Teaching colleagues how to discuss prognosis as part of a hospital-wide quality improvement project : the positive impact of a 90-minute workshop
(2015) In Journal of Pain and Symptom Management 49(5). p.3-960- Abstract
BACKGROUND: Many physicians have difficulty with discussions about prognosis. The aims of this study were to evaluate why physicians struggle to discuss prognosis and to measure the effect of a 90-minute communication workshop on self-reported skill.
MEASURES: An evaluation study was used with three measurement points: before the 90-minute communication workshop (e-mail survey); immediately after the workshop (paper survey); and one month after the workshop (e-mail survey).
INTERVENTION: Physicians from diverse specialties at a single academic institution were paid to participate in a 90-minute communication workshop on discussing prognosis.
OUTCOMES: Physicians identified several reasons why discussions of prognosis... (More)
BACKGROUND: Many physicians have difficulty with discussions about prognosis. The aims of this study were to evaluate why physicians struggle to discuss prognosis and to measure the effect of a 90-minute communication workshop on self-reported skill.
MEASURES: An evaluation study was used with three measurement points: before the 90-minute communication workshop (e-mail survey); immediately after the workshop (paper survey); and one month after the workshop (e-mail survey).
INTERVENTION: Physicians from diverse specialties at a single academic institution were paid to participate in a 90-minute communication workshop on discussing prognosis.
OUTCOMES: Physicians identified several reasons why discussions of prognosis are hard: "I am not sure of the actual prognosis" (58.9%; 95% CI, 50.9, 66.5), "I worry I will take away hope (42.9%; 95% CI, 35.2, 50.9), and "I worry the patient is not ready to hear the information" (42.9%; 95% CI, 35.2, 50.9). Physicians who attended this short workshop reported that they could apply what was learned to their work immediately (4.6, range 1-5). One month after the workshop, 91% of respondents reported trying a skill learned in the workshop. The most frequently used skill was Ask/Tell/Ask (61.5%; 95% CI, 51.6, 70.6).
CONCLUSIONS/LESSONS LEARNED: A short workshop on discussing prognosis was highly valued by physicians from diverse specialties and a majority reported using at least one of the communication skills learned.
(Less)
- author
- Jacobsen, Juliet LU ; Whitlock, Sandra N ; Lee, Hang ; Lindvall, Charlotta and Jackson, Vicki
- publishing date
- 2015-05
- type
- Contribution to journal
- publication status
- published
- keywords
- Boston, Curriculum, Education/organization & administration, Education, Medical, Continuing/organization & administration, Hospital Administration/methods, Informed Consent, Patient Education as Topic/organization & administration, Physician-Patient Relations, Prognosis, Quality Improvement
- in
- Journal of Pain and Symptom Management
- volume
- 49
- issue
- 5
- pages
- 3 - 960
- publisher
- Elsevier
- external identifiers
-
- pmid:25666518
- scopus:84929711325
- ISSN
- 1873-6513
- DOI
- 10.1016/j.jpainsymman.2014.11.301
- language
- English
- LU publication?
- no
- additional info
- Copyright © 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
- id
- 104d6f5e-1492-462d-b1d9-a37a410add8e
- date added to LUP
- 2024-11-13 14:14:34
- date last changed
- 2025-04-17 17:07:12
@article{104d6f5e-1492-462d-b1d9-a37a410add8e,
abstract = {{<p>BACKGROUND: Many physicians have difficulty with discussions about prognosis. The aims of this study were to evaluate why physicians struggle to discuss prognosis and to measure the effect of a 90-minute communication workshop on self-reported skill.</p><p>MEASURES: An evaluation study was used with three measurement points: before the 90-minute communication workshop (e-mail survey); immediately after the workshop (paper survey); and one month after the workshop (e-mail survey).</p><p>INTERVENTION: Physicians from diverse specialties at a single academic institution were paid to participate in a 90-minute communication workshop on discussing prognosis.</p><p>OUTCOMES: Physicians identified several reasons why discussions of prognosis are hard: "I am not sure of the actual prognosis" (58.9%; 95% CI, 50.9, 66.5), "I worry I will take away hope (42.9%; 95% CI, 35.2, 50.9), and "I worry the patient is not ready to hear the information" (42.9%; 95% CI, 35.2, 50.9). Physicians who attended this short workshop reported that they could apply what was learned to their work immediately (4.6, range 1-5). One month after the workshop, 91% of respondents reported trying a skill learned in the workshop. The most frequently used skill was Ask/Tell/Ask (61.5%; 95% CI, 51.6, 70.6).</p><p>CONCLUSIONS/LESSONS LEARNED: A short workshop on discussing prognosis was highly valued by physicians from diverse specialties and a majority reported using at least one of the communication skills learned.</p>}},
author = {{Jacobsen, Juliet and Whitlock, Sandra N and Lee, Hang and Lindvall, Charlotta and Jackson, Vicki}},
issn = {{1873-6513}},
keywords = {{Boston; Curriculum; Education/organization & administration; Education, Medical, Continuing/organization & administration; Hospital Administration/methods; Informed Consent; Patient Education as Topic/organization & administration; Physician-Patient Relations; Prognosis; Quality Improvement}},
language = {{eng}},
number = {{5}},
pages = {{3--960}},
publisher = {{Elsevier}},
series = {{Journal of Pain and Symptom Management}},
title = {{Teaching colleagues how to discuss prognosis as part of a hospital-wide quality improvement project : the positive impact of a 90-minute workshop}},
url = {{http://dx.doi.org/10.1016/j.jpainsymman.2014.11.301}},
doi = {{10.1016/j.jpainsymman.2014.11.301}},
volume = {{49}},
year = {{2015}},
}