coping with this. Their formal training was limited with the majority of learning occurring “on the job.”

Conclusions

This study provides an insight into factors that influence trainees experiences of breaking bad news. The results complemented existing literature and raised questions about how to better support trainees through increased training and psychological support.

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产科实习生突发坏消息经历的探索性研究。

引言：突发坏消息是医生最难完成的任务之一。新闻会对患者的生活产生重大影响；然而，这个过程也会给医生带来压力。本研究旨在探讨爱尔兰产科受训人员突发坏消息的生活经历。方法：采用解释性现象学分析（IPA）进行定性研究，以捕捉受训人员的突发坏消息经历。通过Zoom对学员进行了半结构化访谈。在NVivo软件的协助下，根据IPA框架对转录本进行了分析。结果：对7名受训人员进行了访谈，其中5名为基础专家培训（BST）级别，2名为高级专家培训（HST）级别。从分析中确定了四个上级主题：“产科工作的现实”、“医生的角色”、“沟通技能的发展”和“患者体验的重要性”。学员描述了各种临床背景下的突发坏消息。这项任务可能会让人情绪低落；然而，只有两名受训人员提到了应对这种情况的方法。他们的正式培训受到限制，大多数学习都发生在“工作中”。结论：这项研究深入了解了影响受训者突发坏消息经历的因素。研究结果补充了现有文献，并提出了如何通过增加培训和心理支持来更好地支持受训人员的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Teacher MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

2.90

自引率

5.60%

发文量

113

期刊介绍： The Clinical Teacher has been designed with the active, practising clinician in mind. It aims to provide a digest of current research, practice and thinking in medical education presented in a readable, stimulating and practical style. The journal includes sections for reviews of the literature relating to clinical teaching bringing authoritative views on the latest thinking about modern teaching. There are also sections on specific teaching approaches, a digest of the latest research published in Medical Education and other teaching journals, reports of initiatives and advances in thinking and practical teaching from around the world, and expert community and discussion on challenging and controversial issues in today"s clinical education.