TY - JOUR PY - 2016// TI - Breaking bad news to patients with spinal cord injury in Turkey - physiatrists' perspective JO - Journal of spinal cord medicine A1 - Ozyemisci-Taskiran, Ozden A1 - Budakoglu, Isil Irem A1 - Coskun, Ozlem A1 - Demirsoy, Nesrin SP - 423 EP - 431 VL - 40 IS - 4 N2 - 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.

Language: en

LA - en SN - 1079-0268 UR - http://dx.doi.org/10.1080/10790268.2016.1234735 ID - ref1 ER -