Affiliation:
1. Department of Behavioral Science, Department of Psychiatry, and Program for Interpersonal Communication and Relationship Enhancement (I*CARE), Department of Faculty and Academic Development, The University of Texas MD Anderson Cancer Center, Houston, Texas USA
Abstract
In the practice of oncology, a number of clinical situations require bad news to be given to patients and families. SPIKES (setting, perception, invitation for information, knowledge, empathy, summarize and strategize) is a skills-based, best-practices approach to giving bad news. ••Although not formally tested in clinical trials, the communication skills it encompasses have been associated with positive patient outcomes. SPIKES is best viewed as a flexible guideline to help physicians address individual patient and family needs in a patient-centered manner.
Publisher
Oxford University Press (OUP)
Cited by
32 articles.
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