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Breaking bad news: doctors' skills in communicating with patients.
Ferreira da Silveira, Francisco José; Botelho, Camila Carvalho; Valadão, Carolina Cirino.
Afiliação
  • Ferreira da Silveira FJ; MD, MSc, PhD. Assistant Professor, Department of Public Health, Faculdade de Ciências Médicas de Minas Gerais (FCMMG), Belo Horizonte (MG), Brazil.
  • Botelho CC; MD. Psychiatry Medical Residency, Santa Casa de Misericórdia de São Paulo, São Paulo (SP), Brazil.
  • Valadão CC; MD. General Clinics Medical Residency, Risoleta Neves Hospital, Belo Horizonte (MG), Brazil.
Sao Paulo Med J ; 135(4): 323-331, 2017.
Article em En | MEDLINE | ID: mdl-28562739
CONTEXT AND OBJECTIVE:: Breaking bad news is one of doctors' duties and it requires them to have some skills, given that this situation is difficult and distressful for patients and their families. Moreover, it is also an uncomfortable condition for doctors. The aim of this study was to evaluate doctors' capacity to break bad news, ascertain which specialties are best prepared for doing this and assess the importance of including this topic within undergraduate courses. DESIGN AND SETTING:: Observational cross-sectional quantitative study conducted at a university hospital in Belo Horizonte (MG), Brazil. METHODS:: This study used a questionnaire based on the SPIKES protocol, which was answered by 121 doctors at this university hospital. This questionnaire investigated their attitudes, posture, behavior and fears relating to breaking bad news. RESULTS:: The majority of the doctors did not have problems regarding the concept of bad news. Nevertheless, their abilities diverged depending on the stage of the protocol and on their specialty and length of time since graduation. Generally, doctors who had graduated more than ten years before this survey felt more comfortable and confident, and thus transmitted the bad news in a better conducted manner. CONCLUSION:: Much needs to be improved regarding this technique. Therefore, inclusion of this topic in undergraduate courses is necessary and proposals should be put forward and verified.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Relações Médico-Paciente / Revelação da Verdade Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Sao Paulo Med J Assunto da revista: MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Relações Médico-Paciente / Revelação da Verdade Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Sao Paulo Med J Assunto da revista: MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil