Trial reportThe western journal of emergency medicine2019
Efficacy of a Short Role-Play Training on Breaking Bad News in the Emergency Department.
Trial report in The western journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions for improving medical students' interpersonal communication in medical consultations.The Cochrane database of systematic reviews · 2021Pooled it
- Video feedback combined with peer role-playing: a method to improve the teaching effect of medical undergraduates.BMC medical education · 2024Trial
- A Comparative Educational Intervention Study of Peer Teaching and Flipped Classroom Models in Pediatric Intensive Care Rotation.Advances in medical education and practice · 2026Article
- The effect of guided group reflection on the ability and convenience of breaking bad news in pre-hospital emergency staff.BMC health services research · 2024Article
- How does a nursing crisis management intervention impact relatives' experiences in two trauma centres? A time-series study.International journal of nursing studies advances · 2024Article
- Breaking bad news: A mix methods study reporting the need for improving communication skills among doctors in Pakistan.BMC health services research · 2024Article
- Lived experiences of women with spontaneous abortion at a district hospital, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Effect of mini-course training in communication and teamwork on non-technical skills score in emergency residents: a prospective experimental study.BMC medical education · 2023Article
- Best Practices for Notification of Unexpected, Violent, and Traumatic Death: A Scoping Review.International journal of environmental research and public health · 2023Article
- Contribution of Medical Education through Role Playing in Community Health Promotion: A Review.Iranian journal of public health · 2023Review
- Article
- Article
- A Literature Study of Medical Simulations for Non-Technical Skills Training in Emergency Medicine: Twenty Years of Progress, an Integrated Research Framework, and Future Research Avenues.International journal of environmental research and public health · 2023Article
- Breaking Bad News in the Emergency Department.Journal of education & teaching in emergency medicine · 2022Article
- Creation of a Medical Student Training to Improve Comfort Providing Trauma-Informed Care to Sexual Assault Survivors.MedEdPORTAL : the journal of teaching and learning resources · 2021Article
- An Educational Workshop to Improve Neurology Resident Understanding of Burnout, Substance Abuse, and Mood Disorders.MedEdPORTAL : the journal of teaching and learning resources · 2021Article
- CEdRIC: Strategy for Patient Education During COVID-19 Triage.The western journal of emergency medicine · 2020Article
- The Effectiveness of Communication Skills Training on Nurses' Skills and Participation in the Breaking Bad News.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionBreaking bad news (BBN) in the emergency department (ED) represents a challenging and stressful situation for physicians. Many medical students and residents feel stressed and uncomfortable with such situations because of insufficient training. Our randomized controlled study aimed to assess the efficacy of a four-hour BBN simulation-based training on perceived self-efficacy, the BBN process, and communication skills.
methodsMedical students and residents were randomized into a 160-hour ED clinical rotation without a formal BBN curriculum (control group [CG], n = 31) or a 156-hour ED clinical rotation and a four-hour BBN simulation-based training (training group [TG], n = 37). Both groups were assessed twice: once at the beginning of the rotation (pre-test) and again four weeks later. Assessments included a BBN evaluation via a simulation with two actors playing family members and the completion of a questionnaire on self-efficacy. Two blinded raters assessed the BBN process with the SPIKES (a delivery protocol for delivering bad news) competence form and communication skills with the modified BBN Assessment Schedule.
resultsGroup-by-time effects adjusted by study year revealed a significant improvement in TG as compared with CG on self-efficacy (P < 0.001), the BBN process (P < 0.001), and communication skills (P < 0.001). TG showed a significant gain regarding the BBN process (+33.3%, P < 0.001). After the training, students with limited clinical experience prior to the rotation showed BBN performance skills equal to that of students in the CG who had greater clinical experience.
conclusionA short BBN simulation-based training can be added to standard clinical rotations. It has the potential to significantly improve self-efficacy, the BBN process, and communication skills.
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