Internal Medicine

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Browsing Internal Medicine by Subject "Breaking bad news, SPIKES protocol, TASH"

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    Breaking Bad News Knowledge and Attitude of Junior Physician Practicing at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.
    (Addis Abeba University, 2021-12) Mitiku, Tilahun; Dr.Merkebu, Ermias(Pulmonologist and Critical care specialist)
    Introduction: Breaking bad news to patients or discussing a serious case with a patient is part of the daily activity of many healthcare professionals and it is an inevitable clinical duty. In a Medical setting bad news is any information likely to alter drastically a patient's view of his or her future perspectives and vision of life. Effective communication skills of delivering bad news are very important to develop good patient-physician relationships. Objective; To assess the Knowledge, and Attitude of TASH Junior physicians about breaking bad news. Methods: An institutional-based cross-sectional study at Tikur Anbessa specialized hospital, Addis Ababa Ethiopia from August to October 2021, and comprised 286 postgraduate residents of different specialties making a 98% response rate. Their knowledge and attitude were assessed by using a specifically-designed questionnaire based on SPIKES protocol. It is a six-step protocol of Setting, Perception, Invitation, Knowledge, Empathy, and Summarizing model. Data were collected through self-administered questionnaires and online surveys. The collected data were entered into Microsoft excel, then it was exported to SPSS of version 26.0 for analysis. Bivariate and multivariate analysis using logistic regression models was used to determine the association between different predictor variables with the dependent variable Results: Among 286 respondents, 201 (70.3%) were males and 85(29.7) were females and the mean age of the participants was 29.69 years (SD±2.205) years).98.3% of participants have been involved in breaking bad news, (37.1%) admitted bad experience in breaking bad news and 87.6% did not have any specific teaching or training on BBN. The mean and median score of the participants' knowledge about breaking bad news in this study was 5.94 (SD ± 1.100) and 6 respectively. Among participants, 70.3% had good knowledge, followed by a poor knowledge (16.4%) and a Moderate level of knowledge (13.3%). From self-reported breaking bad news skills majority of participants (57.7%) of participants were only fairly satisfied with their BBN skills. Conclusion Most of the participating physicians didn’t receive any training on BBN, a substantial number of residents didn't follow BBN protocol. Even though a majority of participants had good knowledge they had little satisfaction regarding their BBN skills Recommendation Education and training for trainees during their residency programs to improve their BBN skills should be considered and adoption of BBN protocol