Publication: Breaking bad news to patients with spinal cord injury in Turkey - physiatrists' perspective
Program
KU-Authors
KU Authors
Co-Authors
Budakoglu, Isil Irem
Coskun, Ozlem
Demirsoy, Nesrin
Publication Date
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Embargo Status
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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.
Source
Publisher
Taylor & Francis
Subject
Clinical neurology
Citation
Has Part
Source
Journal of Spinal Cord Medicine
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Edition
DOI
10.1080/10790268.2016.1234735