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CC BY 4.0 · Rev Bras Ginecol Obstet 2022; 44(06): 621-628
DOI: 10.1055/s-0042-1742316
Review Article

Breaking Bad News in Obstetrics and Gynecology: We Must Talk About It

Más notícias em obstetrícia e ginecologia: Devemos falar sobre isso
Luísa Silva de Carvalho Ribeiro 
1   Department of Obstetrics and Gynecology , Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Bárbara Flecha D'Abreu 
1   Department of Obstetrics and Gynecology , Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Aline Evangelista Santiago 
2   Department of Tocogynecology, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, SP, Brazil
,
Eduardo Batista Cândido 
1   Department of Obstetrics and Gynecology , Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Gustavo Salata Romão 
3   Faculdade de Medicina, Universidade de Ribeirão Preto, Ribeirão Preto, SP, Brazil
,
Marcos Felipe Silva de Sá 
4   Department of Obstetrics and Gynecology, Faculdade de Medicina, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Agnaldo Lopes da Silva Filho 
1   Department of Obstetrics and Gynecology , Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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Abstract

Breaking bad news is common in obstetrics and gynecology (ob-gyn). However, it is difficult, and few doctors receive training on how to deal with this situation. This narrative review aims to gather, analyze, and synthesize part of the knowledge on the area, focused on Ob-Gyn. Among the 16 selected articles, two are randomized controlled intervention studies, and most studies refer to obstetrics. The results found by us pointed out that simulation, feedback/debriefing, lectures, and protocols could improve doctors' performance in communicating bad news. For patients, the context and how the information is transmitted seem to impact more than the content of the news. Ob-Gyn doctors could benefit from specific protocols and education, given the specialty's particularities. There is a lack of evidence about the most effective way to conduct such training. Finding validated ways to quantify and classify studies' results in the area, which would allow for the objective analysis of outcomes, is one of the biggest challenges concerning this topic.

Resumo

Dar más notícias é comum em obstetrícia e ginecologia. Porém, é difícil e poucos médicos recebem treinamento sobre como lidar com essa situação. Esta revisão narrativa tem como objetivo reunir, analisar e sintetizar parte do conhecimento sobre a área, com foco na obstetrícia. Dentre os 16 artigos selecionados, dois são estudos de intervenção randomizados e controlados, e a maioria dos estudos refere-se à obstetrícia. Os resultados encontrados ressaltaram que simulação, feedback/entrevistas, palestras e protocolos podem melhorar o desempenho dos médicos na comunicação de más notícias. Para os pacientes, o contexto e como as informações são transmitidas parecem ter maior impacto do que o conteúdo das notícias. Os obstetras e ginecologistas poderiam se beneficiar de cursos e protocolos específicos, dadas as particularidades da especialidade. Faltam evidências sobre a forma mais eficaz de realizar esse treinamento. Encontrar formas validadas de quantificar e classificar os resultados dos estudos na área, permitindo uma análise objetiva dos resultados, é um dos maiores desafios neste tema.

Keywords

communication - bad news - obstetrics - gynecology - medical education

Palavras-chave

comunicação - más notícias - obstetrícia - ginecologia - educação médica


Publikationsverlauf

Eingereicht: 16. Juni 2021

Angenommen: 03. November 2021

Artikel online veröffentlicht:
12. Juli 2022

© 2022. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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