Volume : 09, Issue : 06, June – 2022
Title:
61.KNOWLEDGE, VIEWS, AND EXPERIENCE OF BREAKING BAD NEWS AMONG PRIMARY HEALTH CARE PHYSICIANS IN TAIF, 2022
Authors :
Dr. Mohammed Tarbush Almalki
Abstract :
Background: Breaking bad news is an essential skill of any family physician and general practitioner (GP). Our training and values support open and honest communication between the physician and patient. As a result, family physicians and GPs are in an ideal position to help patients with a terminal disease face their illness with compassion and dignity.
Objectives: To assess knowledge, views and experience of breaking bad news as well as the relationship between the socio-demographic variables, job characteristics and knowledge regarding breaking bad news among family physicians and general practitioners.
Methodology: This study is a descriptive cross- sectional study. It included all family physicians and general practitioners working in primary health care centers during the study period in Taif, Saudi Arabia. A self-administered questionnaire based on the main steps of breaking bad news especially SPIKES mode was utilized for data collection. It consisted of two parts: the first part includes the personal characteristics (gender, age, nationality, marital status, title, qualifications and years of practice) while the second part contains questions, based on the main steps of breaking bad news especially SPIKES model, to assess their knowledge, views and experience of breaking bad news.
Results: The study included 121 primary health care physicians with a response rate of 80.7%. Males represent 59.5% of them. Their age ranged between 22 and 60 years with a mean of 36.7 years and standard deviation of 9.5 years. More than half of them (54.5%) were non-Saudis. Almost one third of the PHC physicians (34.7%) attended training courses on breaking bad news mostly lectures (62%). Overall, Sufficient knowledge regarding breaking bas news was reported among 12.4% of PHC physicians. Older (>45 years old), non-Saudi, more experienced, higher educated, consultant physicians and those attended training courses in breaking bad news were more significantly knowledgeable. Majority of the physicians agreed that patients should be informed about a serious life threatening illness (80.9%) and guidelines or protocols as helpful with respect to breaking bad news (91.8%). However, 58.6% of them agreed that Saudi patients would prefer to be told about a serious illness.
Conclusion: Although the primary physicians are keen to help their patients, most of them lack the essential knowledge and skills of breaking bad news. However, their views towards breaking bad news are encouraging in general.
Cite This Article:
Please cite this article in press Mohammed Tarbush Almalki, Knowledge, Views, And Experience Of Breaking Bad News Among Primary Health Care Physicians In Taif, 2022., Indo Am. J. P. Sci, 2022; 09(6).
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References:
1-Buckman R. Breaking bad news: why is it so difficult? BMJ. 1984;288:1597–9.
2. O’Hara D. Tendering the truth. Am Med News. 2000;43:25–6.
3. Ley P. Giving information to patients. In: Eiser JR, ed. Social psychology and behavioral medicine. New York: Wiley, 1982:353.
4. Kutner JS, Steiner JF, Corbett KK, Jahnigen DW, Barton PL. Information needs in terminal illness. Soc Sci Med. 1999;48:1341–52.
5. Girgis A, Sanson-Fisher RW. Breaking bad news. 1: current best evidence for clinicians. Behav Med. 1998;24:53–9.
6- Ptacek JT, Eberhardt TL. Breaking bad news. A review of the literature. JAMA. 1996;276:496–502.
7- Walsh RA, Girgis A, Sanson-Fisher RW. Breaking bad news. 2: what evidence is available to guide clinicians? Behav Med. 1998;24:61–72.
8- Al-Mohaimeed AA, Sharaf FK. Breaking Bad News Issues: A Survey Among Physicians.” Oman medical journal 2013: 28(1): 20-25
9- Dosanjh S, Barnes J, Bhandari M. Barriers to breaking bad news among medical and surgical residents. Med Educ. 2001 Mar;35(3):197-205.
10- Barnett MM, Fisher JD, Cooke H, James PR, Dale J. Breaking bad news: consultants’ experience, previous education and views on educational format and timing. Med Educ. 2007 Oct;41(10):947-56.
11- Vail L, Sandhu H, Fisher J, Cooke H, Dale J, Barnett M. Hospital consultants breaking bad news with simulated patients: an analysis of communication using the Roter Interaction Analysis System. Patient Educ Couns. 2011 May; 83(2):185-94.
12- Wuensch A1, Tang L, Goelz T, Zhang Y, Stubenrauch S, Song L, et al. Breaking bad news in China–the dilemma of patients’ autonomy and traditional norms. A first communication skills training for Chinese oncologists and caretakers. Psychooncology. 2013 May; 22(5):1192-5.
13- Locatelli C1, Piselli P, Cicerchia M, Repetto L. Physicians’ age and sex influence breaking bad news to elderly cancer patients. Beliefs and practices of 50 Italian oncologists: the GIO Ger study. Psychooncology. 2013 May;22(5):1112-9
14- Shaw JM1, Brown RF, Dunn SM. A qualitative study of stress and coping responses in doctors breaking bad news. Patient Educ Couns. 2013 May;91(2):243-8
15- Leppert W, Majkowicz M, Forycka M. Attitudes of Polish physicians and medical students toward breaking bad news, Euthanasia and Morphine administration in cancer patients. J Cancer Educ. 2013 Dec;28(4):603-10.
16- Ali Khawaja RD, Akhtar W, Khawaja A, Irfan H, Naeem M, Memon M. Patient communication in radiology: Current status of breaking bad news among radiologists and radiology trainees in Pakistan. J Coll Physicians Surg Pak. 2013 Oct;23(10):761-3.
17-The Kningdom of Saudi Arabia. Taif. Available at: en.wikipedia.org/wiki/Ta’if
18-Fujimori M, Uchitomi Y. Preferences of Cancer Patients Regarding Communication of Bad News: A Systematic Literature Review. Japanese Journal of Clinical Oncology 2009; 39(4):201-216.
19-Epstein RM, Campbell TL, Cohen-Cole SA, et al. Perspective on Patient-Doctor communication. J Fam Pract. 1993;37(4):331–333.
20-Fellows D, Wilkinson S, Moore P. Are courses aimed at improving the way doctors and nurses communicate with patients with cancer helpful? Cochrane Summaries, 2003. Available at: http://www.cochrane.org/ cochrane/revabstr/AB003751.htm.
21-Fallowfield LJ. Things to consider when teaching doctors how to deliver good, bad and sad news. Medical Teacher 1996; 16:27-30
22-The General Medical Council. Good Medical Practice, 2001. Cited at: http://www.gmcuk.org/guidance/current/library/witholding_lifeprolonging_guidance.asp#Care%20for%20the%20dying
23-Ozdogan M, Samur M, Artac M, Yildiz M, Savas B, Bozcuk HS. Factors related to truth-telling practice of physicians treating patients with cancer in Turkey. J Palliat Med. 2006; Oct 9(5):1114-9
24-Baile WF, Buckman R, Lenzi R, et al. SPIKES–A sixstep protocol for delivering bad news: application to the patient with cancer. Oncologist 2000; 5(4): 302-311
25-Saudi Ministry of Health, Administrative Policy and Procedure titled ‘Patient Rights and Responsibilities’, Policy number ICU-APP-MOH-005E(1) of 01- 09-1432, Section 5.8 – Right to Confidentiality, para 5.8.2.
26-Mobeireek AF, al-Kassimi FA, al-Majid SA, al-Shimemry A. Communication with the seriously ill: physicians’ attitudes in Saudi Arabia. J Med Ethics 1996 Oct;22(5):282-285. PMC free article. PubMed
27-Aljubran AH. The attitude towards disclosure of bad news to cancer patients in Saudi Arabia. Ann Saudi Med 2010 Mar-Apr;30(2):141-144.
28-Ha JF, Longnecker N. Doctor-patient communication: a review. Ochsner J 2010;10(1):38-43.
29-Fallowfield L, Jenkins V. Communicating sad, bad, and difficult news in medicine. Lancet 2004 Jan;363(9405):312-319.
30-Rosenbaum ME1, Ferguson KJ, Lobas JG. Teaching medical students and residents skills for delivering bad news: a review of strategies. Acad Med. 2004 Feb;79(2):107-17.