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ERIC Number: EJ888686
Record Type: Journal
Publication Date: 2010-Jul
Pages: 15
Abstractor: As Provided
Reference Count: 41
ISSN: ISSN-0363-4523
Creating COMFORT: A Communication-Based Model for Breaking Bad News
Villagran, Melinda; Goldsmith, Joy; Wittenberg-Lyles, Elaine; Baldwin, Paula
Communication Education, v59 n3 p220-234 Jul 2010
This study builds upon existing protocols for breaking bad news (BBN), and offers an interaction-based approach to communicating comfort to patients and their families. The goal was to analyze medical students' (N = 21) videotaped standardized patient BBN interactions after completing an instructional unit on a commonly used BBN protocol, commonly known as SPIKES. Through "post hoc" interviews with the medical student, standardized patients, and faculty member for the unit, we revealed discrepancies between clinicians' idealized BBN interactions and their actual bad news delivery enactment. COMFORT, is an acronym for the seven empirically derived, resulting core communication competencies that seek to overcome some of the communicative constraints to effective BBN experienced by clinicians and patients. COMFORT is built around the fundamental principles of interaction adaptation theory (Burgoon, Stern, & Dillman, 1995), which in this case is applied to communication in medical encounters.
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Publication Type: Journal Articles; Reports - Research
Education Level: Higher Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A