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dc.contributor.authorDunning, Rose
dc.contributor.authorLaidlaw, Anita Helen
dc.identifier.citationDunning , R & Laidlaw , A H 2015 , ' The application of the Practitioners in Applied Practice Model during breaking bad news communication training for medical students : a case study ' , Scottish Medical Journal , vol. 60 , no. 4 , pp. 170-175 .
dc.identifier.otherPURE: 217092626
dc.identifier.otherPURE UUID: be9bba4c-5cb0-4830-a71e-8d859140d309
dc.identifier.otherScopus: 84947980512
dc.identifier.otherORCID: /0000-0003-1214-4100/work/59698709
dc.identifier.otherWOS: 000367847100008
dc.description.abstractBackground and Aims Breaking bad news is a key skill within clinical communication and one which can impact outcomes for both the patient and practitioner. The evidence base for effective clinical communication training in breaking bad news is scarce. Frameworks have been found to assist the practitioner, such as SPIKES, however the pedagogical approach used alongside such frameworks can vary. This study sought to examine the impact of utilising the Practitioners in Applied Practice Model (PAPM) alongside the SPIKES framework for training undergraduate medical students in breaking bad news. Methods and Results A case study approach is used to highlight the impact of training based on the PAPM and SPIKES on patient-centred communication and simulated patient satisfaction with the clinical communication behaviour. Results showed that following training, both patient-centred behaviour and patient satisfaction improved. With detailed communication behaviour changes a balance was established between rapport building behaviour, lifestyle and psychosocial talk alongside biomedical information. Conclusion This case study shows how the PAPM could be utilised alongside the SPIKES framework to improve breaking bad news communication in medical undergraduate students and describes the behavioural basis of the improvement. Further research is required to show the generalisability of this training intervention.
dc.relation.ispartofScottish Medical Journalen
dc.rights© 2015, Publisher / the Author(s). This work is made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at /
dc.subjectClinical communication trainingen
dc.subjectPatient satisfactionen
dc.subjectR Medicine (General)en
dc.titleThe application of the Practitioners in Applied Practice Model during breaking bad news communication training for medical students : a case studyen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.contributor.institutionUniversity of St Andrews.Health Psychologyen
dc.description.statusPeer revieweden

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