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  1. Teaching physicians how to break bad news : A 1-day workshop using standardized parents.

    Article, Communication - En anglais

    Annual Pediatric Critical Care Colloquim. Annual Research in Medical Education Conference. 1998 Annual Meeting of the Pediatric Academic Societies. Little Rock, AR, USA ; Washington, DC, USA ; New Orleans, LA, USA, 1997/09/19 - 1997/11/04 - 1998/05/03.

    Objective 

    To evaluate the effectiveness of a training program using standardized parents (SPs) to improve the performance of pediatric intensive care fellows in communicating bad news to parents.

    Design 

    Self-controlled crossover design.

    Setting 

    Tertiary pediatric intensive care unit in a university-affiliated children's hospital.

    Participants 

    Seven pediatric intensive care fellows and 4 trained volunteers (2 sets of SPs) participated in the study.

    Methods 

    Two case scenarios ofchildren admitted to the intensive care unit with a near-fatal diagnosis were used for the fellow's interactions with the SPs.

    The SPs had received 15 hours of training in role playing performance evaluation, and giving feedback to the physicians.

    At the end of the first session, SPs provided feedback to the physicians under each of the 5 following categories : communication skills, content issues, support systems, interventions, and parent perceptions.

    During the second session, the parent meeting was repeated with a new but similar case scenario and a different set of SPs.

    Both sessions were videotaped, and a rater blinded to the order of the sessions used a weighted scale based on a checklist to score changes in physician performance.

    Results 

    The performance by the fellows showed a significant mean (±SEM) improvement in scores of 18.1 (±5.2) points (P=007) between the first and the second sessions. (...)

    Mots-clés Pascal : Stress, Admission hôpital, Hospitalisation, Service urgence, Communication information, Parent, Formation professionnelle, Médecin, Evaluation, Enfant, Homme, Etats Unis, Amérique du Nord, Amérique, Personnel sanitaire

    Mots-clés Pascal anglais : Stress, Hospital admission, Hospitalization, Emergency department, Information communication, Parent, Occupational training, Physician, Evaluation, Child, Human, United States, North America, America, Health staff

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0226907

    Code Inist : 002B30A09. Création : 16/11/1999.