The impact of delivery style on doctors' experience of stress during simulated bad news consultations

Patient Education and Counseling
Joanne M ShawStewart M Dunn

Abstract

The purpose of this study was to investigate the relationship between doctors' bad news delivery style and their experience of physiological stress during simulated bad news consultations. 31 doctors participated in two simulated breaking bad news (BBN) consultations. Delivery style was categorized as either blunt, forecasting or stalling (i.e. avoidant), based on the time to deliver the bad news and qualitative analysis of the interaction content and doctor's language style. Doctors' heart rate (HR) and skin conductance (SC) were recorded in consecutive 30s epochs. Doctors experienced a significant decrease in HR (F(1,36)=44.9, p<.0001) and SC (F(1,48)=5.6, p<.001) between the pre- and post-news delivery phases of the consultation. Between-group comparisons for the three delivery styles did not identify any significant differences in HR (F(2,36)=2.2, p>.05) or SC (F(2,48)=.66, p>.05). Doctors experience heightened stress in the pre-news delivery phase of breaking bad news interactions. Delaying the delivery of bad news exposes doctors to a longer period of increased stress.This suggests that medical students and doctors should be taught to deliver bad news without delay, to help mitigate their response to this stressful encoun...Continue Reading

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Citations

Jan 25, 2018·Reproductive Health·José Atienza-CarrascoIsabel María Morales-Gil
Nov 22, 2019·Health Communication·Katarzyna Leoniuk, Krzysztof Sobczak
Mar 6, 2019·BMC Medical Education·Sandra KempAndy Wearn
Aug 9, 2020·Health and Quality of Life Outcomes·Andrea MesserottiLeonardo Potenza
Aug 7, 2021·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Craig Gedye
Apr 5, 2020·Bulletin du cancer·Elise DelucheLaurent Fourcade

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