Doctors' experience of stress during simulated bad news consultations

Title
Doctors' experience of stress during simulated bad news consultations
Publication Date
2013-11
Author(s)
Shaw, Joanne
Brown, Rhonda
Heinrich, Paul
Dunn, Stewart
Type of document
Journal Article
Language
en
Entity Type
Publication
Publisher
Elsevier Ireland Ltd
Place of publication
Ireland
DOI
10.1016/j.pec.2013.06.009
UNE publication id
une:1959.11/54025
Abstract

Objective: Breaking bad news (BBN) is a core component of medicine. Psychophysiological studies confirm the subjective reports of doctors that BBN is a stressful experience. This study investigated doctors' physiological stress responses prior to and during two simulated bad news consultations.

Methods: Thirty-one doctors participated in a speech-interaction task and two simulated BBN consultations. Heart rate (HR) and skin conductance (SC) were recorded using consecutive 30-s epochs during each of the interactions. The simulations were video recorded.

Results: Most doctors showed an early anticipatory increase in HR and SC that peaked during the reading of the case history prior to the BBN consultations. Most doctors then experienced a brief and relatively small stress response. However, about one-third of the doctors showed a significant and sustained stress response.

Conclusions: The results suggest that most doctors were cognitively engaged with the BBN tasks, however, a small proportion of doctors might have focused more on their own internal feelings and less on these contextual features.

Practice implications: In regards to training medical students and doctors, these results suggest that there is a need to focus more on the impact of these encounters on the doctors, not just their performance during these encounters.

Link
Citation
Patient Education and Counseling, 93(2), p. 203-208
ISSN
1873-5134
0738-3991
Pubmed ID
23850183
Start page
203
End page
208

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