Tactics of Reporting Bad News in Professional Communication between a Doctor and a Patient
https://doi.org/10.20514/2226-6704-2021-12-2-136-142
Abstract
The article is devoted to the development of the level of communicative competence of future doctors and the peculiarities of professional communication with patients. The basis of the work were the questions of determining the speech behavior of a doctor in one of the most difficult communicative situations — the situation of delivering bad news. Based on the material of real recordings of doctors’ speech, the analysis of risky communicative steps in the communication between the doctor and the patient is carried out, the most effective ways of implementing the doctor’s speech tactics in the situation of bad news are determined. Conclusions are drawn about the need to improve the level of professional communication of doctors and to train medical students in the communication skills of delivering bad news.
About the Authors
A. A. MarkovaRussian Federation
Department of the Internal Medicine
Saratov
Competing Interests:
The authors declare no conflict of interests
M. I. Barsukova
Russian Federation
Department of Pedagogics, Educational Technologies and Professional Communication
Saratov
Competing Interests:
The authors declare no conflict of interests
References
1. Kloktunova N.A., Barsukova M.I., Ramazanova A.YA. et al. A set of speech-behavioral tactics of a pediatrician (based on the diagnostic strategy). Higher Education Today. 2020; 4: 42-47. doi: 10.25586/RNU.HET.20.04.P.42 [In Russian].
2. Barsukova M.I., Kloktunova N.A., Romanovskaya A.V. et al. Communicative training of future doctors (based on the material of speech behavior of obstetricians and gynecologists). The world of science, culture and education. 2020; 4 (83): 113-114 [In Russian].
3. Barsukova M.I., Rodionova T.V. Communicative risks in the dyad `doctor — patient`. Izvestiya of Saratov University. New Series. Series: Philology. Journalism. 2021; 21 (2): 176-179. doi: 10.18500/1817-7115- 2021-21-2-176-179
4. Denisov I., Reze A., Volnuhin A. Communication skills. Delivering of bad news. Vrach. 2010; 12: 79-80 [In Russian].
5. Saperov V.N. Medical ethics. M.: Binom. 2019; 232 p [In Russian].
6. Shakarashvili M.V. A communicative dialogue between a doctor and a patient. GESJ: Education Science and Psychology. 2012; 2(21): 79-80 [In Russian].
7. Bailea F.W., Buckmanb R., Lenzia R et al. SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist. 2000; 5(4):302-311. doi:10.1634/theoncologist.5-4-302
8. Sil’verman Dzh., Kerc S., Drejper Dzh. Skills for communicating with patients. Izd.: Granat, 2018; 304 p [In Russian].
9. Federal’nyj zakon ot 21.11.2011 N 323-FZ (red. ot 22.12.2020) “Ob osnovah ohrany zdorov’ya grazhdan v Rossijskoj Federacii” (s izm. i dop., vstup. v silu s 01.01.2021). Pravovoj server «Konsul’tantPlyus» [Electronic resource]. URL: http://www.consultant.ru/document/cons_doc_LAW_121895/ (date of the application: 26.01.2021) [In Russian].
10. Buckman R. Breaking bad news: the S-P-I-K-E-S strategy. Community Oncology. 2005; 2(2):183-142. doi:10.1016/S1548-5315(11)70867-1
11. Alshami A., Douedi S., Avila-Ariyoshi A. et al. Breaking bad news, a pertinent yet still an overlooked skill: an international survey study. Healthcare (Basel). 2020; 8(4):501. doi: 10.3390/healthcare8040501
12. Monden K.R., Gentry L., Cox T.R. Delivering bad news to patients. Proc (Bayl Univ Med Cent). 2016; 29(1): 1–2. doi:10.1080/08998280.2 016.11929380
13. Kazaeva A.V., Noskova M.V. The culture of delivering bad news in practical health care: a concept of formation. Personality in a changing world: health, adaptation, development. 2016; 4(15): 66-71. doi: 10.23888/humJ2016466-71[In Russian].
14. Ercan G., Karlitepe A., Ozpolat B. Pancreatic cancer stem cells and therapeutic approaches. Anticancer Research. 2017; 37 (6): 2761- 2775. doi: 10.21873/anticanres.11628
15. Barsukova M.I., Sheshneva I.V., Ramazanova A.Ya. Risks of doctor- patient communication: a communicative aspect. The world of science, culture and education. 2019; 3(76): 486-487 [In Russian].
16. Gnezdilov A.V. Psychology and psychotherapy of losses. SPb.: Rech’. 2007; 162 p [In Russian].
17. Boluchevskaya V.V, Pavlyukova A.I. Doctor’s communication: verbal and nonverbal communication. (Lecture 2). Med. psihol. Ross. 2007; 2(7) [In Russian].
Review
For citations:
Markova A.A., Barsukova M.I. Tactics of Reporting Bad News in Professional Communication between a Doctor and a Patient. The Russian Archives of Internal Medicine. 2022;12(2):136-142. https://doi.org/10.20514/2226-6704-2021-12-2-136-142