YOĞUN BAKIMDA ÇALIŞAN ANESTEZİYOLOJİ VE REANİMASYON ANABİLİM DALI ARAŞTIRMA GÖREVLİLERİNİN AİLE GÖRÜŞMELERİNDE KÖTÜ HABER VERME KONUSUNDAKİ YETKİNLİKLERİNİN DEĞERLENDİRİLMESİ

Abstract

ABSTRACT The most important aspect while informing about bad news is the communication between the doctor and the patient/patient relatives. Intensive care units are the places where end-of-life discussions are often made and bad news are conveyed. The aim of this study is to conduct a validity and reliability study of an evaluation scale in Turkish for reporting complications and deaths, developed with the aim of assessing the competence of anesthesiology and reanimation residents working in intensive care units while giving bad news during family interviews. The approval of ethical comittee for the study was given on May 5, 2023 by the Hacettepe University Non-Invasive Clinical Research Ethical Comittee (registration number: G023/111). The study was conducted between April 6,2023 and May 6,2023 with the help of residents working for Hacettepe University Anesthesiology and Reanimation department. After obtaining informed consent, participants were randomly assigned to two different scenario groups (virtual family interviews) by tossing a coin. In the interview rooms the medical doctor and roleplayer were seated face-to-face. The interviews were recorded with video cameras mounted on the wall. The interviews were evaluated by both the roleplayer and 4 different professional evaluator (an intensive care specialist, an anesthesiologist, a social psychologist and a psychiatrist) using the video recordings. 52 residents were included in the study. Among the participants 21 were male and 31 were female. 27 of the participants (51.9%) informed about complications and 25 of them (48.1%) conveyed death news. While 18 of the participants (34.6%) had a training for conveying bad news, 34 of them (65.4%) had no such training. 44 of the participants (84.6%) had previously reported death to family members, whereas 8 of them (15.4%) had not. In our study, the Cronbach’s α value of the self evaluation surveys of both groups (complication and death reports) with which a resident evaluated himself/herself was found to be 0.93 In conclusion, both “Informing patient relatives about bad news- Complications “ and “Informing patient relatives about bad news- Death” evaluation scales for which we conducted a validity and reliabilty study in our research were found to be reliable and can be used in objective structured clinical examinations (OSCE). Training about reporting bad news and evaluation of the quality of communication should be included in the curriculum of anesthesiology and reanimation residents.