Delivering bad or difficult news. An innovative simulation-based education approach to prepare interdisciplinary fellowships.

Q2 Social Sciences Journal of Communication in Healthcare Pub Date : 2024-03-01 Epub Date: 2023-03-23 DOI:10.1080/17538068.2023.2192578

Timothy C Clapper, Taylor B Sewell, Winifred Shen, Kevin Ching, Aliza B Solomon, Kyle P Burns, Paul B Martin, Meredith L Turetz, Carl V Crawford, Christine L Joyce, Inna V Landres, Kapil Rajwani

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Abstract

Background: There is limited data on the effectiveness of training interventions to improve the delivery of bad news.

Methods: This preliminary research included pre-post assessments and an open-ended survey to evaluate the effectiveness and perceived value of training on delivering bad news for 26 first- and second-year fellows from five adult and pediatric fellowship programs.

Results: There was a significant increase in faculty assessment scores (34.5 vs. 41.0, respectively, Z = -3.661, p < 0.001) and Standardized Patient (SP) assessment scores (37.5 vs .44.5, respectively, Z = -2.244, p = 0.025). Fellows valued having a standard framework to aid in the delivery of bad news; receiving targeted feedback and having the opportunity to apply their skills in a subsequent case.

Conclusions: A one-hour, four-phase lesson plan that includes an individualized training approach and simulation do-overs can be effective and valuable for preparing fellows to deliver bad news.

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传递坏消息或困难消息。为跨学科研究员做准备的创新模拟教育方法。

背景：有关改善坏消息传递的培训干预效果的数据有限：这项初步研究包括前后评估和开放式调查，以评估对来自五个成人和儿科研究项目的 26 名一年级和二年级研究员进行坏消息传达培训的效果和感知价值：结果：教员的评估得分有了明显提高（分别为 34.5 分和 41.0 分，Z = -3.661，P = 0.025）。学员们非常看重有一个标准的框架来帮助传递坏消息；获得有针对性的反馈，并有机会在随后的案例中应用他们的技能：一个一小时、分四个阶段的课程计划，包括个性化培训方法和模拟重做，可以有效且有价值地帮助学员做好传递坏消息的准备。

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

Journal of Communication in Healthcare Social Sciences-Communication

CiteScore

2.90

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0.00%

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