Strategies and difficulties found in communicating difficult news in a university hospital

The aim of this study was to present the strategies and difficulties that influence the process of communicating difficult news by doctors in a university hospital. This is a descriptive-exploratory study with a qualitative orientation on the strategies and difficulties encountered by residents (R1,...

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Detalles Bibliográficos
Autores: Silva-Xavier, Esther Almeida da, Santos, Esthér Aparecida Silva dos, Pereira, Elen de Fátima Brandão, Brambatti, Larissa Polejack
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Institución:Pontifícia Universidade Católica de São Paulo (PUC-SP)
Repositorio:Psicologia Revista (Online)
Idioma:portugués
OAI Identifier:oai:ojs.pkp.sfu.ca:article/54394
Acceso en línea:https://revistas.pucsp.br/index.php/psicorevista/article/view/54394
Access Level:acceso abierto
Palabra clave:notícias difíceis
comunicação em saúde
relação médico-paciente
noticias difíciles
comunicación sanitaria
relación médico-paciente
difficult news
health communication
doctor-patient relationship
Descripción
Sumario:The aim of this study was to present the strategies and difficulties that influence the process of communicating difficult news by doctors in a university hospital. This is a descriptive-exploratory study with a qualitative orientation on the strategies and difficulties encountered by residents (R1, R2 or R3) and staff from the four medical programs: Obstetrics and Gynecology (O&G), Pediatrics, General Surgery (GS) and Internal Medicine (IM). Based on a semi-structured interview, the Collective Subject Discourse (CSD) method was used for data analysis, which showed the importance of using protocols to support the best approach to the patient. In addition to professional training for communicating difficult news, the SPIKES protocol and its strategic points were mentioned, as well as how it can help professionals to conduct themselves effectively. The lack of preparation was one of the main difficulties reported, as well as the absence of an appropriate location for communication and the emotional aspects involved for both patients and health professionals.