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Breaking bad news in complex palliative care situations through role-play simulation

2021Conference object Open access
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dc.contributor.authorLaranjeira, Carlos
dc.contributor.authorQuerido, Ana Isabel
dc.date.accessioned2022-03-23T18:46:54Z
dc.date.available2022-03-23T18:46:54Z
dc.date.issued2021
dc.description.abstractBackground: One of the most important components in the repertoire of nursing communication skills is the ability to ‘break bad news’ to patients and families. This article presents a pilot role-play simulation conducted at a Portuguese undergraduate nursing program with senior-level students. Methods: The simulation was designed to aid nursing students to develop communication skills necessary to care for the critically ill patient nearing the EOL. This approach had two main learning outcomes: a) improve students’ ability to break bad news and build their confidence in that ability, and b) assist students to engage in the process of self- and peer reflection. Thirty students were recruited from palliative care nursing course, they had no previous experience with this type of simulation. The simulation took place on three separate theoretical-practical classes with ten students each one. Prior to each role-play, three students were randomly role-played both the nurse, the patient and the relative roles. Students who were not assigned active roles observed the simulation and provided feedback during the debriefing period. Students were encouraged to reflect on issues related to the communication of bad news using the Gibbs´ reflective cycle. Results: Themes of students’ responses during the debriefing included an overall positive feeling about the experience and their performance (n=25), nevertheless, students acknowledged they lacked confidence in their skills to communicate effectively (n=12). They indicated that they felt more prepared to meet the patient‘s physical needs than emotional needs. All students also reported valuing working together as a team as it fostered meaningful sharing of ideas. Conclusions: As a result of this kind of learning, the student develops greater capacity for treating others with the respect and understanding required in palliative care nursing. This may inform his or her understanding and capacity to help the other person.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLaranjeira, C. & Querido, A.I. (2021, March 25-26). Breaking bad news in complex palliative care situations through role-play simulation [Abstract]. The Palliative Care Congress, Edinburgh. https://doi.org/10.11367spcare-2021-PCC.55pt_PT
dc.identifier.doi10.1136/spcare-2021-PCC.55pt_PT
dc.identifier.issn2045-435X
dc.identifier.issn2045-4368
dc.identifier.urihttp://hdl.handle.net/10400.8/6820
dc.language.isoengpt_PT
dc.publisherBMJ Publishing Grouppt_PT
dc.titleBreaking bad news in complex palliative care situations through role-play simulationpt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.issueSupl. 1pt_PT
oaire.citation.startPageA22pt_PT
oaire.citation.titleThe Palliative Care Congress, Edinburgh, 25-26 March 2021pt_PT
oaire.citation.volume9pt_PT
person.familyNameLaranjeira
person.familyNameQuerido
person.givenNameCarlos
person.givenNameAna
person.identifier.ciencia-idE311-0BBA-444F
person.identifier.orcid0000-0003-1080-9535
person.identifier.orcid0000-0002-5021-773X
person.identifier.scopus-author-id22957802900
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublication7c2157d8-cac9-4004-9438-e92fec260842
relation.isAuthorOfPublication51328dd6-b900-4ffa-adf1-f7ee0262648c
relation.isAuthorOfPublication.latestForDiscovery7c2157d8-cac9-4004-9438-e92fec260842

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