Medical Student’s Skills in Notifying Bad News Based on SPIKES Protocol
Keywords:
Bad News, Medical students, SPIKES protocol, HealthcareAbstract
OBJECTIVE: This study was carried out to investigate the medical students’ skill in notifying bad news based on SPIKES.
METHODOLOGY: The descriptive-analytic studywas conducted in which medical students of Tabriz University of Medical Sciences were participated. To collect data, a two-part questionnaire was used, included 18 questions about how bad news were communicated, and 40 questions based on scenarios of students' skills with bad news communication according to the SPIKES step protocol. Data were analyzed using SPSS software and independent T-test.
RESULTS: The findings showed that students had the most proficiency in the fifth step of the SPIKES (recognizing and expressing sympathy with patient), and the least skill in the 3rdphase of the SPIKES (examining the patient's readiness to receive all or part of the news). A statistical significant difference between skill and performance based on work experiences was observed (F=3.98, P=0.02). However, the data show no significant difference between skill and performance based on characteristic factors i.e. age and gender.
CONCLUSION: According to the SPIKES, students' skills in informing “Bad News” are not at an optimal level. They did not receive the necessary training to notify bad news. Sophisticated students, with more work experience have more skill in informing “Bad News”. The training of the “Bad News” informing skills should be on focus to education professionals.
Downloads
Published
How to Cite
Issue
Section
License
Submission of a manuscript to the journal implies that all authors have read and agreed to the content of the undertaking form or the Terms and Conditions.
When an article is accepted for publication, the author(s) retain the copyright and are required to grant the publisher the right of first publication and other non-exclusive publishing rights to JLUMHS.
Articles published in the Journal of Liaquat University of Medical & health sciences are open access articles under a Creative Commons Attribution-Noncommercial - Share Alike 4.0 License. This license permits use, distribution and reproduction in any medium; provided the original work is properly cited and initial publication in this journal. This is in accordance with the BOAI definition of open access. In addition to that users are allowed to remix, tweak and build upon the work non-commercially as long as appropriate credit is given and the new creations are licensed under the identical terms. Or, in certain cases it can be stated that all articles and content there in are published under creative commons license unless stated otherwise.
