Ahmed Eid1, Michael Petty, Laura Hutchins, Reed Thompson. 1. Division of Hematology-Oncology, Dan L. Duncan Cancer Center, Baylor College of Medicine, BCM Faculty Center, 1709 Dryden Road, 6th Floor, Houston, TX 77030, USA. aeid@bcm.tmc.edu
Abstract
BACKGROUND: Breaking bad news is 1 of cancer specialists' most common and difficult duties, yet hematology-oncology fellowship programs typically offer little formal preparation for this daunting task. We designed the Breaking Bad News Standardized Patient Intervention (BBNSPI) as a standardized patient educational intervention to improve the communication skills of hematology-oncology fellows (HOFs) and advanced practice nurses (APNs) in breaking bad news to cancer patients. METHODS: A total of 6 HOFs and 2 APNs participated in the preintervention test and an educational session designed to improve communication skills. A total of 5 HOFs and 1 APN participated in the postintervention test 1 week later. RESULTS: The average test score of the participants improved from 56.6% in the preintervention test to 68.8% (P < .005) in the postintervention test. The preintervention perception survey showed that 2 of 6 subjects (33%) expected the intervention to improve their communication skills in breaking bad news compared to 5 of 6 subjects (83%) in the postintervention survey (P < .08). The long-term intervention perception survey showed that all 6 subjects (100%) thought the intervention improved their communication skills in breaking bad news to cancer patients (P < .048). CONCLUSIONS: BBNSPI improved HOFs' and APNs' communication skills in breaking bad news to cancer patients. The perception of the subjects about BBNSPI was positive.
BACKGROUND: Breaking bad news is 1 of cancer specialists' most common and difficult duties, yet hematology-oncology fellowship programs typically offer little formal preparation for this daunting task. We designed the Breaking Bad News Standardized Patient Intervention (BBNSPI) as a standardized patient educational intervention to improve the communication skills of hematology-oncology fellows (HOFs) and advanced practice nurses (APNs) in breaking bad news to cancerpatients. METHODS: A total of 6 HOFs and 2 APNs participated in the preintervention test and an educational session designed to improve communication skills. A total of 5 HOFs and 1 APN participated in the postintervention test 1 week later. RESULTS: The average test score of the participants improved from 56.6% in the preintervention test to 68.8% (P < .005) in the postintervention test. The preintervention perception survey showed that 2 of 6 subjects (33%) expected the intervention to improve their communication skills in breaking bad news compared to 5 of 6 subjects (83%) in the postintervention survey (P < .08). The long-term intervention perception survey showed that all 6 subjects (100%) thought the intervention improved their communication skills in breaking bad news to cancerpatients (P < .048). CONCLUSIONS:BBNSPI improved HOFs' and APNs' communication skills in breaking bad news to cancerpatients. The perception of the subjects about BBNSPI was positive.
Authors: Renato Lenzi; Walter F Baile; Jonathan Berek; Anthony Back; Robert Buckman; Lorenzo Cohen; Patricia A Parker Journal: J Cancer Educ Date: 2005 Impact factor: 2.037
Authors: Amy Stevens; Jonathan Hernandez; Kyle Johnsen; Robert Dickerson; Andrew Raij; Cyrus Harrison; Meredith DiPietro; Bryan Allen; Richard Ferdig; Sebastian Foti; Jonathan Jackson; Min Shin; Juan Cendan; Robert Watson; Margaret Duerson; Benjamin Lok; Marc Cohen; Peggy Wagner; D Scott Lind Journal: Am J Surg Date: 2006-06 Impact factor: 2.565
Authors: W F Baile; A P Kudelka; E A Beale; G A Glober; E G Myers; A J Greisinger; R C Bast; M G Goldstein; D Novack; R Lenzi Journal: Cancer Date: 1999-09-01 Impact factor: 6.860
Authors: Michael J Yedidia; Colleen C Gillespie; Elizabeth Kachur; Mark D Schwartz; Judith Ockene; Amy E Chepaitis; Clint W Snyder; Aaron Lazare; Mack Lipkin Journal: JAMA Date: 2003-09-03 Impact factor: 56.272
Authors: James Gorniewicz; Michael Floyd; Koyamangalath Krishnan; Thomas W Bishop; Fred Tudiver; Forrest Lang Journal: Patient Educ Couns Date: 2016-11-13
Authors: Cyrus Mugo; Kate Wilson; Anjuli D Wagner; Irene W Inwani; Kevin Means; David Bukusi; Jennifer Slyker; Grace John-Stewart; Barbra A Richardson; Margaret Nduati; Helen Moraa; Dalton Wamalwa; Pamela Kohler Journal: AIDS Care Date: 2019-02-27
Authors: Juan Ignacio Arraras; Lisa M Wintner; Monika Sztankay; Krzysztof A Tomaszewski; Dirk Hofmeister; Anna Costantini; Anne Bredart; Teresa Young; Karin Kuljanic; Iwona M Tomaszewska; Meropi Kontogianni; Wei-Chu Chie; Dagmara Kulis; Eva Greimel Journal: Support Care Cancer Date: 2016-12-26 Impact factor: 3.603