Videodebriefing and difficult news delivery: an anesthesiology training workshop experience

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Maria do Carmo Melo
Monalisa Maria Gresta
Eliane Cristina de Souza Soares
Nara Lúcia Carvalho da Silva
Laura D’Angelo Ferreira de Melo
Anna Luiza da Silva Souza
Luana Cabral Luz

Abstract

Simulation is a technique that has been increasingly used in developing skills and competences. The health professional often has difficulty interacting with the patient/family member to communicate difficult news. In view of the importance of the theme, during a Anesthesiology Training Workshop of a hospital in the city of Belo Horizonte, Minas Gerais, Brazil, a videodebriefing activity was developed. Participants (anesthesiologists, anesthesiology residents and medical students in this area) were divided into four groups with approximately 11 participants/each, totaling four groups. Each station lasted for one hour. A previously produced video showed the delivery of a report about a teenage patient to her mother. Some participants were selected to incorporate the role of the physician, nurse, and mother, starting from the premise of non-judgment rather than criticism. The debriefing technique was used. The other participants followed the activity and completed a check list of important points in the difficult news delivery based on the SPIKES protocol. At the end of the activity, there was a presentation of the concepts and reflections on the subject and below as well as an evaluation of the general activity and the topics covered. The overall evaluation was good and the objective of raising awareness about the main issues related to the theme was achieved.

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Author Biographies

Monalisa Maria Gresta, Laboratório de Simulação da Faculdade de Medicina da Universidade Federal de Minas Gerais

Mestre em Enfermagem. Enfermeira Intensivista. Especialista em Terapia Intensiva Adulto/Pediátrica/Neonatal- SOBETI. Enfermeira. Instrutora dos cursos do Curso de Suporte Básico de Vida e Suporte Avançado de Vida em Pediatria (American Heart Association- BLS e PALS). Especialista em Cardiologia EEUFMG. Professora convidada do Laboratório de Simulação da Faculdade de Medicina da Universidade Federal de Minas Gerais

Eliane Cristina de Souza Soares, Anesthesiologist – Rede Mater Dei de Saúde

Anesthesiologist – Rede Mater Dei de Saúde Assistant Professor - Department of Surgery / UFMG - Member of the Committee of Obstetric Anesthesia – Confederação Latinoamericana de Sociedades de Anestesiologia (CLASA).

Nara Lúcia Carvalho da Silva, Laboratório de Simulação da Faculdade de Medicina da Universidade Federal de Minas Gerais

Nurse - Master Student of the Programa de Saúde da Criança e do Adolescente of the Faculdade de Medicina of the Universidade Federal de Minas Gerais. Invited Professor of Laboratório de Simulação of the Faculdade de Medicina of the Universidade Federal de Minas Gerais

Anna Luiza da Silva Souza, Academic of the course of Medicine by the Faculdade de Medicina of the Universidade Federal de Minas Gerais

Academic of the course of Medicine by the Faculdade de Medicina of the Universidade Federal de Minas Gerais

Luana Cabral Luz, Academic of the course of Medicine by the Faculdade de Medicina of the Universidade Federal de Minas Gerais

Academic of the course of Medicine by the Faculdade de Medicina of the Universidade Federal de Minas Gerais