■本研究旨在调查知识,在马斯喀特三级医院的医生之间分享不愉快的健康信息和遵守SPIKES协议的态度和经验,阿曼。
■这项横断面研究于2022年8月至10月在苏丹卡布斯大学医院进行。一个电子,我们使用自编问卷收集来自不同科室医师的数据.
■共有89名医生完成了问卷(应答率=22.3%)。大多数参与者(n=86,96.6%)认识到需要在传递不愉快的健康信息(“坏消息”)方面进行额外的培训,78.7%(n=70)表示愿意接受此类培训。此外,32.6%(n=29)报告了由于坏消息传递不当而导致的负面经历,同等比例的人承认未经患者同意向他们的家人透露坏消息。大多数(n=77,86.5%)表现出对SPIKES协议的总体依从性高,59.6-85.4%,通常报告的12.4-34.8%和1.1-11.2%,有时,从不遵循协议的具体步骤,分别。婚姻状况(P=0.015)和资格(P=0.032)是唯一与依从性相关的变量。已婚医生和具有董事会和/或研究金证书的医生报告的依从性明显优于同行。
■阿曼的医生在提供令人不快的健康信息方面遇到挑战,强调文化影响的相互作用,培训和遵守协议。为了应对这些挑战,建议有针对性和频繁的培训计划,从本科医学教育开始,延伸到各种职业水平的医生的持续机会。
UNASSIGNED: This study aimed to investigate the knowledge, attitude and experiences in sharing unpleasant health information and adherence to the SPIKES protocol among physicians at a tertiary hospital in Muscat,
Oman.
UNASSIGNED: This cross-sectional study was conducted at the Sultan Qaboos University Hospital from August to October 2022. An electronic, self-administered questionnaire was used to gather data from physicians across various departments.
UNASSIGNED: A total of 89 physicians completed the questionnaire (response rate = 22.3%). Most participants (n = 86, 96.6%) recognised the need for additional training in the delivery of unpleasant health information (\'bad news\'), with 78.7% (n = 70) expressing their willingness to undertake such training. Additionally, 32.6% (n = 29) reported negative experiences due to improper delivery of bad news, with an equal proportion admitting to disclosing bad news to patients\' family without their consent. The majority (n = 77, 86.5%) demonstrated a high level of overall adherence to the SPIKES protocol, with 59.6-85.4%, 12.4-34.8% and 1.1-11.2% reported usually, sometimes and never following specific steps of the protocol, respectively. Marital status (P = 0.015) and qualifications (P = 0.032) were the only variables that were associated with adherence level, with married physicians and those with board and/or fellowship certificates reporting significantly better adherence compared to their counterparts.
UNASSIGNED: Physicians in
Oman encounter challenges in delivering unpleasant health information, underscoring the interplay of cultural influences, training and adherence to protocols. To address these challenges, targeted and frequent training programmes are recommended, starting from undergraduate medical education and extending to continuous opportunities for physicians at various career levels.