Communication of bad news in medical practice: medical perception on facilitators and hinderers
DOI:
https://doi.org/10.11606/issn.1679-9836.v102i1e-174935Keywords:
Communication, Interview, Revelation of truth, Professional trainingAbstract
OBJECTIVES: to acknowledge the training of physicians regarding the disclosure of bad news and the difficulties and facilitators into the practice of communicating difficult news to patients and families. METHOD: descriptive qualitative study. Data collection was carried out through a semi-structured interview with medical professionals from an oncology unit. Conventional content analysis performed according to hsie and shannon. RESULTS: it was reported a great precariousness in medical education regarding the communication of bad news, being a possible contributor to the difficulties found in the position of communicator. There were different definitions attributed to the term “bad news” by the interviewees and several factors that made it difficult to communicate those news. These factors may be technical and/or socio emotional. Subject to these factors, is the very success of communication, that interferes with the treatment of the patient. CONCLUSION: some influencing factors are non-changeable; others are subject to change or prevention. Among these, are the multidisciplinary work, a good doctor- patient relationship and a suitable environment for communication. When these factors are manipulated for a better communication, it is accomplished with greater success and benefit. The prior preparation for this communication was unanimously highlighted, justifying a greater approach in academic medical education on this subject.
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