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L’annonce de mauvaises nouvelles : émotions et feed-back dans la formation des médecins

Breaking bad news: emotions and feedback in medical training

  • Synthèse / Review Article
  • Published:
Psycho-Oncologie

Résumé

L’annonce de mauvaises nouvelles suscite des émotions négatives chez les médecins, dont les effets peuvent être réduits dans le cadre de formations utilisant des méthodes telles que les simulations de consultation et les groupes de discussion. Le but de notre article est de rappeler la nécessité d’améliorer la prise de conscience des émotions chez les médecins, grâce au feed-back du formateur et des pairs lors des séances de discussion groupales.

Abstract

Breaking bad news elicits negative emotions for doctors. Favoring doctors’ awareness of these negative emotions by training courses can reduce their negative effects. These training courses are based upon simulated consultations and group discussion between pairs.We ought to stress the necessity to improve personal awareness of unrecognized emotions in medical practice. We argue that group discussion implying peer and supervisor feedback can lead to improve personal awareness teaching.

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Références

  1. Fallowfield L, Jenkins V, Farewell V, et al (2002) Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial. Lancet 359:650–6

    Article  PubMed  Google Scholar 

  2. Merckaert I, Libert Y, Razavi D (2005) Communication skills training in cancer care: where are we and where are we going? Curr Opin Oncol 17:319–30

    Article  PubMed  Google Scholar 

  3. Baile WF, Buckman R, Lenzi R, et al (2000) Spikes — a six-step protocol for delivering bad news: application to the patient with cancer. Oncologist 5:302–11

    Article  PubMed  Google Scholar 

  4. Buckman RA (2005) Breaking bad news: the S-P-I-K-E-S strategy. Commun Oncol 2:138–42

    Article  Google Scholar 

  5. Razavi D, Delvaux N (1997) Communication skills and psychological training in oncology. Eur J Cancer 33:15–21

    Article  Google Scholar 

  6. Meier DE, Back AL, Morrisson RS (2001) The inner life of physicians and care of the Serious Ill. JAMA 286:3007–14

    Article  PubMed  Google Scholar 

  7. Gauderer EC (1981) Reação do profissional frente à doença crônica ou fatal. J Bras Med 40:47–56

    Google Scholar 

  8. Baile W, Kudelka AP, Beale EA, et al (1999) Communication skills training in oncology. Cancer 86:887–97

    Article  PubMed  Google Scholar 

  9. Fallowfield LJ (1988) The psychological complications of malignant disease. In: Kaye SB, Rankin EM (eds) Medical complications of malignant disease, pp 461–78

    Google Scholar 

  10. Butow P, Cockburn J, Girgis A, et al (2008) Increasing oncologists’ skills in eliciting and responding to emotional cues: evaluation of a communication skills training program. Psychooncology 17:209–18

    Article  PubMed  Google Scholar 

  11. Delvaux N, Merckaert I, Marchal S, et al (2005) Physicians’ communication with a cancer patient and a relative. A randomized study assessing the efficacy of consolidation workshops. Cancer 103:2397–411

    Article  PubMed  Google Scholar 

  12. Smith RC, Dwamena FC, Fortin AH (2005) Teachnig personal awareness. J Gen Intern Med 20:201–7

    Article  PubMed  PubMed Central  Google Scholar 

  13. Clark W, Lipkin M, Graman H, Shorey J (1999) Improving physicians’ relationships with patients. J Gen Intern Med 14:45–50

    Article  Google Scholar 

  14. Dosanjh S, Barnes J, Bhandan M (2001) Barriers to breaking bad news among medical and surgical residents. Med Educ 35:197–205

    Article  PubMed  Google Scholar 

  15. Rabow M (2001) Doctoring to heal. Fostering well-being among physicians through personal reflection. WJM 174:66–9

    Article  PubMed  PubMed Central  Google Scholar 

  16. Ptacek JT, Fries EA, Eberhardt TL, Ptacek JJ (1999) Breaking bad news to patients: physicians’ perception of the process. Support Care Cancer 7:113–20

    Article  PubMed  Google Scholar 

  17. Schmid-Mast M, Kindlimann A, Langewitz W (2005) Recipients’ perspective on breaking bad news: how you put it really makes a difference. Patient Educ Couns 58:244–51

    Article  PubMed  Google Scholar 

  18. Gorlin R, Zucker HD (1983) Physician’s reactions to patients: a key to teaching humanistic medicine. N Engl J Med 308:1059–63

    Article  PubMed  Google Scholar 

  19. Razavi D, Delvaux N, Marchal S, et al (2002) Does training increase the use of more emotionally laden words by nurses when talking with cancer patients? A randomised study. Br J Cancer 87:1–7

    Article  PubMed  PubMed Central  Google Scholar 

  20. Balez R, Berthou C, Carpentier FG (2014) Annoncer un lymphoma: l’empathie dans la formation des étudiants en medicine. Psycho-Oncologie 8:29–36

    Article  Google Scholar 

  21. Back A, Arnold R, Baile W, et al Oncotalk. Improving oncologists’ communication skills. http://depts.washington.edu/oncotalk

  22. Bylund CL, Richard F, Brown RF, et al (2008) Training faculty to facilitate communication skills training: development and evaluation of a workshop. Patient Educ Couns 70:430–6

    Article  PubMed  Google Scholar 

  23. Levin T, Horner J, Bylund C, Kissane D (2010) Averting adverse events in communication skills training: a case series. Patient Educ Couns 81:126–30

    Article  PubMed  Google Scholar 

  24. Libert Y, Reynaert C (2009) Les enjeux de la communication médecin-patient et l’importance des caractéristiques psychologiques du médecin. Psycho-Oncologie 3:140–6

    Article  Google Scholar 

  25. Razavi D, Merckaert I, Marchal S, et al (2003) How to optimize physicians’ communication skills in cancer care: results of a randomized study assessing the usefulness of posttraining consolidation workshops. J Clin Oncol 21:3141–9

    Article  PubMed  Google Scholar 

  26. Balez R, Berthou C (2013) Un entraînement de groupe systématique à l’annonce du cancer dans le cursus des études médicales: analyse qualitative d’un retour d’expérience. Psycho-Oncologie 7:250–7

    Article  Google Scholar 

  27. Jenkins V, Fallowfield L (2002) Can communication skills training alter physicians’ beliefs and behavior in clinics? J Clin Oncol 20:765–9

    Article  PubMed  Google Scholar 

  28. van de Ridder JM, Stokking KM, McGaghie WC, Ten Cate OT (2008) What is feedback in clinical education? Med Educ 42:189–97

    Article  PubMed  Google Scholar 

  29. Hewson MG, Little ML (1998) Giving feedback in medical education: verification of recommended techniques. J Gen Intern Med 13:111–6

    Article  PubMed  PubMed Central  Google Scholar 

  30. Rosenbaum ME, Ferguson KJ, Lobas JG (2004) Teaching medical students and residents skills for delivering bad news: a review of strategies. Academic Med 79:107–17

    Article  Google Scholar 

  31. Angelos P, DaRosa DA, Derossis AM, Kim B (1999) Medical ethics curriculum for surgical residents: results of a pilot project. Surgery 126:701–7

    Article  PubMed  Google Scholar 

  32. Berger M (1994) Feedback in dynamic psychotherapy: definitions and essential concepts. Am J Psychoanal 53:235–54

    Article  Google Scholar 

  33. Gysels M, Richardson A, Higginson I (2004) Communication training for health professionals who care for patients with cancer: a systematic review of effectiveness. Support Care Cancer 12:692–700

    Article  PubMed  Google Scholar 

  34. Stiefel F, Favre N, Despland JN (2006) Communication skills training in oncology: it works! Recent Results Cancer Res 168:113–9

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Département de psychologie CeRCA, UMR, CNRS 6234 Université de Poitiers, F-86000, Poitiers, France

    D. Albarracin & S. Jouffre

Authors
  1. D. Albarracin
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  2. S. Jouffre
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Correspondence to D. Albarracin.

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Albarracin, D., Jouffre, S. L’annonce de mauvaises nouvelles : émotions et feed-back dans la formation des médecins. Psycho Oncologie 8, 177–182 (2014). https://doi.org/10.1007/s11839-014-0481-3

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  • DOI: https://doi.org/10.1007/s11839-014-0481-3

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