OBJECTIVE: Breaking bad news (BBN) is a complex task which involves dealing cognitively with different relevant dimensions and a challenging task which involves dealing with intense emotional contents. No study however has yet assessed in a randomized controlled trial design the effect of a communication skills training on residents' physiological arousal during a BBN task. METHODS: Residents' physiological arousal was measured, in a randomized controlled trial design, by heart rate and salivary cortisol before, during and after a BBN simulated task. RESULTS:Ninety-eight residents were included. MANOVA showed significant group-by-time effects. Trained residents' mean heart rate levels remained elevated after training and cortisol areas under the curve increased after training compared to untrained residents. CONCLUSION:Communication skills training has an effect on residents' physiological arousal. Residents' self-efficacy and communication skills improvements in a BBN simulated task are associated with an elevated physiological arousal, which becomes proportional to the complexity of the task and reflects a better engagement and performance. PRACTICE IMPLICATIONS: Residents should be informed that, to perform a task, they need to engage in the task with a physiological arousal proportional to the complexity of this task. Communication skills training should be adapted.
RCT Entities:
OBJECTIVE: Breaking bad news (BBN) is a complex task which involves dealing cognitively with different relevant dimensions and a challenging task which involves dealing with intense emotional contents. No study however has yet assessed in a randomized controlled trial design the effect of a communication skills training on residents' physiological arousal during a BBN task. METHODS: Residents' physiological arousal was measured, in a randomized controlled trial design, by heart rate and salivary cortisol before, during and after a BBN simulated task. RESULTS: Ninety-eight residents were included. MANOVA showed significant group-by-time effects. Trained residents' mean heart rate levels remained elevated after training and cortisol areas under the curve increased after training compared to untrained residents. CONCLUSION: Communication skills training has an effect on residents' physiological arousal. Residents' self-efficacy and communication skills improvements in a BBN simulated task are associated with an elevated physiological arousal, which becomes proportional to the complexity of the task and reflects a better engagement and performance. PRACTICE IMPLICATIONS: Residents should be informed that, to perform a task, they need to engage in the task with a physiological arousal proportional to the complexity of this task. Communication skills training should be adapted.
Authors: Elżbieta Kubala; Paulina Strzelecka; Marta Grzegocka; Danuta Lietz-Kijak; Helena Gronwald; Piotr Skomro; Edward Kijak Journal: Biomed Res Int Date: 2018-05-09 Impact factor: 3.411
Authors: F Fischer; S Helmer; A Rogge; J I Arraras; A Buchholz; A Hannawa; M Horneber; A Kiss; M Rose; W Söllner; B Stein; J Weis; P Schofield; C M Witt Journal: BMC Cancer Date: 2019-08-14 Impact factor: 4.430
Authors: Fernanda F Oliveira; Glaucia R G Benute; Maria Augusta B Gibelli; Nathalia B Nascimento; Tercilia V A Barbosa; Renata Bolibio; Roberta C A Jesus; Paula V V Gaiolla; Maria Silvia V Setubal; Ana L Gomes; Rossana P Francisco; Lisandra Stein Bernardes Journal: Palliat Med Rep Date: 2020-05-28