"This is a decision you have to make": using simulation to study prenatal counseling

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
Renee D BossR M Arnold

Abstract

Prenatal decision making during extremely preterm labor is challenging for parents and physicians. Ethical and logistical concerns have limited empirical descriptions of physician counseling behaviors in this setting and constricted opportunities for communication training. This pilot study examines how simulation might be used to engage neonatologists in reflecting on their usual prenatal counseling behaviors. Neonatology physicians counseled a couple (standardized patients) with the female patient having impending delivery at 23 3/7 weeks. Encounters were videotaped. Physicians completed postencounter surveys and debriefing interviews. Mixed-methods analysis explored the outcomes of clinical verisimilitude and counseling behaviors. All 10 neonatology physicians found that the simulation was highly realistic and that their behaviors paralleled neonatologist self-report in other studies. Physicians contributed more than 80% of encounter dialogue and mostly focused on biomedical information related to the acute perinatal period. Physicians spent nearly a quarter of each encounter in building relationships and expressing empathy. Most physicians initiated discussion about quality versus quantity of life but infrequently elicited ...Continue Reading

References

Dec 1, 1985·Journal of Medical Education·G R NormanG A McConvey
Apr 12, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·G Makoul
Jun 26, 2001·European Journal of Pediatrics·H E McHaffieR Hume
May 31, 2002·Nursing Ethics·Leyla Dinç, Refia Selma Görgülü
Jun 19, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·K L MeertA P Sarnaik
Aug 3, 2005·Pediatrics·Tara K BastekJeffrey P Burns
Aug 31, 2006·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·D RoterW Dudley
Feb 3, 2007·Pediatrics·Edward F Bell, Edward F Bell
Apr 20, 2007·Journal of Perinatology : Official Journal of the California Perinatal Association·C L BrosigS R Leuthner
May 20, 2008·Seminars in Fetal & Neonatal Medicine·Helen Harrison
Jun 25, 2008·Journal of General Internal Medicine·R Brac SelphDouglas B White
Jul 4, 2008·Pediatrics·Marlyse F HawardJohn M Lorenz
Jan 17, 2009·Journal of Perinatology : Official Journal of the California Perinatal Association·G LamianiI D Todres
May 16, 2009·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·David B WaiselDaniel B Raemer
Jun 11, 2009·Medical Teacher·Nancy PoselBruce M Shore
Sep 9, 2009·Pediatrics·Franscesca Miquel-VergesPamela K Donohue
Sep 9, 2009·Archives of Pediatrics & Adolescent Medicine·Renee D BossRobert M Arnold
Oct 28, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Rhonda BrownJoanne Shaw
Mar 31, 2010·Pediatrics·UNKNOWN Committee on Hospital Care, Section on Surgery, and Section on Critical Care

❮ Previous
Next ❯

Citations

Nov 7, 2014·Patient Education and Counseling·Brownsyne Tucker EdmondsRichard M Frankel
Oct 30, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Brownsyne Tucker EdmondsRichard M Frankel
Jan 29, 2014·Seminars in Perinatology·Theophil A StokesRenee D Boss
Dec 5, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·B Tucker EdmondsR M Frankel
Sep 26, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·B Tucker EdmondsG D Zimet
Aug 24, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Taylor SawyerRachel Umoren
Feb 9, 2017·Seminars in Perinatology·Natalia Henner, Renee D Boss
Jan 10, 2014·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Rosa GeurtzenLouis P Halamek
May 2, 2013·American Journal of Medical Genetics. Part a·R Lynn HoltNathaniel H Robin
Nov 7, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Brownsyne Tucker EdmondsKaren Kavanaugh
Oct 25, 2014·Critical Care Medicine·P Kristina KhandujaSylvain Boet
Apr 9, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Tessie W OctoberDebra L Roter
Mar 21, 2020·The American Journal of Hospice & Palliative Care·Jason Z NiehausAdam B Hill
Jun 8, 2017·Archives of Disease in Childhood. Fetal and Neonatal Edition·Nathalie GaucherAntoine Payot
Jun 27, 2015·Journal of Perinatal Medicine·Beatrice E LechnerG Jesse Bender
Dec 20, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Renee D BossDebra L Roter
Aug 23, 2016·AJOB Empirical Bioethics·Brownsyne Tucker EdmondsAmber E Barnato
Jan 29, 2020·Journal of Evaluation in Clinical Practice·Ruth Stalnikowicz, Mayer Brezis
May 30, 2013·Acta Paediatrica·Amy Keir
Nov 12, 2016·Journal of Neonatal-perinatal Medicine·E M Studer, K L Marc-Aurele
Dec 22, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Alexandra GueneucGihad E Chalouhi
Jul 22, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·R GeurtzenM Hogeveen
Jul 29, 2017·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Manya J Hendriks, Andrea Abraham

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Archives of Pediatrics & Adolescent Medicine
Renee D BossRobert M Arnold
The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Armando CuttanoAntonio Boldrini
© 2021 Meta ULC. All rights reserved