Abstract
ABSTRACT Introduction Breaking bad news althoughfrequent among healthcare professionals and their patients is still considered a very difficult task. These communication skill main determinants in the physician-patient relationship. Objective In view of the need to promote academic spaces that provide opportunities to learn breaking bad news , thisstudy aims to evaluate the medical residentsin relation to their interest in learning communication skills, as well as their skills in breaking bad news, before and after a workshop on the topic. Methods All the medical residents in the first year ofnternal edicine of a public general hospital in Belém-Pará, Brazil inwere invited to answer a questionnaire sociodemographic data and questions about their communication skills in clinical practice, as well as the Communication Skills Attitude Scale (CSAS), which addressed their interest in learning communication skills. The questionnaire. This research uses both uantitative and qualitative methods. The quantified data were statisticallyanalyzed by the Wilcoxon test (),Chi-Square test G-test adherence (quantitative variables of the questionnaire on communication skills). The qualitative evaluation Content Analysis based on Bardin. Results Ten residents attended the workshop. The results show that after taking part in the workshop, the resident’s perceptions of the practice of breaking bad news had improved (in 80% of the participants), as well as their attitudes to learning communication skills ( CSAS = 99.5 and 105, before and after the course, respectively p = 0.0039). Conclusion Eighty percent of residents (n = 08) considered their communication skills have improved as a result of the workshop (p = 0.0078). Most of the participantsbecame more aware of the importance of considering the patient’s perspective, and admitted positive changes following the course. Conclusion A positive effect on the participants’ perceptions of communication skills and on their interest in learning these skills, were identified after an intervention focused on the context of breaking bad news.
Highlights
Breaking bad news althoughfrequent among healthcare professionals and their patients is still considered a very difficult task
Descriptive results based on the Communication Skills Attitude Scale (CSAS) Scale, median value was 99.5 (IQR = 1075), ranging from 92 to 110, and after the workshop, the median was 105 (IQR = 6,0), ranging from 100 to 111
These figures indicate a significant improvement in interest in learning about communication skills among the residents after taking part in the workshop (p = 0.0039) (Figure 1)
Summary
Breaking bad news althoughfrequent among healthcare professionals and their patients is still considered a very difficult task. These communication skill main determinants in the physician-patient relationship. The results show that after taking part in the workshop, the resident’s perceptions of the practice of breaking bad news had improved (in 80% of the participants), as well as their attitudes to learning communication skills ( CSAS = 99.5 and 105, before and after the course, respectively p = 0.0039). Using a methodology that prioritizes patient, students should be awarethat a good communication process is essential in establishing good behavioral patterns, and that it does not involve only words Training in such skills gives physicians a more humanized approach[8]
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