[Breaking bad news in oncology: the Belgian experience].
Breaking bad news is a complex and frequent clinical task for physicians working in oncology. It can have a negative impact on patients and their relatives who are often present during breaking bad news consultations. Many factors influence how the delivery of bad news will be experienced especially the communication skills used by physicians. A three-phase process (post-delivery phase, delivery phase, pre-delivery phase) has been developed to help physician to handle this task more effectively. Communication skills and specific breaking bad news training programs are both necessary and effective. A recent study conducted in Belgium has shown their impact on the time allocated to each of the three phases of this process, on the communication skills used, on the inclusion of the relative in the consultation and on physicians' physiological arousal. These results underscore the importance of promoting intensive communication skills and breaking bad news training programs for health care professionals.
Université libre de Bruxelles, avenue F.-Roosevelt, 50-CP 191, B-1050 Bruxelles, Belgique; Institut Jules Bordet, Bruxelles, Belgique.
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Delevallez
Université libre de Bruxelles, avenue F.-Roosevelt, 50-CP 191, B-1050 Bruxelles, Belgique; Institut Jules Bordet, Bruxelles, Belgique.
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Lienard
Université libre de Bruxelles, avenue F.-Roosevelt, 50-CP 191, B-1050 Bruxelles, Belgique; Institut Jules Bordet, Bruxelles, Belgique.
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Gibon
Université libre de Bruxelles, avenue F.-Roosevelt, 50-CP 191, B-1050 Bruxelles, Belgique; Institut Jules Bordet, Bruxelles, Belgique. Electronic address: drazavi@ulb.ac.be.
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Razavi
D000465:Algorithms; D001530:Belgium; D004501:Education, Medical / Q000592:standards; D006801:Humans; D008495:Medical Oncology / Q000193:education*; D009369:Neoplasms / Q000523:psychology; D010817:Physician-Patient Relations; D012189:Retrospective Studies; D066107:Social Skills; D014342:Truth Disclosure
Annonce de mauvaises nouvelles; Breaking bad news; Cancer; Communication; Formation; Training