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• W3106887776 abstract "Introduction Covid 19 has necessitated change in the way healthcare workers practice. Some changes have been beneficial, others fall short of what is usually best practice. One example is the restrictions on hospital visitors, resulting in increased dependence on the telephone to communicate with patients’ relatives. Increasingly, we are breaking bad news by telephone, something that hitherto, we have been taught to avoid. All healthcare professionals have expressed concern about this; none are comfortable with it, yet it has become a regular occurrence. We have developed a half-day training session to familiarise staff with the difficulties in breaking bad news by telephone and give them hands on practice. Summary of Work A whole group pre-brief is delivered, with a presentation covering the principles of breaking bad news and how this changes using the telephone. Each doctor/nurse pair, from AMU/ED was given a deteriorating patient scenario to convey to the relative on the telephone. This consists of 4 phone calls with 2 calls made by each doctor and nurse. The relatives are played by experienced SPs who are trained in role portrayal, giving feedback and de-roling. After the calls, there is a debrief session and formal written feedback given to the attendees Summary of Results See table 1 Discussion Pre session Questionnaire Most participants were unconfident in breaking bad news by phone. Two senior nurses who said they were confident dropped their scores after the session. Questioning revealed this was because they thought it would be just like doing it in person; the session made them realise how different it was. Post session Questionnaire Most participants felt that they were more confident after the session. All felt it was useful to their clinical practice and would recommend it to their colleagues. SP feedback Having formal written feedback from a ‘real’ relative was helpful, in part so it could be uploaded to their eportfolio as evidence of their communication skills. Recommendations This project has grown in size; ITU staff wish to run this session on their unit. We have incorporated this session into a whole day of virtual consultation including telephone discussion of results, addressing complaints and using a virtual clinic platform. This has been delivered to trainees as part of the supported return to training scheme across two deaneries. There are plans to deliver this session to regional IMT trainees as well as to staff at trust level." @default.
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• W3106887776 date "2020-11-01" @default.
• W3106887776 modified "2023-09-23" @default.
• W3106887776 title "PG45 Breaking bad news on the telephone: making the best of second best" @default.
• W3106887776 doi "https://doi.org/10.1136/bmjstel-2020-aspihconf.93" @default.
• W3106887776 hasPublicationYear "2020" @default.
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