Breaking bad news: Awareness and practice among Sudanese doctors

Background Breaking bad news is an important task for doctors in different specialties. The aim of the study was to assess adherence of Sudanese doctors to the SPIKES protocol in breaking bad news. Methods A descriptive cross-sectional study recruited 192 doctors, at Wad Medani teaching hospital, Su...

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Main Authors: Mumen Abdalazim Dafallah, Esraa Ahmed Ragab, Mahmoud Hussien Salih, Wail Nuri Osman, Roaa Omer Mohammed, Mugtaba Osman, Mohamed H. Taha, Mohamed H. Ahmed
Format: Article
Language:English
Published: AIMS Press 2020-12-01
Series:AIMS Public Health
Subjects:
Online Access:http://www.aimspress.com/article/10.3934/publichealth.2020058?viewType=HTML
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author Mumen Abdalazim Dafallah
Esraa Ahmed Ragab
Mahmoud Hussien Salih
Wail Nuri Osman
Roaa Omer Mohammed
Mugtaba Osman
Mohamed H. Taha
Mohamed H. Ahmed
author_facet Mumen Abdalazim Dafallah
Esraa Ahmed Ragab
Mahmoud Hussien Salih
Wail Nuri Osman
Roaa Omer Mohammed
Mugtaba Osman
Mohamed H. Taha
Mohamed H. Ahmed
author_sort Mumen Abdalazim Dafallah
collection DOAJ
description Background Breaking bad news is an important task for doctors in different specialties. The aim of the study was to assess adherence of Sudanese doctors to the SPIKES protocol in breaking bad news. Methods A descriptive cross-sectional study recruited 192 doctors, at Wad Medani teaching hospital, Sudan. A questionnaire-based on SPIKES protocol was distributed among 10 departments in our hospital. Data were analyzed using SPSS and Microsoft excel. Results There were (n = 101, 52.6%) females and (n = 91, 47.4%) males among the participants. 95.3% have been involved in breaking bad news, but only 56.3 received education and training about this issue. 43% admitted bad experience in breaking bad news, while 65.6% mentioned that bad news should be delivered directly to patients. The majority (>90%) agreed training is needed in the area of breaking bad news. Usual adherence to the SPIKES protocol was reported in a range of 35–79%, sometimes adherence was reported in a range of 20–44% while never adherence was reported in a range of zero–13.5%. Consultants, registrars, obstetrician and gynecologists and surgeons achieved high scores in breaking bad news. Training is an important factor in achieving high score in SPIKES protocol. The unadjusted effect of background factors on SPIKES score, showed that only training has significant impact on protocol adherence (P = 0.034, unadjusted; and P = 0.038 adjusted). Conclusion Large number of Sudanese doctors will try to adhere to SPIKES protocol. Training is an important factor in the success of breaking bad news.
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spelling doaj.art-fb944e6130094f739d773f466ecb04442022-12-21T20:34:31ZengAIMS PressAIMS Public Health2327-89942020-12-017475876810.3934/publichealth.2020058Breaking bad news: Awareness and practice among Sudanese doctorsMumen Abdalazim Dafallah0Esraa Ahmed Ragab1Mahmoud Hussien Salih2Wail Nuri Osman3Roaa Omer Mohammed4Mugtaba Osman5Mohamed H. Taha6Mohamed H. Ahmed71. Faculty of Medicine, University of Gezira, Sudan1. Faculty of Medicine, University of Gezira, Sudan1. Faculty of Medicine, University of Gezira, Sudan1. Faculty of Medicine, University of Gezira, Sudan1. Faculty of Medicine, University of Gezira, Sudan2. Armed Forces Centre for Psychiatric Care, Taif, Saudi Arabia3. College of Medicine and Medical Education Center, University of Sharjah, Sharjah, United Arab Emirates4. Department of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, UKBackground Breaking bad news is an important task for doctors in different specialties. The aim of the study was to assess adherence of Sudanese doctors to the SPIKES protocol in breaking bad news. Methods A descriptive cross-sectional study recruited 192 doctors, at Wad Medani teaching hospital, Sudan. A questionnaire-based on SPIKES protocol was distributed among 10 departments in our hospital. Data were analyzed using SPSS and Microsoft excel. Results There were (n = 101, 52.6%) females and (n = 91, 47.4%) males among the participants. 95.3% have been involved in breaking bad news, but only 56.3 received education and training about this issue. 43% admitted bad experience in breaking bad news, while 65.6% mentioned that bad news should be delivered directly to patients. The majority (>90%) agreed training is needed in the area of breaking bad news. Usual adherence to the SPIKES protocol was reported in a range of 35–79%, sometimes adherence was reported in a range of 20–44% while never adherence was reported in a range of zero–13.5%. Consultants, registrars, obstetrician and gynecologists and surgeons achieved high scores in breaking bad news. Training is an important factor in achieving high score in SPIKES protocol. The unadjusted effect of background factors on SPIKES score, showed that only training has significant impact on protocol adherence (P = 0.034, unadjusted; and P = 0.038 adjusted). Conclusion Large number of Sudanese doctors will try to adhere to SPIKES protocol. Training is an important factor in the success of breaking bad news.http://www.aimspress.com/article/10.3934/publichealth.2020058?viewType=HTMLbreaking bad newssudan
spellingShingle Mumen Abdalazim Dafallah
Esraa Ahmed Ragab
Mahmoud Hussien Salih
Wail Nuri Osman
Roaa Omer Mohammed
Mugtaba Osman
Mohamed H. Taha
Mohamed H. Ahmed
Breaking bad news: Awareness and practice among Sudanese doctors
AIMS Public Health
breaking bad news
sudan
title Breaking bad news: Awareness and practice among Sudanese doctors
title_full Breaking bad news: Awareness and practice among Sudanese doctors
title_fullStr Breaking bad news: Awareness and practice among Sudanese doctors
title_full_unstemmed Breaking bad news: Awareness and practice among Sudanese doctors
title_short Breaking bad news: Awareness and practice among Sudanese doctors
title_sort breaking bad news awareness and practice among sudanese doctors
topic breaking bad news
sudan
url http://www.aimspress.com/article/10.3934/publichealth.2020058?viewType=HTML
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