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

Detalhes bibliográficos
Autor(a) principal: Silva-Xavier, Esther Almeida da
Data de Publicação: 2022
Outros Autores: Santos, Esthér Aparecida Silva dos, Pereira, Elen de Fátima Brandão, Brambatti, Larissa Polejack
Tipo de documento: Artigo
Idioma: por
Título da fonte: Psicologia Revista (Online)
Texto Completo: https://revistas.pucsp.br/index.php/psicorevista/article/view/54394
Resumo: 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.
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spelling Strategies and difficulties found in communicating difficult news in a university hospitalEstrategias y dificultades encontradas para comunicar noticias difíciles en un hospital universitarioEstratégias e dificuldades encontradas na comunicação de notícias difíceis em um hospital universitárionotícias difíceiscomunicação em saúderelação médico-pacientenoticias difícilescomunicación sanitariarelación médico-pacientedifficult newshealth communicationdoctor-patient relationshipThe 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.El objetivo de este trabajo fue presentar estrategias y dificultades que influyen en el proceso de Comunicación de Noticias Difíciles por parte de médicos en un hospital universitario. Se trata de un estudio descriptivo-exploratorio, con orientación cualitativa, sobre las estrategias y dificultades encontradas por los residentes (R1, R2 o R3) y personal, de los cuatro programas del área médica: Ginecología y Obstetricia (GO), Pediatría, General Cirugía (CG) y Medicina Interna (CM). A partir de una entrevista semiestructurada para el análisis de los datos, se utilizó el método del Discurso del Sujeto Colectivo (CSD), que mostró cuán importante es el uso de protocolos para apoyar el mejor abordaje del paciente. Además de la formación profesional, para comunicar noticias difíciles, se mencionó el protocolo SPIKES, sus puntos estratégicos y cómo puede ayudar a los profesionales a llevar a cabo la mejor conducta. En cuanto a las dificultades, la falta de preparación fue uno de los destaques, así como la ausencia de un lugar adecuado para la comunicación y los aspectos emocionales involucrados, tanto por parte de los pacientes como de los profesionales de la salud.O trabalho teve como objetivo apresentar estratégias e dificuldades que influenciam o processo de Comunicação de Notícias Difíceis por médicos em um hospital universitário. Trata-se de um estudo descritivo-exploratório, de orientação qualitativa, sobre as estratégias e dificuldades encontradas por residentes (R1, R2 ou R3) e staffs, dos quatro programas da área médica: Ginecologia e Obstetrícia (GO), Pediatria, Cirurgia Geral (CG) e Clínica Médica (CM). A partir de uma entrevista semiestruturada para a análise dos dados foi utilizado o método do Discurso do Sujeito Coletivo (DSC), que mostrou como é importante utilizar protocolos para subsidiar a melhor abordagem com o paciente. Além da formação profissional, para realizar a comunicação de notícias difíceis, foi citado o protocolo SPIKES, seus pontos estratégicos e como ele pode auxiliar o profissional a realizar a melhor conduta. No que tange às dificuldades, a falta de preparo foi um dos destaques, bem como a ausência de um local adequado para a comunicação e os aspectos emocionais envolvidos, tanto por parte dos pacientes quanto dos profissionais de saúde.Pontifícia Universidade Católica de São Paulo - Faculdade de Ciências Humanas e da Saúde2022-12-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistas.pucsp.br/index.php/psicorevista/article/view/5439410.23925/2594-3871.2022v31i2p475-498Psicologia Revista; v. 31 n. 2 (2022); 475-4982594-38711413-4063reponame:Psicologia Revista (Online)instname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPporhttps://revistas.pucsp.br/index.php/psicorevista/article/view/54394/41350Copyright (c) 2022 Esther Almeida da Silva-Xavier, Esthér Aparecida Silva dos Santos, Elen de Fátima Brandão Pereira, Larissa Polejack Brambattihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSilva-Xavier, Esther Almeida daSantos, Esthér Aparecida Silva dosPereira, Elen de Fátima BrandãoBrambatti, Larissa Polejack2023-04-26T14:50:33Zoai:ojs.pkp.sfu.ca:article/54394Revistahttps://revistas.pucsp.br/psicorevistaPRIhttps://revistas.pucsp.br/psicorevista/oaipsicorevista@pucsp.br2594-38711413-4063opendoar:2023-04-26T14:50:33Psicologia Revista (Online) - Pontifícia Universidade Católica de São Paulo (PUC-SP)false
dc.title.none.fl_str_mv Strategies and difficulties found in communicating difficult news in a university hospital
Estrategias y dificultades encontradas para comunicar noticias difíciles en un hospital universitario
Estratégias e dificuldades encontradas na comunicação de notícias difíceis em um hospital universitário
title Strategies and difficulties found in communicating difficult news in a university hospital
spellingShingle Strategies and difficulties found in communicating difficult news in a university hospital
Silva-Xavier, Esther Almeida da
notícias difíceis
comunicação em saúde
relação médico-paciente
noticias difíciles
comunicación sanitaria
relación médico-paciente
difficult news
health communication
doctor-patient relationship
title_short Strategies and difficulties found in communicating difficult news in a university hospital
title_full Strategies and difficulties found in communicating difficult news in a university hospital
title_fullStr Strategies and difficulties found in communicating difficult news in a university hospital
title_full_unstemmed Strategies and difficulties found in communicating difficult news in a university hospital
title_sort Strategies and difficulties found in communicating difficult news in a university hospital
author Silva-Xavier, Esther Almeida da
author_facet Silva-Xavier, Esther Almeida da
Santos, Esthér Aparecida Silva dos
Pereira, Elen de Fátima Brandão
Brambatti, Larissa Polejack
author_role author
author2 Santos, Esthér Aparecida Silva dos
Pereira, Elen de Fátima Brandão
Brambatti, Larissa Polejack
author2_role author
author
author
dc.contributor.author.fl_str_mv Silva-Xavier, Esther Almeida da
Santos, Esthér Aparecida Silva dos
Pereira, Elen de Fátima Brandão
Brambatti, Larissa Polejack
dc.subject.por.fl_str_mv notícias difíceis
comunicação em saúde
relação médico-paciente
noticias difíciles
comunicación sanitaria
relación médico-paciente
difficult news
health communication
doctor-patient relationship
topic notícias difíceis
comunicação em saúde
relação médico-paciente
noticias difíciles
comunicación sanitaria
relación médico-paciente
difficult news
health communication
doctor-patient relationship
description 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.
publishDate 2022
dc.date.none.fl_str_mv 2022-12-22
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistas.pucsp.br/index.php/psicorevista/article/view/54394
10.23925/2594-3871.2022v31i2p475-498
url https://revistas.pucsp.br/index.php/psicorevista/article/view/54394
identifier_str_mv 10.23925/2594-3871.2022v31i2p475-498
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistas.pucsp.br/index.php/psicorevista/article/view/54394/41350
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Pontifícia Universidade Católica de São Paulo - Faculdade de Ciências Humanas e da Saúde
publisher.none.fl_str_mv Pontifícia Universidade Católica de São Paulo - Faculdade de Ciências Humanas e da Saúde
dc.source.none.fl_str_mv Psicologia Revista; v. 31 n. 2 (2022); 475-498
2594-3871
1413-4063
reponame:Psicologia Revista (Online)
instname:Pontifícia Universidade Católica de São Paulo (PUC-SP)
instacron:PUC_SP
instname_str Pontifícia Universidade Católica de São Paulo (PUC-SP)
instacron_str PUC_SP
institution PUC_SP
reponame_str Psicologia Revista (Online)
collection Psicologia Revista (Online)
repository.name.fl_str_mv Psicologia Revista (Online) - Pontifícia Universidade Católica de São Paulo (PUC-SP)
repository.mail.fl_str_mv psicorevista@pucsp.br
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