Comparison of Two Simulation Tools to Develop Empathic Communication Skills in Nursing Students Breaking Bad News: A Randomized Controlled Study

Goosse, Manon; Bragard, Isabelle; Peters; Willems, Sylvie

doi:10.1016/j.ecns.2023.101493

Article (Scientific journals)

Comparison of Two Simulation Tools to Develop Empathic Communication Skills in Nursing Students Breaking Bad News: A Randomized Controlled Study

Goosse, Manon; Bragard, Isabelle; Peters et al.

2024 • In Clinical Simulation in Nursing, 87, p. 101493

Peer Reviewed verified by ORBi

Permalink
https://hdl.handle.net/2268/311504

DOI
10.1016/j.ecns.2023.101493

Files (1)Send to Details Statistics Bibliography Similar publications

Files

Full Text

1-s2.0-S187613992300107X-main.pdf

Author postprint (896.21 kB)

Request a copy

All documents in ORBi are protected by a user license.

Send to

RIS BibTex APA Chicago Permalink X Linkedin

Details

Keywords :

breaking bad news, empathy, nursing student, simulation-based learning

Abstract :

[en] Background The announcement of a pathology that could have a negative impact on a patient's future (i.e., breaking bad news, BBN) is a common and difficult task that nurses feel unprepared for. This study compared the effectiveness of two online simulation-based training tools: a standardized patient, currently the most commonly used method, and 360° immersive videos, which could represent an alternative that demands fewer resources. Method Sixty-nine nursing students were involved in a randomized controlled noninferiority trial and allocated to one of three conditions: standardized patient (SP); 360° immersive videos (360IV); and control group (CG). In all three conditions, pre, post, and one-month follow-up measurements were based on recorded role-plays with patient-actors and questionnaires. Using recordings, external raters assessed students’ communication skills along three dimensions related to BBN: empathic communication, building shared understanding, and shared decision-making. Right after the prepost role-plays, patient-actors assessed perceived empathy and confidence. Participants completed questionnaires assessing empathy, stress, and self-efficacy. Results Empathy perceived by the patient-actors increased in all conditions, but this increase was only maintained in the 360IV condition. In contrast, the SP condition produced the best communication results, as assessed by external raters. Conclusions The two training tools induced complementary changes in BBN skills among undergraduate nurses, opening up new possibilities for BBN training.

Disciplines :

Treatment & clinical psychology

Author, co-author :

Goosse, Manon ; Université de Liège - ULiège > Psychologie et Neuroscience Cognitives (PsyNCog)

Bragard, Isabelle ; Université de Liège - ULiège > Département des sciences de la santé publique > Simulation en santé publique

Peters

Willems, Sylvie ; Université de Liège - ULiège > Psychologie et Neuroscience Cognitives (PsyNCog) ; Université de Liège - ULiège > Département de Psychologie > Neuropsychologie de l'adulte

Language :

English

Title :

Comparison of Two Simulation Tools to Develop Empathic Communication Skills in Nursing Students Breaking Bad News: A Randomized Controlled Study

Publication date :

2024

Journal title :

Clinical Simulation in Nursing

ISSN :

1876-1399

eISSN :

1876-1402

Publisher :

Elsevier, New-York, United States - New York

Volume :

Pages :

101493

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 18 January 2024

Statistics

Number of views

22 (9 by ULiège)

Number of downloads

3 (1 by ULiège)

More statistics

Scopus citations^®

Scopus citations^®
without self-citations

OpenAlex citations

Bibliography

Aspergren, K., Lonberg-Madsen, P., Which basic communication skills in medicine are learnt spontaneously and which need to be taught and trained?. Medical Teacher 27:6 (2009), 539–543, 10.1080/01421590500136501.
Baile, W.F., Buckman, R., Lenzi, R., Glober, G., Beale, E.A., Kudelka, A.P., SPIKES – A six-step protocol for delivering bad news: Application to the patient with cancer. The Oncologist 5 (2000), 302–311, 10.1634/theoncologist.5-4-302.
Banerjee, S.C., Manna, R., Coyle, N., Shen, M.J., Pehrson, C., Zaider, T., Bylund, C.L., Oncology nurses’ communication challenges with patients and families: A qualitative study. Nurse Education in Practice 16:1 (2016), 193–201, 10.1016/j.nepr.2015.07.007.
Benjamini, Y., Hochberg, Y., Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society 57:1 (1995), 289–300.
Bloomfield, J.G., O'Neill, B., Gillett, K., Enhancing student communication during end-of-life care: A pilot study. Palliative and Supportive Care 13:6 (2013), 1651–1661, 10.1017/S147895151500022X.
Boet, S., Savoldelli, G., Granry, J.-C., La simulation en santé: de la théorie à la pratique, 2013, Springer, Paris.
Boissy, A., Windover, A.K., Bokar, D., Karafa, M., Neuendorf, K., Frankel, R.M., Rothberg, M.B., Communication skills training for physicians improves patient satisfaction. Journal of General Internal Medicine 31:7 (2016), 755–761, 10.1007/s11606-016-3597-2.
Bruchon-Schweitzer, M., Paulhan, I., Le manuel du STAI-Y de CD Spielberger, adapta- tion française, 1990, ECPA, Paris.
Buckman, R., Breaking bad news: Why is it still so difficult?. British Medical Journal 288 (1984), 1597–1599, 10.1136/bmj.288.6413.297.
Burgers, C., Beukeboom, C., Sparks, L., How the doc should (not) talk: When breaking bad news with negations influences patients’ immediate responses and medical adherence intentions. Patient Educ. Couns. 89 (2012), 267–273, 10.1016/j.pec.2012.08.008.
Clavel, N., Paquette, J., Dumez, V., Del Grande, C., Ghadiri, D.P., Pomey, M.P., Normandin, L., Patient engagement in care: A scoping review of recently validated tools assessing patients’ and healthcare professionals’ preferences and experience. Health Expectations 24:6 (2021), 1924–1935, 10.1111/hex.13344.
Della Libera, C., Goosse, M., Larøi, F., Willems, S., Examining the impact of experiencing auditory verbal hallucinations from a first-person perspective on the degree of empathy and stigmatization in a group of psychology students: A study using 360° immersive videos. Comprehensive Psychiatry, 123, 2023, 152379, 10.1016/j.comppsych.2023.152379.
Demaurex, F., Vu, N., Patients simulés/standardisés. Boet, S., Savoldelli, G., Granry, J.-C., (eds.) La simulation en santé: de la théorie à la pratique, 2013, Springer, Paris, 51–62.
Doyle, D., Copeland, H.L., Bush, D., Stein, L., Thompson, S., A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance. Patient Education and Counseling 82:1 (2011), 100–109, 10.1016/j.pec.2010.02.013.
Erasmus+ & SimuCarePro. (2015). Scénarios de simulation basés sur des données probantes EBN-EBM et validés. Retrieved june 17 2021 from: https://simucarepro.eu/pages/page.php?id=1.
Faul, F., Erdfelder, E., Buchner, A., Lang, A.G., Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods 41:4 (2009), 1149–1160, 10.3758/BRM.41.4.1149.
Faulkner, A., Using simulators to aid the teaching of communication skills in cancer and palliative care. Patient Education and Counseling 23:2 (1994), 125–129, 10.1016/0738-3991(94)90050-7.
Fields, S.K., Mahan, P., Tillman, P., Harris, J., Maxwell, K., Hojat, M., Measuring empathy in healthcare profession students using the Jefferson Scale of Physician Empathy: Health provider – Student version. Journal of Interprofessional Care 25:4 (2011), 287–293, 10.3109/13561820.2011.566648.
Gilet, A.L., Mella, N., Studer, J., Griihn, D., Labouvie-Vief, G., Assessing dispositional empathy in adults: A French validation of the Interpersonal Reactivity Index (IRI). Canadian Journal of Behavioural Science 45:1 (2013), 42–48, 10.1037/a0030425.
Griffith, R., Tengnah, C., Shared decision-making: Nurses must respect autonomy over paternalism. British Journal of Community Nursing 18 (2013), 303–306, 10.12968/bjcn.2013.18.6.303.
Haskard Zolnierek, K., DiMatteo, R., Physician communication and patient adherence to treatment: A meta-analysis. Medical Care 47:8 (2009), 826–834, 10.1097/MLR.0b013e31819a5acc.
Hauze, S.W., Hoyt, H.H., Frazee, J.P., Greiner, P.A., Marshall, J.M., Enhancing nursing education through affordable and realistic holographic mixed reality: The virtual standardized patient for clinical simulation. Advances in Experimental Medicine and Biology 1120 (2019), 1–13, 10.1007/978-3-030-06070-1_1.
Hsu, L.L., Chang, W.H., Hsieh, S.I., The effects of scenario-based simulation course training on nurses’ communication competence and self-efficacy: A randomized controlled trial. Journal of Professional Nursing 31:1 (2015), 37–49, 10.1016/j.profnurs.2014.05.007.
INACSL Standards Committe. Onward and upward: Introducing the Healthcare Simulation Standards of Best Practice. Clinical Simulation in Nursing 58 (2021), 1–4, 10.1016/j.ecns.2021.08.006.
Kelley, J.M., Kraft-Todd, G., Schapira, L., Kossowsky, J., Riess, H., The influence of the patient-clinician relationship on healthcare outcomes: A systematic review and meta-analysis of randomized controlled trials. PloS one, 9(4), 2014, e101191, 10.1371/journal.pone.0094207.
Kurtz, S., Silverman, J., Draper, J., Teaching and learning communication skills in medicine. Physiotherapy 77 (1998), 87–94.
Lane, C., Rollnick, S., The use of simulated patients and role-play in communication skills training: A review of the literature to August 2005. Patient Education and Counseling 67:1–2 (2007), 13–20, 10.1016/j.pec.2007.02.011.
Lelorain, S., Brédart, A., Dolbeault, S., Sultan, S., A systematic review of the associations between empathy measures and patient outcomes in cancer care. Psycho-Oncology 21:12 (2012), 1255–1264, 10.1002/pon.2115.
Maclaine, T.D., Lowe, N., Dale, J., The use of simulation in medical student education on the topic of breaking bad news: A systematic review. Patient Education and Counseling 104 (2021), 2670–2681, 10.1016/j.pec.2021.04.004.
MacLean, S., Kelly, M., Geddes, F., Della, P., Use of simulated patients to develop communication skills in nursing education: An integrative review. Nurse Education Today 48 (2017), 90–98, 10.1016/j.nedt.2016.09.018.
Mahendiran, M., Yeung, H., Rossi, S., Khosravani, H., Perri, G.A., Evaluating the effectiveness of the SPIKES model to break bad news – A systematic review. American Journal of Hospice and Palliative Medicine 40:11 (2023), 1231–1260, 10.1177/10499091221146296.
Mayville, M.L., Debriefing: The essential step in simulation. Newborn and Infant Nursing Reviews 11:1 (2011), 35–39, 10.1053/j.nainr.2010.12.012.
Mercer, S.W., Maxwell, M., Heaney, D., Watt, G.C., The consultation and relational empathy (CARE) measure: Development and preliminary validation and reliability of an empathy-based consultation process measure. Family Practice 21:6 (2004), 699–705, 10.1093/fampra/cmh621.
Moher, D., Hopewell, S., Schulz, K.F., Montori, V., Gøtzsche, P.C., Devereaux, P.J., Altman, D.G., CONSORT 2010 explanation and elaboration: Updated guidelines for reporting parallel group randomised trials. BMJ (Clinical research ed.), 340, 2010, c869, 10.1136/bmj.c869.
Park, M., Giap, T., Lee, M., Jeong, H., Go, Y., Patient- and family-centered care interventions for improving the quality of health care: A review of systematic reviews. International Journal of Nursing Studies 87 (2018), 69–83, 10.1016/j.ijnurstu.2018.07.006.
Pehrson, C., Banerjee, S.C., Manna, R., Shen, M.J., Hammonds, S., Coyle, N., Bylund, C.L., Responding empathically to patients: Development, implementation, and evaluation of a communication skills training module for oncology nurses. Patient Education and Counseling 99:4 (2016), 610–616, 10.1016/j.pec.2015.11.021.
Rønning, S.B., Bjørkly, S., The use of clinical role-play and reflection in learning therapeutic communication skills in mental health education: An integrative review. Advances in Medical Education and Practice 10 (2019), 415–425, 10.2147/AMEP.S202115.
Rosenzweig, M.Q., Breaking bad news: A guide for effective and empathetic communication. The Nurse Practitioner 37:2 (2012), 1–4, 10.1097/01.NPR.0000408626.24599.9e.
Savoldelli, G., Boet, S., Séance de simulation: Du briefing au débriefing. Boet, S., Savoldelli, G., Granry, J.-C., (eds.) La simulation en santé: de la théorie à la pratique, 2013, Springer, Paris, 313–328.
Sawyer, T., Fleegler, M., Eppich, W., Essentials of debriefing and feedback. Grant, V., Cheng, A., (eds.) Comprehensive Healthcare Simulation: Pediatrics. Comprehensive Healthcare Simulation, 2016, Springer, Cham, 31–42, 10.1007/978-3-319-24187-6_3.
Schutte, N.S., Stilinović, E.J., Facilitating empathy through virtual reality. Motivation and Emotion 41:6 (2017), 708–712, 10.1007/s11031-017-9641-7.
Shao, Y.N., Sun, H.M., Huang, J.W., Li, M.L., Huang, R.R., Li, N., Simulation-based empathy training improves the communication skills of neonatal nurses. Clinical Simulation in Nursing 22 (2018), 32–42, 10.1016/j.ecns.2018.07.003.
Smith, S., Hanson, J.L., Tewksbury, L.R., Christy, C., Talib, N.J., Harris, M.A., Wolf, F.M., Teaching patient communication skills to medical students: A review of randomized controlled trials. Evaluation and the Health Professions 30:1 (2007), 3–21, 10.1177/0163278706297333.
Spielberger, C.D., Gorsuch, R., Lushene, R., et al. The State-Trait Personality Inventory (STAI, Form Y), 1983, Consulting Psychologists Press, Palo Alto, CA.
Stavropoulou, C., Non-adherence to medication and doctor-patient relationship: Evidence from a European survey. Patient Education and Counseling 83:1 (2011), 7–13, 10.1016/j.pec.2010.04.039.
Street, R.L., Makoul, G., Arora, N.K., Epstein, R.M., How does communication heal? Pathways linking clinician-patient communication to health outcomes. Patient Education and Counseling 74:3 (2009), 295–301, 10.1016/j.pec.2008.11.015.
Sultan, L., Abuznadah, W., Al-Jifree, H., Anwar Khan, M., Alsaywid, B., Ashour, F., An experimental study on usefulness of virtual reality 360° in undergraduate medical education [letter]. Advances in Medical Education and Practice 10 (2019), 907–916, 10.2147/AMEP.S240292.
Sundar, S.S., Kang, J., Oprean, D., Being there in the midst of the story: How immersive journalism affects our perceptions and cognitions. Cyberpsychology, Behavior, and Social Networking 20:11 (2017), 672–682, 10.1089/cyber.2017.0271.
Tobler, K., Grant, E., Marczinski, C., Evaluation of the impact of a simulation-enhanced breaking bad news workshop in pediatrics. Simulation in Healthcare 9:4 (2014), 213–219, 10.1097/SIH.0000000000000031.