2021, Number 4
<< Back Next >>
Revista Habanera de Ciencias Médicas 2021; 20 (4)
How to communicate bad news in times of pandemic
Bosch BRI, Blanco AMA, Rodríguez BAL
Language: Spanish
References: 25
Page: 1-6
PDF size: 430.96 Kb.
ABSTRACT
Introduction: Humanity has been surprised by the
impact of the COVID-19 pandemic; its contagiousness and
lethality are great causes for concern around the world. In
this context, it is very difficult for the health personnel to
communicate bad news.
Objective: To express the need to develop skills among
the health care personnel to communicate bad news in the
context of the COVID-19 pandemic.
Material and Methods: A bibliographic review about the
impact of the COVID-19 pandemic on mental health and the
need to prepare the health personnel to communicate bad
news was carried out.
Results: Reactions of depression, anxiety, sleep disorders
and post-traumatic stress caused by this pandemic have
been described. Several protocols that can be followed when
performing this practice are described; they include: The
Buckman, Spikes and ABCDE protocols.
Conclusions: The COVID-19 pandemic has caused great
effects on the mental health of the general population
around the world. Therefore, it is necessary for the health
personnel to be well trained in communicating bad news,
as well as to create suitable spaces for this practice. On the
other hand, the institutions should design and implement
their action protocols to carry out this task.
REFERENCES
Liu N, Fan Z, Cun W, Yanpu J, Zhilei S, Luna S, et al. Prevalence and predictors of PTSS during COVID-19 outbreak in Chinahardest-hit areas: Gender differences matter. Psychiatry Research [Internet]. 2020 [Citado 27/05/2020];287:112921.Disponible en: https://doi.org/10.1016/j.psychres.2020.112921
Eurosurveillance editorial team. Note from the editors: World Health Organization declares novel coronavirus(2019-nCoV) sixth public health emergency of international concern. EuroSurveill [Internet]. 2020 [Citado27/05/2020];25(5):200131e. Disponible en: https://doi.org/10.2807/1560-7917.ES.2020.25.5.200131e
Deutsche Welle. OMS: el impacto psicológico de la COVID-19 en la sociedad no debe ser ignorado [Internet].Alemania: Deutsche Welle; 2020 [Citado 12/05/2020]. Disponible en: https://www.dw.com/es/oms-el-impactopsicol%C3%B3gico-del-covid-19-en-la-sociedad-no-debe-ser-ignorado/a-52925095
Mazza C, Ricci E, Biondi S, Colasanti M, Ferracuti S, Napoli C. A Nationwide Survey of Psychological Distress amongItalian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors. Int JEnviron Res Public Health [Internet]. 2020 [Citado 12/05/2020];17:3165. Disponible en: https://www.mdpi.com/1660-4601/17/9/3165
Gardner W, States D, Bagley N. The Coronavirus and the Risks to the Elderly in Long-Term Care. J Aging Soc Policy[Internet]. 2020 Abr [Citado 12/05/2020];32(4-5):310-5. Disponible en: https://doi.org/10.1080/08959420.2020.1750543
Mc Michael TM. COVID-19 in a Long-Term Care Facility-King County, Washington, February 27–March 9, 2020.Morb Mortal Wkly Rep [Internet]. 2020 [Citado 12/05/2020];69:339-42. Disponible en: https://www.cdc.gov/mmwr/volumes/69/wr/mm6912e1.htm
Mc Michael T, Currie D, Clark S, Pogosjans S, Kay M, Schwartz N, et al. Epidemiology of Covid-19 in a Long-Term CareFacility in King County, Washington. N Eng J Med [Internet]. 2020 [Citado 12/05/2020];382(21):2005-11. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7121761/
Padala S, Jendro A, Orr Ll. Facetime to reduce behavioral problems in a nursing home resident with Alzheimer’sdementia during COVID-19. Psychiatry Res [Internet]. 2020 [Citado 12/05/2020];288:113028. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7177115/
Riyu P, Xiaoyang W, Yilin T, Linkang X. Inmediate psychological responses and associated factors during the initialstage of the 2019 coronavirus disease among the general population in China. Int J Environ Res Public Health [Internet].2020 Mar [Citado 12/05/2020];17(5):1729. Disponible en: https://dx.doi.org/10.3390%2Fijerph17051729
Wang C, Pan R, Wan X, Tan Y, Xu L, Mc Intyre RS, et al. A longitudinal study on the mental health of generalpopulation during the COVID-19 epidemic in China. Brain Behav Immun [Internet]. 2020 [Citado 12/05/2020];87:40-8.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153528/
Brooks S, Webster R, Smith LE, Woodland L, Wessely S, Greenberg N. The psychological impact of quarantine andhow to reduce it: rapid review of the evidence. Lancet [Internet]. 2020 Mar [Citado 12/05/2020];395(10227):912-20.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158942/
Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ [Internet]. 2020 Jan [Citado12/05/2020];368:m313. Disponible en: http://doi.org/10.1136/bmj.m313.31992552
Liu N, Zhang F, Wei C, Jia Y, Shang Z, Sun L, et al. Prevalence and predictors of PTSS during COVID-19 outbreak in Chinahardest-hit areas: Gender differences matter. Psychiatry Research [Internet]. 2020 [Citado 12/05/2020];287:112921.Disponible en: https://doi.org/10.1016/j.psychres.2020.112921
Wanjie T, Tao H, Baodi H, Chunhan J, Gang W, Chao X, et al. Prevalence and Correlates of PTSD and DepressiveSymptoms One Month after the Outbreak of the COVID-19 Epidemic in a Sample of Home-Quarantined ChineseUniversity Students. J Affect Disord [Internet]. 2020 [Citado 12/05/2020];274:1-7. Disponible en: https://doi.org/10.1016/j.jad.2020.05.009.
Studer RK, Danuser B, Gómez P. Physicians’ psychophysiological stress reaction in medical communication of badnews: A critical literature review. Int J Psychophysiol [Internet]. 2017 Oct [Citado 12/05/2020];120:14-22. Disponibleen: https://doi.org/10.1016/j.ijpsycho.2017.06.006
Herrera A, Ríos M, Manríquez JM, Rojas G. Entrega de malas noticias en la práctica clínica. Revista Médica de Chile.2014;142(10):1306-15.
Meitar D, Karnieli Miller O, Eidelman S. El impacto de las dificultades personales de los estudiantes de medicina senioren sus patrones de comunicación para dar malas noticias. Acad Med [Internet]. 2009 [Citado 12/05/2020];84(11):1582-94. Disponible en: https://doi.org/10.1097/ACM.0b013e3181bb2b94
Carvajal C. El impacto del diagnóstico médico como experiencia traumática. Algunas reflexiones. Revista MédicaClínica Las Condes [Internet]. 2017 [Citado 12/05/2020];6(1):841-48. Disponible en: https://doi.org/10.1016/j.rmclc.2017.10.010
Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. SPIKES-A six-step protocol for delivering bad news:application to the patient with cancer. Oncologist [Internet]. 2000 [Citado 12/05/2020];5(4):302-11. Disponible en:http://doi.org/10.1634/theoncologist.5-4-302
Solé Delgado C, Fabra Garrido C, Bonet de Luna C. El Kairós griego: cómo y cuándo decirle al paciente o a lospadres lo que sospechamos. Pediatría Atención Primaria [Internet]. 2018 [Citado 12/05/2020];61(3):261-7. Disponibleen: http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1139- 6322018000300014&lng=es&nrm=iso&tlng=es
Navas GC, Martínez JD, Bermúdez DF. Estrategia de simulación para aplicar el protocolo SPIKES en la comunicaciónde malas noticias. Universitas Médica [Internet]. 2020 [Citado 12/05/2020];61(3):[Aprox. 2p.]. Disponible en: https://revistas.javeriana.edu.co/index.php/vnimedica/article/view/27684
Mirón González R. Comunicación de malas noticias: perspectiva enfermera. Rev Esp Com Sal. 2010;1(1):39-49.
Quevedo Aguado MP, Benavente Cuesta MH. Aportaciones de la Psicología a la comunicación en el ámbito sanitario.Ciencias Psicológicas [Internet]. 2019 [Citado 12/05/2020];13(2):317-32. Disponible en: http://doi.org/10.22235/cp.v13i2.1889
Bennett M, Alison D. Discussing the diagnosis and prognosis with cancer patients. Postgrad Med J. 1996;72(843):25-9.
Herrera A, Ríos M, Manríquez JM, Rojas G. Entrega de malas noticias en la práctica clínica. Rev Méd Chile [Internet].2014 Oct [Citado 27/05/2020];142(10):1306-15. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872014001000011&lng=es.http://dx.doi.org/10.4067/S0034-98872014001000011