Breaking Bad News in Obstetrics and Gynecology: We Must Talk About It.

Autor: Ribeiro LSC; Department of Obstetrics and Gynecology , Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., D'Abreu BF; Department of Obstetrics and Gynecology , Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Santiago AE; Department of Tocogynecology, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, SP, Brazil., Cândido EB; Department of Obstetrics and Gynecology , Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Romão GS; Faculdade de Medicina, Universidade de Ribeirão Preto, Ribeirão Preto, SP, Brazil., de Sá MFS; Department of Obstetrics and Gynecology, Faculdade de Medicina, Universidade de São Paulo, Ribeirão Preto, SP, Brazil., da Silva Filho AL; Department of Obstetrics and Gynecology , Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Jazyk: angličtina
Zdroj: Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2022 Jun; Vol. 44 (6), pp. 621-628. Date of Electronic Publication: 2022 Jul 12.
DOI: 10.1055/s-0042-1742316
Abstrakt: Breaking bad news is common in obstetrics and gynecology (ob-gyn). However, it is difficult, and few doctors receive training on how to deal with this situation. This narrative review aims to gather, analyze, and synthesize part of the knowledge on the area, focused on Ob-Gyn. Among the 16 selected articles, two are randomized controlled intervention studies, and most studies refer to obstetrics. The results found by us pointed out that simulation, feedback/debriefing, lectures, and protocols could improve doctors' performance in communicating bad news. For patients, the context and how the information is transmitted seem to impact more than the content of the news. Ob-Gyn doctors could benefit from specific protocols and education, given the specialty's particularities. There is a lack of evidence about the most effective way to conduct such training. Finding validated ways to quantify and classify studies' results in the area, which would allow for the objective analysis of outcomes, is one of the biggest challenges concerning this topic.
Competing Interests: The authors have no conflict of interests to declare.
(Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).)
Databáze: MEDLINE