Learning how to break bad news from worked examples: Does the presentation format matter when hints are embedded? Results from randomised and blinded field trials.
Objectives: Video-based worked examples enable medical students to successfully prepare for breaking-bad-news (BBN) encounters with simulated patients (SPs). This is especially true when examples include hints that signal important content. This paper investigates whether the beneficial effect of hi...
| Publicado en: | Patient Education & Counseling Vol. 103; no. 9; pp. 1850 - 1856 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Elsevier B.V.
Sep2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144945638&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144945638 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07383991 3RX jtl: Patient Education & Counseling issn: 07383991 maglogo: N pubinfo: dt: Sep2020 vid: 103 iid: 9 pid: 1004 pub: Elsevier B.V. artinfo: ui: 144945638 144945638 NLM32303364 144945638 10.1016/j.pec.2020.03.022 NLM32303364 144945638 ppf: 1850 ppct: 6 formats: tig: atl: Learning how to break bad news from worked examples: Does the presentation format matter when hints are embedded? Results from randomised and blinded field trials. aug: au: Schmitz, Felix Michael Schnabel, Kai Philipp Bauer, Daniel Woermann, Ulrich Guttormsen, Sissel affil: Institute for Medical Education, University of Bern, 3010, Bern, Switzerland sug: subj: Clinical Competence Standards Students, Medical Psychosocial Factors Patient Simulation Education, Medical Communication Truth Disclosure Learning Professional Competence Educational Measurement Male Physician-Patient Relations Videorecording Female Physicians Adult Human Students, Medical Statistics and Numerical Data Randomized Controlled Trials Random Assignment Double-Blind Studies Adult: 19-44 years Male Female ab: Objectives: Video-based worked examples enable medical students to successfully prepare for breaking-bad-news (BBN) encounters with simulated patients (SPs). This is especially true when examples include hints that signal important content. This paper investigates whether the beneficial effect of hints only applies to video-based worked examples or also text-based examples.Methods: One-hundred-and-forty-seven fourth-year medical students attending a BBN training participated in either of two equally scaffolded, randomised field trials. Prior to encountering SPs, the students worked through an e-learning module introducing the SPIKES protocol for delivering bad news; it contained the same worked example presented to either of four groups as text or video, with or without additional hints denoting the SPIKES steps being implemented.Results: Only a main effect of 'hints' was revealed, implying that students in the hints groups delivered the news to an SP significantly more appropriately than those in the without-hints groups.Conclusions: Independent of their presentation format, worked examples with hints best foster students' BBN skills learning.Practice Implications: In addition to video, text-based worked examples can effectively prepare students for BBN simulations if hints are included. This offers an affordable alternative to video examples, as text examples can be generated with less effort. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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