Document Detail

Hospital consultants breaking bad news with simulated patients: An analysis of communication using the Roter Interaction Analysis System.
MedLine Citation:
PMID:  21459254     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To explore how experienced clinicians from wide ranging specialities deliver bad news, and to investigate the relationship between physician characteristics and patient centredness.
METHODS: Consultations involving 46 hospital consultants from 22 different specialties were coded using the Roter Interaction Analysis System.
RESULTS: Consultants mainly focussed upon providing biomedical information and did not discuss lifestyle and psychosocial issues frequently. Doctor gender, age, place of qualification, and speciality were not significantly related to patient centredness.
CONCLUSION: Hospital consultants from wide ranging specialities tend to adopt a disease-centred approach when delivering bad news. Consultant characteristics had little impact upon patient centredness. Further large-scale studies are needed to examine the effect of doctor characteristics on behaviour during breaking bad news consultations.
PRACTICE IMPLICATIONS: It is possible to observe breaking bad news encounters by video-recording interactions between clinicians and simulated patients. Future training programmes should focus on increasing patient-centred behaviours which include actively involving patients in the consultation, initiating psychosocial discussion, and providing patients with opportunities to ask questions.
Laura Vail; Harbinder Sandhu; Joanne Fisher; Heather Cooke; Jeremy Dale; Mandy Barnett
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Publication Detail:
Type:  Journal Article     Date:  2010-06-17
Journal Detail:
Title:  Patient education and counseling     Volume:  83     ISSN:  1873-5134     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  185-94     Citation Subset:  N    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Health Sciences Research Institute, Warwick Medical School, University of Warwick, Coventry, UK.
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