Ozden Ozyemisci-Taskiran1, Isil Irem Budakoglu2, Ozlem Coskun2, Nesrin Demirsoy3. 1. a Department of Physical Medicine and Rehabilitation , Koc University School of Medicine , Istanbul , Turkey. 2. b Department of Medical Education , Gazi University Faculty of Medicine , Ankara , Turkey. 3. c Department of Physical Medicine and Rehabilitation , Gazi University Faculty of Medicine , Ankara , Turkey.
Abstract
OBJECTIVE: To explore Turkish physiatrists' experiences and opinions about breaking bad news (BBN) to patients with spinal cord injury (SCI). DESIGN: A cross sectional study. SETTING: Turkey. PARTICIPANTS: Sixty-nine physiatrists completed a questionnaire about experiences and opinions regarding BBN and self-assessment of communication skills (CS). RESULTS: Eleven percent of specialists and 53% of residents were trained on basic CS. All participants believed that physiatrists should play a role in BBN and the majority reported that they delivered the bad news in their clinic. Sixty-seven percent believed that the primary responsibility belongs to physiatrists. Sixty-eight percent reported that the most appropriate time for BBN is during rehabilitation. Self-assessments of CS were considered satisfactory in most steps of SPIKES protocol. Twenty percent told absolute truth to patients while 80% stated that they did so sometimes or partially. Only 41% confirmed that they do not use unrealistic statements to comfort patients. Fewer than 60% stated that they performed the most appropriate and excellent behaviors for items in "empathy" section. CONCLUSION: Physiatrists had different opinions about the style of BBN. Self-assessments of CS were optimistic, however physiatrists were not fully satisfied with their empathy skills.
OBJECTIVE: To explore Turkish physiatrists' experiences and opinions about breaking bad news (BBN) to patients with spinal cord injury (SCI). DESIGN: A cross sectional study. SETTING:Turkey. PARTICIPANTS: Sixty-nine physiatrists completed a questionnaire about experiences and opinions regarding BBN and self-assessment of communication skills (CS). RESULTS: Eleven percent of specialists and 53% of residents were trained on basic CS. All participants believed that physiatrists should play a role in BBN and the majority reported that they delivered the bad news in their clinic. Sixty-seven percent believed that the primary responsibility belongs to physiatrists. Sixty-eight percent reported that the most appropriate time for BBN is during rehabilitation. Self-assessments of CS were considered satisfactory in most steps of SPIKES protocol. Twenty percent told absolute truth to patients while 80% stated that they did so sometimes or partially. Only 41% confirmed that they do not use unrealistic statements to comfort patients. Fewer than 60% stated that they performed the most appropriate and excellent behaviors for items in "empathy" section. CONCLUSION: Physiatrists had different opinions about the style of BBN. Self-assessments of CS were optimistic, however physiatrists were not fully satisfied with their empathy skills.
Authors: Mustafa Ozdogan; Mustafa Samur; Mehmet Artac; Mustafa Yildiz; Burhan Savas; Hakan Sat Bozcuk Journal: J Palliat Med Date: 2006-10 Impact factor: 2.947