Physicians’ Self-Perceived Competence on Breaking Bad News to Parents of Children with Neurodisabilities

Author:

Fiorellino Ophélie1,Newman Christopher John2ORCID

Affiliation:

1. Faculty of Science and Medicine, Medicine Section, University of Fribourg, 1700 Fribourg, Switzerland

2. Pediatric Neurology and Neurorehabilitation Unit, Woman Mother Child Department, Lausanne University Hospital, University of Lausanne, 1011 Lausanne, Switzerland

Abstract

Delivering difficult news to parents of children with neurodisabilities, often involving new diagnoses, prognosis changes, or declines in function or health, presents a complex task. Our aim was to assess physicians’ self-perceived competence in breaking bad news (BBN) within this context. An online survey was administered to neuropediatricians and developmental and rehabilitation pediatricians in Switzerland. Among 247 invited physicians, 62 (25.1%) responded (age of 51 ± 11 years; M/F ratio of 2:3). They rated their BBN competence at 7.5 ± 1.6 out of 10. Factors significantly associated with self-perceived competence in uni- and multivariate analyses included years of professional experience (≤10 years: 6.2 ± 1.8; >10 years: 8.2 ± 0.8), and region of pregraduate training (Switzerland: 7.3 ± 1.6; European Union: 8.3 ± 0.9). The respondents highlighted the positive roles of professional and personal experience, quality relationships with families, and empathy in BBN. In summary, physicians generally expressed a sense of competence in delivering difficult news to parents of children with neurodisabilities. They underscored the significance of life experiences and certain individual qualities in their effectiveness. These findings provide valuable insights into enhancing professional training and support in this crucial yet underexplored aspect of medical practice.

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. New-Onset Hallucinations and Developmental Regression in a Child with Autism Spectrum Disorder;Journal of Developmental & Behavioral Pediatrics;2024-04-11

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