Volume 29, Issue 133 (March & April 2021)                   J Adv Med Biomed Res 2021, 29(133): 68-73 | Back to browse issues page

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Shahi F, Emami S A H, Shirazi M, Mokhtari S, Moghimi M, Gohari S, et al . Assessing Physicians’ Performance when Telling the Truth to Patients Diagnosed with Cancer. J Adv Med Biomed Res 2021; 29 (133) :68-73
URL: http://journal.zums.ac.ir/article-1-6068-en.html
Assessing Physicians’ Performance when Telling the Truth to Patients Diagnosed with Cancer
Farhad Shahi1 , Seyed Amir Hossein Emami1 , Mandana Shirazi2 , Samira Mokhtari3 , Minoosh Moghimi4 , Sepehr Gohari5 , Zahra Abbaspour Rad6 , Reza Mansouri * 7
1- Dept. of Hematology & Medical Oncology, Cancer institute, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
2- Dept. of Clinical Sciences and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
3- Dept. of Neonatology,School of Medicine, Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran.
4- Dept. of Hematology & Medical Oncology,School of Medicine, Vali-e-Asr Hospital, Zanjan University of Medical Sciences, Zanjan, Iran.
5- School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
6- Dept. of Internal Medicine, Vali-e-Asr Hospital, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
7- Dept. of Hematology & Medical Oncology, Cancer institute, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. , rezamansouri93@yahoo.com
Abstract:   (142821 Views)

 Background and Objective: The ability of breaking bad news to patients, especially to patients diagnosed with cancer is one of the challengeable issues in the field of medicine. On this basis, this study was designed to assess physicians' performance as well as importance of their training on how to deliver bad news to patients diagnosed with cancer.
 Materials and Methods: This was a prospective cross-sectional study for assessing physicians’ performance in delivering bad news. The hematologists and oncologists from Imam Khomeini and Shariati hospitals, Tehran, Iran, were included in the study. A questionnaire for physicians (SPIKES model) which comprised six statements was used to evaluate their performance. The time of breaking the cancer diagnosis news to the patients by the physicians and educational records were evaluated with the average score of the physicians in relation to each statement.
 Results: Totally, 12 physicians participated in the study. There was no significant difference between the statements and age or gender (P>0.05); but there was a significant relationship between ending the discussion (conversation), summarizing the content, and using the word "cancer” during the conversation (P<0.05). Additionally, there was significant correlation between the time spent on informing the patient about the cancer diagnosis and concluding the discussion and summarizing the statements (P<0.05).
 Conclusion: Guidelines which are introducing the most harmless methods for delivering bad news with minimal negative effects on the patients’ mental health can be helpful for the medical staff, so that they can perform this important task with less stress and minimum complications for the patients.

Keywords: Bad News, Cancer, Physician Performance
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✅ Guidelines which are introducing the most harmless methods for delivering bad news with minimal negative effects on the patients’ mental health can be helpful for the medical staff, so that they can perform this important task with less stress and minimum complications for the patients.


Type of Study: Original Article | Subject: Clinical medicine
Received: 2020/06/15 | Accepted: 2020/08/16 | Published: 2020/12/2
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