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Having reflected on various effective and ineffective methods of communicating bad news, it’s now your turn to try! In a group of three, alternate between being patient, doctor, and facilitator to enact a scenario of breaking bad news.

Receive and provide feedback on your performance.

How did you do? Did you follow the SPIKES framework? Was it helpful in making the consultation more effective?

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Discuss your thoughts on the two videos with a partner.

1.       Did you and partner view the consultations similarly?

2.       What were the different perspectives that emerged?

3.       Can you think of any techniques or frameworks the doctor used in breaking bad news?

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Observe the following videos of bad news being delivered. Think about the following questions as you watch, then be prepared to discuss your thoughts.

https://www.youtube.com/watch?v=HWAZnhCuAeE

1.       What issues did you identify in this consultation?

2.       What are 3 things that you noticed about the doctor’s behaviour which led to a poor consultation?

https://www.youtube.com/watch?v=_uOS7hfKkVI

1.       Why do you think this consultation was better than the previous one?

2.       Think of 3 ways in which the doctor communicated effectively.

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Complete the following questions in your own time prior to the lesson. Think about an incident where you or another healthcare professional had to deliver bad news.

1.       How do you think the consultation went?

2.       What were 3 things that you think went well?

3.       What were 3 things that could have been improved?

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1) Compare and contrast examples of breaking bad news.
2) Evaluate effective methods of communication in breaking bad news.

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We learn by observing and thinking about what happened.

We prefer to stand back and view experiences from many perspectives.

We enjoy collecting data and working towards an appropriate conclusion.